#1753 Diabetes Spectrum - Part 2

Summary

Juicebox Podcast: Type 1 Diabetes

Episode #1753 – Diabetes Spectrum, Part 2

Host: Scott Benner
Guest: Trisha
Release Date: January 29, 2026

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Episode Overview

This episode continues an in-depth, no-holds-barred conversation about the full spectrum of diabetes experiences, especially focusing on the way medical systems, new therapies, and personal journeys intertwine. Host Scott Benner and guest Trisha discuss living with slowly progressive type 1 diabetes (sometimes called LADA), GLP-1 medications, challenges of medical diagnosis, the pitfalls of academic medicine, innovations in digestive health for diabetics, and the lifelong psychological impact of chronic illness. Listeners are urged to think boldly, question assumptions, and advocate for themselves.

The episode is candid, empathetic, sometimes irreverent, and aimed at empowering listeners to be "Bold With Insulin"—to take control of their own diabetes care and narratives, supported by lived experience and open dialogue.

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Key Discussion Points & Insights

1. The Origin and Effects of GLP-1 Drugs (02:49–06:26)

• GLP-1 Analogs’ Origins:

  • A Canadian researcher discovered high GLP levels in the saliva of the Gila monster, a lizard that eats until satisfied and then fasts. This discovery led to today's GLP-1 medications for diabetes and weight loss.
    • “He swabbed its mouth and found that the GLP in its saliva was significantly more than humans. And that's where today's idea came from originally.” — Scott (02:51)

• GLP-1 Efficacy Beyond Type 2 Diabetes:

  • Scott and Trisha discuss dramatic weight loss and improved insulin sensitivity in both type 1 and type 2 patients, even when not pursuing weight loss.
  • Real-world examples: A teen with significant weight loss in just over a week; Scott’s personal 70-pound weight loss over two years.

• Insulin Requirements and GLP-1s:

  • Even those without extra weight see insulin needs drop after starting GLP-1s.
  • The impact is not solely due to reduced food intake, suggesting underlying metabolic mechanisms.

2. Medical Bias and Off-Label Use of Medications (05:31–06:26)

• Medical Hesitancy:

  • Scott critiques the rigid academic attitudes toward drugs like GLP-1, which are labeled type 2 drugs, thus discouraging creative, off-label use in type 1 or LADA patients.
    • “…when you get into the academia side of it, the people who sit around and congratulate themselves all the time…they get stuck in like, well, it's a type 2 diabetes drug.” — Scott (05:42)

• Personal Experience of Misdirection:

  • Trisha describes frustration when doctors dismiss her suggestions or symptoms because she doesn’t fit the “textbook” patient profile.

3. Chronic Digestive Issues and New Solutions (06:26–14:59)

• Long-Term Damage:

  • Trisha shares how poorly managed or slow-progressing type 1 diabetes led to severe nerve damage in her colon ("colonic inertia"), requiring advanced GI tests and leading to significant quality-of-life issues.

• Innovative Treatments:

  • The Vibrant Capsule: A vibrating pill-like medical device that stimulates colonic peristalsis, described as a game-changer for diabetic nerve damage.
  • “I'm on a drug—a medical device called Vibrant Capsule. It's changing things for diabetics with nerve damage…It looks like a pill. It vibrates on a certain cadence…” — Trisha (07:49)
  • Supportive meds like magnesium and motegrity; coached bladder awareness.

• Psychological and Social Impact:

  • The long diagnostic journey, misattributed symptoms (e.g., nocturia, urgency), and lack of glucose in urine with slowly progressive diabetes.

4. The Realities of Slow-Progressing Type 1 (LADA) (10:21–14:59)

• Nonlinear Symptom Profiles:
  • Trisha notes that LADA patients don't always present with classic symptoms, e.g., not extreme polyuria but excessive nighttime urination, normal fasting sugars but post-meal spikes.
  • “Doctors need to understand it can be a very different experience for LADA.” — Trisha (14:14)
• The Importance of Nuanced Diagnosis:
  • Missed red flags, delayed progression, and damage despite being a well-educated healthcare worker.

5. Frustrations with Academic Medicine & The Slow Pace of Change (17:56–25:47)

• Out-of-Touch Academia:

  • Both speakers rant against the insularity of academic medicine, which rarely translates decades of research to actionable, rapid bedside change.
  • Citing an example where a "decade-long study" concluded what patients and families discovered years before via lived experience.

• Peer Review vs. Lived Experience:

  • Scott argues the value of “learning by listening” to patients, rapid adaptation, and sharing, rather than waiting for formal, slow-moving publication.
    • “…it's hard to…it's easy to say the healthcare system doesn't work preventatively, but I think people's minds don't work preventatively.” — Scott (33:24)

6. Family History, Autoimmunity, and Medical Communication (27:38–31:15)

• Connecting Family Medical Dots:

  • How patient and physician often miss connections in family history (e.g., Raynaud’s as autoimmune).
  • The limitations of word policing and rigid definitions, limiting holistic patient understanding.

• Generational Health Patterns:

  • Stories about allergies and autoimmune issues, epigenetics, and family dynamics in disease expression.

7. Medical Myths and Changing Best Practices (35:08–39:05)

• Historical Medical Mistakes:

  • A humorous but sobering run-down of outdated treatments (bloodletting, mercury, lobotomies, early allergy avoidance advice).
  • Encourages skepticism and questioning of current “settled science” as it will inevitably change.

• Reversal on Hormone Replacement for Women:

  • Highlighting newly accepted findings that contradict years of hormone replacement risk.

8. The Value—and Limits—of Self-Experimentation (39:23–41:24)

• Anecdotal Interventions:
  • Scott describes his wife’s relief from long COVID symptoms using nicotine patches, based on a podcast tip.
  • The speakers discuss weighing risk-benefit and the difference between cautious, open-minded trying and recklessness.
    • “…I am here to tell you that her long COVID symptoms have not been a problem for the last 14 days.” — Scott (39:56)

9. Psychological Trauma and Growth from Living with Diabetes (18:23–19:11, 58:24–58:56)

• Post-Traumatic Stress & Growth:
  • Trisha details the trauma of late diagnosis and medical dismissal, using EMDR and CBT therapy for healing.
    • “…to convince the areas of my brain that associated with the medical misdiagnosis...if I didn't do it, it wouldn't have calmed...[now] I've had what they call post-traumatic growth.” — Trisha (19:11)
  • Importance of mental health/self-advocacy for chronic illness patients.

10. AI, Critical Thinking, and Medicine’s Future (45:49–48:29)

• AI for Medical Diagnosis:

  • Discussion about whether AI—using patient history and symptoms—could surpass human physicians’ ability to connect the dots faster and more efficiently.
    • “…opened up your ChatGPT app…laid out your history…what do you think is wrong?...I think that in about 20 seconds it would have figured out your problem.” — Scott (46:06)

• Doctors’ Limitations:

  • The impossibility of any single doctor holding both the vast medical database and a complete picture of a complex patient, and how AI could serve as a powerful tool.

11. The Importance of Community & Storytelling (52:53–56:15)

• Podcast Impact:

  • Listeners (including Trisha) are reassured by the podcast and community, helping them realize their experiences are valid and shared.
  • The importance of sharing lived knowledge and refusing to let “word police” or “perfectionism” hinder conversation.

• Advocacy for Recognizing Diabetes as a Spectrum:

  • Trisha passionately calls on organizations like the ADA to accurately communicate that diabetes is a spectrum—supported by modern data.
    • “…stop. Start telling the truth about diabetes being a spectrum, okay? Like, we have the data with the CGMs. Like, there's so much we know…” — Trisha (56:15)

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Notable Quotes & Memorable Moments

“It doesn't matter the words I use. I appear to have a GLP deficiency, because once you give it to me, I'm okay… In a couple of hours, her insulin needs are going to start to go down.”
— Scott (03:10)

“You can't get into a room and congratulate yourself after having spent, like, half your career to figure out a thing that some jackass with a microphone figured out 10 years before.”
— Scott (24:45)

“Doctors need to understand it can be a very different experience for LADA.”
— Trisha (14:14)

“We just don't understand it a lot and we think we do.”
— Scott (30:35)

“I learned through my whole experience, learned helplessness. So you’ve got an intelligent, educated person…who, if you taught her things…she’s gonna listen.”
— Trisha (32:30)

“You just can't…expect a human being to [keep all patient and medical knowledge straight]. This is where…if you sat down…with AI…20 seconds it would have figured out your problem.”
— Scott (46:06)

“If I helped one person who has this kind of family history go get all the screening and all the appropriate tests…I think some of the root cause for me started very young, where I stopped going to an endocrinologist…So if I save one person, man, it’s worth it.”
— Trisha (56:15)

“We need those people within this field.”
— Trisha (60:33, referencing compassionate diabetes educators)

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Segment Timeline

• Origin of GLP-1s and Impact on Insulin, Appetite: 02:49–05:31
• Systemic Academic Limitations, Medical Bias: 05:31–06:26
• GI Complications, Vibrant Capsule, Colon Motility: 06:40–14:59
• Untypical Symptom Profiles, Slow-Progressing Type 1 (LADA): 14:00–16:51
• Living with Chronic Complications, Emotional Toll: 17:56–19:11
• Medical Academia vs. Patient Experience: 21:21–25:47
• Connecting Family History, Importance of Storytelling: 27:38–31:15
• Critique of Historical and Current Medical Practices: 35:08–39:05
• Self-Experimentation, Nicotine Patch for Long COVID: 39:23–41:24
• AI, Critical Thinking in Medical Diagnosis: 45:49–48:29
• Podcast as Support, Empowerment: 52:53–56:15
• Advocacy for Truth in Diabetes Spectrum: 56:15–57:12

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Tone & Language

The conversation is warm, direct, unfiltered, and compassionate. Both Scott and Trisha frequently use humor and candor to address uncomfortable truths and frustrations, making the episode accessible and real. They empower listeners to trust their intuition, push for better care, and utilize both lived experience and evolving science—including AI tools—while also remembering the importance of community and mental health.

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Takeaways for Listeners

• Diabetes, especially type 1 and LADA, often presents in unexpected ways and requires nuanced, individualized care.
• Don't accept easy labels or dismissals—be bold, question, self-advocate, and leverage new tools from GLP-1s to AI.
• Medical systems are slow to change; lived experience and patient community can provide faster, sometimes more accurate insights.
• Chronic illness comes with invisible emotional challenges—seek support, mental health care, and recognize post-traumatic growth.
• There is immense value in sharing stories, connecting clinical dots, and speaking openly—even if the “official line” in medicine hasn’t caught up yet.

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[End of summary – for detailed understanding, listeners are encouraged to check out the full episode, especially the segments referenced above.]

Transcript

[A]

Friends, we're all back together for the next episode of the Juice Box Podcast. Welcome. 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. 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. If you're new to type 1 diabetes, begin with the Bold Beginnings series from the podcast. Don't take my word for it. Listen to what reviewers have said. Bold Beginnings is, is the best first step. I learned more in those episodes than anywhere else. This is when everything finally clicked. People say it takes the stress out of the early days and replaces it with clarity. They tell me this should come with the diagnosis packet that I got at the hospital. And after they listen, they recommend it to everyone who's struggling. It's straightforward, practical, and easy to listen to. Bold Beginnings gives you the basics in a way that actually makes sense. Cozy Earth is back with a great offer for Juicebox podcast listeners. That's right, @cozyearth.com 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 the Dexcom G7, the same CGM that my daughter wears. Check it out [e-mail] Juicebox this episode of the Juicebox podcast is sponsored by the Omnipod 5. And at my link omnipod.com juicebox you can get yourself a free. What I just say? A free Omnipod 5 starter kit. Free. Get out of here. Go click on that link omnipod.com juicebox check it out. Terms and conditions apply. Eligibility may vary. Full terms and conditions can be found@ omnipod.com juicebox links in the show notes links@juicebox podcast.com and. And I know you. I know you don't get that reference, but that's where they. That's where the Canadian researcher figured out about GLPs in the 80s. He. He swabbed the. I think it's a Gila monster. It's some. Some.

[B]

Yeah, yeah, Gila monster.

[A]

Yeah, some big lizard that is voraciously hungry when it's hungry, but after it eats, has no appetite and has no fat on it at all. And he swabbed its mouth and found that the GLP and its saliva was like significantly more than humans. And that's how. That's where today's idea came from originally. Yes.

[B]

Wow.

[A]

So I will just tell you that I don't know how to. It doesn't matter the words I use. I appear to have a GLP deficiency because once you give it to me, I'm okay when you give like, Arden has no weight to lose, but if you inject a GLP into her right now, in a couple of hours, her insulin needs are going to start to go down. In a couple of hours. Okay. I know a 16 year old female with a ton of, of lady problems and a, a weight issue, meaning like 200 and like 5, 3, 16 years old. 5, 3, 220 pounds. Okay. Has been on a low level of a GLP for eight days, is down £12 already.

[B]

Wow.

[A]

Right? We'll probably wake up a week from now and be 20 pounds lighter. We'll probably wake up six months from now and be 50 pounds lighter and be bound to where they're supposed to be now. Did it change their eating habit? It did. But that can't be the entire story, like, because if I know if I would have taken that kid, locked her in her room, given her the same amount of food that she's had on the GLP, she would not be 12 pounds lighter today, eight days later. Like, there's some people have deficiencies in places and I don't know what this juice is doing and what it's revealing, but we need more people to look at what's actually happening to people and not to get stuck in. Well, this is a type 2 diabetes drug. People think of it as a type 2 diabetes drug because that's what the original person developed it for. But I can tell you that my wife works in drug safety and that she came home to me now, probably almost 15 years ago and said, one day, hey, one day people are going to take a shot and they're going to lose weight. And I was like, what? And she goes, yeah. She goes, I just saw a ton of data, by the way. I don't know why we didn't buy some stock when we heard about that, but we did not. Okay. And so, but like she said, yeah, yeah, I'm seeing all this data. There's this type 2 diabetes drug. They're working on it and it's got this crazy side effect. And I was like, what's the crazy side effect? She goes, people are losing a lot of weight on it. And I was like, huh? And that was just my wife talking about data that she saw right to me in our kitchen. And then 10 years later, I'm hitting myself with a pen every day and I'm 70 pounds lighter two years later.

[B]

Yeah. And, and I do have to say, I mean, it's not like it hasn't been seen before, that certain drugs, it's all all of a sudden like, oh.

[A]

They do other stuff.

[B]

Different.

[A]

Yeah.

[B]

This is a different off label.

[A]

Yeah. But that's my point, is that it doesn't matter because when you get into the academia side of it, the people who sit around and congratulate themselves all the time for the great work they're doing, right, they all, they get stuck in like, well, It's a type 2 diabetes drug. Like, you know how many times I hear people like, oh, you can't have that. You have type one. What the.

[B]

No, I know because my GI doctor actually now I see a motility specialist. Thank God I finally figured out where to go. But long story short, like, when he, he thought I was asking, I was asking about digestive drugs. But to your point, he, when I, he brought up the GLP1s and then referred it to as just a type 2 drug, as though I was asking to take them for. You know what I mean? Listen, and I was getting confused.

[A]

My anemia is completely gone since glp. Do I think that means GLP cures anemia? Not saying that. My best guess is my digestion works differently now and I'm actually absorbing the nutrients out of the food I'm eating. Right.

[B]

Well, I will tell you, and it's really important, this is the other reason I'm here, is it's embarrassing, but I ended up finally going for the appropriate digestive test, like where they give you these pellets to see how fast they move through your system. I don't know if you or your daughter's ever had it. I think it's like transenteric, you know, it's a test you go for four days. And I massively failed the test. And it showed that I, from the 16 years of diabetes developed. I have severe colonic inertia. So it didn't affect my upper tract like the normal gastroparesis. It gave me gastroparesis in my colon. So it's another reason why I'm like, very loud about what happened because I don't want this kind of thing to happen to anyone else because LADA can come with nerve damage and my doctors say My blood sugar must have been roller coaster because my fasting came down.

[A]

Have you ever tried a digestive enzyme or some magnesium oxide along with your.

[B]

Food to see if this is what I do? This is what I do. Because my damage is so severe. They told me like 80, like 95% of your colon doesn't work. I'm has yet. My endocrinologist told me that. And my GI motility specialist. I'm on a drug. It's not a drug. I take a medical device called Vibrant Capsule. It's changing things for diabetics with nerve damage. It's sort of. You take this, it's a. It looks like a pill. It vibrates on a certain cadence when it hits your digestive tract. And a lot of type ones, especially old school who got damaged from before. Things got, I think a little better for type ones. And it actually helps with peristalsis. And then I take a, a medication called mtegrity. And to your point, I take magnesium.

[A]

Yeah. And it makes the poopy come through faster.

[B]

I this, it's. Once they put me. You know how you now have the motor for people who have the gastroparesis in the upper.

[A]

Yes.

[B]

Stomach. If I was not on this drug, I probably would be suicidal because my system worked so poor. It was, it's so severely damaged. And I am 510 and I only weigh about 122 pounds because it's like I can only eat so much volume per day. And then the other thing is, I used to be a very attractive woman. You could see over the years between the GI issue and my body started to waste away from the diabetes and ironically, Scott, I cannot believe this. I got a consult and was seeing a urologist for, for three years between 2000, what, 11 or something. And. Or something like between 2011 and 2015, I'm a type one child seeing a urologist for urgency frequency nocturia. And in my labs. Okay, this is why I want everybody to listen. There was no glucose in my urine. Okay, folks, I'm going up and down with the slowly progressing type one. And when my labs were done, no glucose is being found in the urine.

[A]

Are you making it? What is that the urgency frequency nocturia, is it? You're peeing your pants, you're peeing the bed.

[B]

This.

[A]

No, no. What does that mean?

[B]

Urgency and frequency means you're at work and you're like, God, I just peed. Why do I have to pee again? So that's what I was seeing the urologist for. And then at Night I started, this is what I told the doctor in 2011. I was getting very annoyed by my bladder in the middle of the night. Like I drank a Big Gulp. And that's what the doctor was like. I don't know, it's got, it's probably, you know, go see your gynecologist. So my point is, with slowly progressing type one lada, whatever you want to call it, you're not necessarily peeing so bad some of us that you can't make it on, you know, you can't stand on a commuter pus and make it, make it through the tunnel. You can't make it through the workday. You could be irritated by it during the day, but it's not extreme. You could experience way too much peeing at night. So it's not the typical, oh my God, I'm peeing, I can't function. Which I want to tell people. And it makes sense because if my fasting was normal, right? I'm not, I'm not at, you know, maybe my meals going to 200, 250 or something in the early days. Like I probably am not reaching those highs. Like I remember, what is it? Like Jake Cutler or one of the football players, like I read about, like he ends up in the emergency room.

[A]

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[B]

That. What? That wasn't happening to me.

[A]

You know what's funny? You say that, you know, there's quiet stories about Jay Cutler being like a. Being a dick. And I always wondered, like, I wonder if his blood sugar is just swinging all over the place.

[B]

Well, he. That's what they. They found. Like, he was losing, like, a ton of weight, and he also didn't have any energy. And then he ends up, you know. Yeah. And the emergency of 500. So I'm just saying, like, doctors need to understand it can be a very different experience for lab.

[A]

Hey, so this thing you're using, it's called Vibrant Gastro.

[B]

Yeah. And they, like. I hope they get a lot of support. It's a game changer for diabetics with nerve damage in their digestive tract, you know, lower digestive tract, you know, upper. I think there's other things for that, but it's a game changer.

[A]

That's awesome. It's awesome. If somebody thought of something and. What kind of magnesium do you take?

[B]

I take. What do I take? I just take glycine because I'm on motegrity, which has a laxative effect.

[A]

And already.

[B]

Yeah. So it's like the doctor's like, okay, balance yourself.

[A]

Yeah. You don't want to be going too much.

[B]

Yeah. Or feeling sick, you know, or feeling, you know, just like, nauseous or anything.

[A]

Well, I just, I learned about magnesium oxide because I wanted to be ready in case I got constipated from the glp. So I just, like, I would take one.

[B]

That was very smart. That was very smart. Yeah, yeah, yeah.

[A]

Well, I appreciate that, but I just took one every day with the GLP to make sure I kept like, on the glp. Like, I realized you really want to go to the bathroom every day. Like, it's just, it's super important to just keep things flowing as the. As.

[B]

Isn't it so funny, Scott? I use such. Before this horrible experience just kept cascading through, you know, my life. And I like, was so prim and proper. Now it's like, you've got diabetes. You've been through all this. I'm like, let me tell you, let me tell the whole world. I've got this horrible, severe problem. And like, you know, there's vibrant gastro and just really trying to help people.

[A]

Well, listen, about. With diabetes, about two weeks prior to when this comes out, I will at the end of some episode be talking about a procedure. I'm trying to get that. I mean, I swallowed so hard before I said it out loud. I was like, oh my God, I'm going to say this, aren't I? Like, just, okay. And then I said it. And the woman I was talking to, she goes, I just, she's like, I really appreciate that you just shared that. She's like, I think that probably impacts way more people than you think, and there's no way anyone's talking about it.

[B]

Yeah, no, I, I agree. And I sit in the waiting room at my motility specialist and I'm pretty sure I can see there's a few people. I've seen pumps, you know, thing I'm like, here we are, you know, and, and, and for me, ironically, here I am young. My blood sugars probably weren't as high, but this wasn't caught for such period. And I'm in there with the old school, old guy diabetic who didn't have all this great technology, so he has damage. And I'm always like, how ironic is it? You know, my doctor kind of calls it. She, she always says it's tragic. My endocrinologist now, and I don't know how Scott, my sugars must not have been going. Or maybe it's the microbiome, my vision, knock on wood. I'm lacking on wood is perfect. Okay. So, like, it's just very interesting. Although I'm constantly now being monitored because some of my liver enzymes have Been out of whack to make sure I don't get. What is it? Autoimmune, hepatitis. And then I got put on to your point earlier, thyroid medicine. Even though my TSH was normal and it was life changing, I got put on a small amount and suddenly I stopped being freezing all the time. My digestion improved somewhat. So I'm like, who cares if your TSH is normal? I've TPO antibodies and my body doesn't function normally.

[A]

Yep. Medicate the symptoms, not the number. That's what I say. So I'll tell you. Did you end up having kids?

[B]

No. It's a nice story. I actually ended up divorcing, marrying. I think the health problems had a huge strain because I started to feel like I was crazy. On my first marriage. I reconnected with my husband, who I went to college with. He's just a wonderful guy. He was my first boyfriend in college. We married, and I have two wonderful stepchildren. And I can't believe within this horrible story, I'm always grateful to the universe that I have had some wonderful, you know, come out of it. I've had. I had to be treated for post traumatic stress disorder with edmr.

[A]

How'd that work?

[B]

That took a year, but I had to do, like, a lot of cognitive behavioral therapy, edmr, to convince the areas of my brain that associated with the medical misdiagnosis by that physician in 2016. Because I will never forget the day my doctor, I said, let me put on a CGM and I immediately spiked to 100 an 80 with a like a half cup of like, brown rice noodles, and I had post traumatic stress. Could you imagine finding out that you had had D type 1 slowly progressing for 16 years and you had had a doctor make a mistake on your. Your case, so you were already experiencing damage, but then that doctor solidified that damage. And so if I didn't do it, it wouldn't have calmed the area of my brain that associated with that medical mistake. And what I've noticed is I've had what they call post traumatic growth, which is basically like, you have good things. You can appreciate life because you've learned from this horrible experience that you've had. And I also think time is precious. I don't know how much this has shortened my own life span. And again, that's why I want to get my message out that diabetes is a spectrum. And if I see one more newsletter, Scott, that says that there's just type one and type two and doesn't talk about all of these, these findings, I think I'm going to rip my hair out. And they're coming out of very prestigious academic medical centers. Those letters.

[A]

Let's talk about that for half a second because you brought that up a couple of times. And I'm sorry for those of you listening who might find yourselves falling in this category. And I like you too, you're good people. But I see people on the LinkedIn congratulating each other all the time for doing that. I'm like, that ain't gonna help anybody. Like, what are you doing? Like, that's, that's where you're spending your time and your resources. I think there are a lot of academic people that like to get together and sit in rooms with each other and congratulate each other on all the good work they're doing. And, and they don't realize maybe that it's not, it's not fast enough. And even if they're right, and often they're wrong, like you go back and you look at, at the things that these organizations say and you're like, oh my God, you were already 15 years behind on this. Like, I would never call anybody out, but I saw a video one time of this doctor. He's a very well thought of person. I've met him personally a couple of times. He's a gentleman, a lovely person, right? And he's, he says, I'm gonna make this big announcement on, on his video channel, which, by the way, four people saw, but that. And I was, and I was three of them because, because I watched it three times. He's gonna make this big announcement. He's been doing this research for this, like, decades long, decade long research. He's got big announcement for people with type one dice. Big, big, big announcement. Gets on, has somebody interview him so that it looks real official. And yeah, I'm like sitting there, I'm like, oh my God, the big announcement, it's coming, it's coming. It's going to be something big. I'm so excited. And his big announcement was that if you wear a CGM and you set your alarms lower and you treat sooner, you have better outcomes. It took him a decade, it took him a decade to make that announcement because he had to do research to find out if it was true. I saw that with my daughter and then talked about it on a pod 10 years ago.

[B]

And I believe I listened to one of your podcasts on digestion while I was still investigating things. And I found out more from you than I did.

[A]

Of course, you And Arden, because I saw a thing, it made sense, I watched it happen a couple of times, and I went, okay, it proves itself out. I've done my research. And now I mentioned to somebody else, hey, let me know if you do this. Does this happen? Yeah, yeah. Five, six, seven years, you know, five, six years later, now the. You know, you start hearing Dexcom saying it out loud. Like, hey, make your. Make your. Make your. You know, make your high alarm lower. You'll have better outcomes. Awesome. Like, now they're able to. By the way, they knew on day one, too. It's just. They probably got to a point where they were finally able to say it out loud. But my point isn't that this person's silly or something. My point is that the way that the world that he lives in works is he sees something, he knows it's true, and then he's got to go through hoops to prove it out over years and years and years. He's got to get money to find his so he can figure it out. I'm sure when he was saying, I've got a big announcement, he was thinking, I am, like, so far behind on this. Like, whatever. But I put all this work into it. I got to finish up now. And I'm not saying that shouldn't happen. I want all that to happen. But you can't get into a room and congratulate yourself after having spent, like, half your career to figure out a thing that some jackass with a microphone figured out 10 years before. Like, right. Like. And if that's happening in that specific situation, imagine all the other parts of life and medicine where this stuff is happening, where people, like, real people, like Trisha are suffering for decades while you're sitting in a room congratulating yourself for figuring something out and then having no way to put it into the world. Because you go, well, what we figured out is, like, you know, we'll give them this test, and if the test comes back between here and here, then that means go to this. And you. You could have spent five minutes teaching yourself how to think about this problem and figured it out much, much sooner. And I know that to be true, Trisha. I know that to be true because I am not a special person. I know I could not get through medical school. I know that I'd. My brain does not work like that at all. I would not. I couldn't do any of those things. And yet I've, like, through storytelling and listening to people, have helped people figure out more things wrong with their life. Than anything I know. I'm just saying to those people, like, maybe a little more of that. Like, like, don't stop doing your, your peer reviewed. I'm not asking you to stop, but I'm asking you to, like, just see that there's other ways to think about this to get people to, like, happiness and health faster.

[B]

You know, listen to Dr. Peter Ortiz.

[A]

I mean, I, I think once or twice I heard him talking about something a week or two, I was in the car and he was on something and I heard him talking and he seemed very reasonable, like a reasonable guy. Like, you know what I mean?

[B]

Like, well, he, he figured out he had insulin resistance and then like changed his life. But one thing I like about him is one time I did listen to him just say, listen, we have to go back to med school and teach people critical thinking.

[A]

Yeah.

[B]

Like, he just did this whole. He's like, you know what the problem with med. He's like, I'm surrounded by people who won't think and they won't really consider your family history. And my endocrinologist now says the Dexcom.

[A]

G7 is sponsoring this episode of the Juice Box podcast. And it features a lightning fast 30 minute warmup time. That's right from the time you put on the Dexcom G7 till the time you're getting readings. 30 minutes. That's pretty great. It also has a 12 hour grace period so you can swap your sensor when it's convenient for you. All that, on top of it being small, accurate, incredibly wearable and light. These things, in my opinion, make the Dexcom G7 a no brainer. The Dexcom G7 comes with way more than just this. Up to 10 people can follow you. You can use it with type 1, type 2, or gestational diabetes. It's covered by all sorts of insurances and ugh, this might be the best part. It might be the best part. Alerts and alarms that are customizable so that you can be alerted at the levels that make sense to you. Dexcom.com juicebox links in the show notes [e-mail] to Dexcom and all the sponsors. When you use my links, you're supporting the production of the podcast and helping to keep it free and plentiful.

[B]

She sometimes figures out people have autoimmune LADA because they. Or just the start of type 1, et cetera because they've gone around to tons of people. And she'll say, she'll say like, she'll kind of look at it like a Jigpus saw a puzzle and be like, nobody's connecting the dots here.

[A]

Yeah, it's. It's the only. And it's the only thing that makes sense to me. Like, I ask everybody who comes on about their history and their family real quick, and most of them don't even. Like, sometimes they don't even see the connection. I had a lady tell me the other day, no, like, there's no other autoimmune in my family. And then 20 minutes later, she's telling me, like, that her dad has Raynaud's. And I was like, that's autoimmune. And she goes, oh, I didn't. I didn't know that. And I was like, yeah, it is. And then you start. Then you have to wonder, like, what else is going on in her family that she doesn't know about? Like, what did Sakina know when she told me 20 years ago? You know, that, hey, autoimmune runs in families. And then the problem is, is that then people word police you. Autoimmune doesn't run in families. It's not genetic. Or, like, what? Like, stop. Who. It doesn't. I don't care what word it is here.

[B]

A lot of word was, in my family, what? That's just the way we are.

[A]

Yeah. Is she thin? Is she thin? A lot of us are thin. Like, yeah. You mean a lot of us are malnourished because we have celiac. Is that what you wanted to say?

[B]

Like, yeah, exactly. Exactly. And my father always makes me laugh. He goes, back then. We were just. Back in the day, our great. Our parents would say, like, they have the big C, like. And, like, whisper about it so that, you know, then you've got that.

[A]

Well, this family also. The sprue. What? What? No, she's got the sprue. I'm like, what is that? I said to my wife. And by the way, when I was dating my wife, if somebody would have said. If someone would have told me the lady had the sprue and that this was all genetic, I would have just moved on to a different girl. And, like, I didn't know. I didn't know. I tell. Listen, I tell my kids all the time. It's why I asked you if you had kids, because on. There's a part of me that's like, thank God you didn't have kids.

[B]

Oh, no, I'm. I'm really grateful. And I think that, to your point, other things manifested in my brother's family through epigenetics. And, like, my nephew has severe, was born with severe food allergies to, like, several food groups. And then his, like I said, he's had to watch his Sugars. He's only 18. And you know, your family is like 17.

[A]

Your family's like Hashimoto's. Yeah, yeah. Your family's like bulldogs that can't breathe. You're like, oh, we won too many generations.

[B]

And then my brother laughs at his wife for having all these allergy things in his family and he's like, we just weren't good together, you know?

[A]

Well, no, the allergies are, are immune too. Like, like for sure. I know that allergies aren't considered autoimmune, but come on, it's your body's immune system overreacting.

[B]

Please. They're going to find out things years from now.

[A]

Of course.

[B]

I don't know. I, I, what you say, it's highly suspect.

[A]

No, it's, we just don't understand it a lot and we think we do.

[B]

Yeah.

[A]

You know what it is we think we do because 150 years ago we were riding around on horses looking for rocks in the ground. And like, we, like, we think we're so, like, you know, we think we're.

[B]

Advanced, but you just keep looking back over X decades. I mean, we could just look in type one itself. I mean, since Arden's been little, I mean, you could probably just tell me stories about, like, think about it. When I was a kid, I don't think they ever thought, they thought, they just gave you some Synthroid and that cured the entire issue with your body. But you're still having downstream issues from the Hashimoto.

[A]

And also people still have heart. The thing we're not tackling is that it? And I've been doing this thing with Erica. We've been recording this, this series about body grief, which is a thing like, you know, like she's talking about a lot in her life, but we haven't really dug all through it yet. But, but it's the impacts on you. It's not as easy as, take this pill and you'll be okay. Because sometimes people are like, I don't want to be sick. Like, do you know what I mean? And thyroid is an example. It's such a slow moving thing for some people that if you don't take the medicine, you don't know today that you're okay. The reason people take care of their type 1 diabetes is because you'll die if you don't. And by the way, that still doesn't stop some People. So instead of seeing that as some. I don't know, you know, instead of seeing that as a personality flaw, I just think of it as. I think of it as. It's your. It's. It's that thing that people have. Like. Like, I can make it through anything. I can do this. I can get by. Like, it's. That's important, by the way. Like, if people don't have that belief in themselves, we'd all be dead. Like, we'd all just give up the first time something happened. Right. So you just believe that you can overcome anything, but there are times in your life where that belief is dangerous. Right.

[B]

Well, that happened to me with the doctor handing me the diet. Right. And I'm thinking, I'm going to cure myself. And then I have a master's degree. Think about it. How ironic. I worked in healthcare, right? Because a lot of us who grow up with people who have type 1 diabetes go on to want to help other people. People. And then I learned through my whole experience, learned helplessness. So I didn't start there, stop. But I started to give up because no one was helping me. Right. So you've got an intelligent, educated person who, if you taught her things when she went to the doctor's office about, you know, tests she should have or what she's vulnerable to, she's gonna, you know, listen. And it. Yeah.

[A]

I'm so. I'm so sorry to say that I think that one of the. One of the. My takeaways from making this podcast is that you just can't. It's hard to. It's easy to say the healthcare system doesn't work preventatively, but I think people's minds don't work preventatively.

[B]

Now. We're biased. If you ever seen there's work by Danny Man Kahneman, I might say it wrong. He's a psychologist who says the amount of, like, bias that's not on a conscious level between you and the physician both of you are experiencing that's in the room actually interferes with, like, doctors making the right diagnosis or patients maybe taking the right next step. They're like, things we're not even conscious of.

[A]

Yeah. And I think that we over value where we're at as far as our knowledge goes. Like, I mean, I don't know what's it.

[B]

I don't anymore.

[A]

Yeah. Yeah, you should. Because. What's a good example? What's a good example? Oh, okay. 19 oh, 1903. The Wright brothers fly for like 10, 12 seconds. Okay. In. In 1969, we land on the moon. And last week I watched a rocket get caught by a pair of metal scissors. So, like, like, so it feels like, oh, my God, look how fast we're going. Because in that realm, we are really going quickly. But if you stop and talk to somebody who understands space flight, they'll tell you that, like, we don't really. We're not very good at it at all. Like, we're just way better at it than the Wright brothers were about getting off the ground.

[B]

Look at my nephew. He was told to avoid all nuts and milk because he had a food allergy. Now we know that's the worst thing. And he had to then, as he got older in middle school, will go for torturous milk challenges in order to get his body used to milk. And then the doctors were like, start eating almonds. You're all, you're allergic to tree nuts. But we've tested and you're not allergic to these because we once thought not exposing your kids to the peanuts, okay, this was. This was not that long ago was actually telling pregnant women and then having their babies, like, don't eat them, right? And now we're like, oops, backpedaling on that one. That actually makes you have the allergy and, like, sustain the allergy, like, so well. To me, I always think about that when I go to the doctor now. I'm like, you don't know what you don't know.

[A]

Yeah, I'm going to. I'm going to do this. I just pulled up a list for you because I want people to kind of, like, feel this and then, you know, like, try to apply it to what you're seeing today, right? There was a time where anytime somebody was sick, we did bloodletting, right? Anything that was wrong with you, they put a leech on you or sliced open your vein to let out the bad blood. That's a thing that was medically accepted as a great idea. Doctors used to drill or scrape a hole in your skull to release evil spirits, cure headaches, or treat seizures. We would lobotomize people by taking a sharp tool, inserting it through their eye socket to scramble part of their frontal lobe. People used to get mercury pills for medicine that would be. Mercury pills, ointments and vapors were prescribed for syphilis, constipation, teething, and more. The reality is that mercury poisoning, tremors and insanity and organ failure is what came from that. Did you know that cigarettes used to be prescribed for asthma, heroin for cough suppressants for children? Bayer marketed heroin As a non addictive alternative to morphine. It was sold over the counter and that's not a thing we do anymore. Radium water. In the early 1900s, energy drinks were called contained radium. People also applied radioactive creams to skins and genitals for vitality. Oh, here's one. Electric belts for erectile dysfunction. Men were sold electric shock belts to restore virility, often with no regulation. Doctors endorsed them. What really happened is people got burns and electrocution. If you put a 9 volt battery on your balls, I think you'll find out it isn't a great thing. Vibrating massages for hysteria. Doctors treated women for hysteria by manually or mechanically inducing orgasms. And of course snake oil and all the other stuff. Like that's just 10 things that people used to say, those are absolutely right. We should be definitely doing these things. This is what's helping people. And you have to step back once in a while and ask yourself, what am I doing right now that in the future someone's going to go, oh, you poor fool, I can't believe you did that. Like, right. And I'm not saying that anybody's doing it on purpose. I'm saying you need to wonder and try to figure it out for yourself. And it's at some point, like that's a common sense statement that I think in modern times, because of podcasting and people who like, people who don't know what the hell they're talking about, I'm one of them. Like, right, like wondering out loud about things and sometimes being awfully wrong about that stuff. I think it allows people to say like, oh no, no, just like we just got to trust that what we know is right. Like what we know is as right as we know it to be.

[B]

Yeah, it's only, it could only be the tip of the iceberg. I mean, this week it just came out that now they're like hormone replacement for women. They just like backpedaled all the information that was out there, saying that it was going to give you breast cancer, etc.

[A]

And now that's not true anymore, right? Yeah, they've known that.

[B]

That's the thing is it's like they've known it. And now that's finally to your point earlier about like the ADA etc, or the, the doctor to it. Like, it's like we're putting certain information out like it's new.

[A]

My wife has been struggling with long Covid for a couple of years now. Like, I mean like really badly. And I'm sorry to hear that. No, no, I appreciate it, but then a woman came on the podcast, like, a few months ago and was like, oh, yeah, I had long Covid, but I was able to get rid of it with nicotine patches. And I was like, say again? What now? And. And so I said to my wife, I'm like, hey, I on Amazon bought you 30 nicotine patches for $30. And a month later, she's like, I feel so much better. And. And, like, I'm like, okay. Like, I don't know. I don't know why, but who cares?

[B]

Yeah, what's the sign? What's the.

[A]

Well, by the way, there's this. The science behind it is something about, like, nicotine receptors and the. Where Covid's being like, I don't know. Spike proteins are being, like, uptake. And I don't know. Here's. Here's the thing. I don't know. But, like, what I knew was, is that I watched my wife struggle for seven years with her thyroid thing while we all just sat around and wondered out loud. And that, again, I didn't think that wearing a nicotine patch for 30 days was gonna hurt her. And so, like, what was the harm in trying? It cost 30 bucks. And. And I'm not here to tell you to do it. I am here to tell you that her long covet symptoms have not been a problem for the last 14 days. So it took about a week for her to start feeling better, two weeks for her to feel much better. And today I'm watching her. She's got a light in her eyes again. She's talking faster. She's getting rested, better. Like, she's. It's not perfect, but it's a lot better than it was.

[B]

And. And, yeah, just to think all that she went through where, like, yeah, it makes sense that, you know, she. You get this information. It's the same way with what you were saying about the thyroid. And you're. You're saying what hurts if she goes on it? It's like, now she's like, yeah, I'm gonna try this.

[A]

Give it a try. Who knows? Like, right? Like, and. And listen to. I. There's. There's many people right now that are hearing us talk, and they're like, you. They're like, yeah, like, try something. And there's just as many as, like, you know, you don't trust the science, and you're like, I'm not that person. Like, I'm not that person at all. Like, I. My kids are vaccinated. You know what I mean?

[B]

There's a balance, but totally. And like I said, you need things that are quality controlled. Like I wouldn't want someone to give me this vibrant pill that runs through my system. It looks like a pill. It's like almost like plastic. You don't want to know what it was like the first day I had to take it. Now it can pop it down, like no problem. But it's like an extra large magnesium.

[A]

Hard to get down.

[B]

Yeah, yeah. I mean, but if someone hadn't quality checked that research list. I don't want that swimming.

[A]

I'm certainly not saying. Yeah, I know. I'm certainly not saying that. Right, right, right.

[B]

No, I don't think either one of us are saying that, but we're saying like there needs to be a balance within the current environment really.

[A]

Is it still vibrating when it gets in the toilet?

[B]

No, it vibrates on a timer inside of you. And the comical thing is like if I was heavier and I had probably had sustain the weight loss from all of the health issues, you probably wouldn't hear it in someone who was heavier. But because I'm very thin, my doctor was like, sometimes you're going to hear it and it's so funny.

[A]

Really.

[B]

Like, yeah, I'll hear it vibrating. It does it on a timer at a. Like, we'll do 11 something. Then it will do around 1:30 in the afternoon. Then it'll do around 7:30. Sometimes I can't feel it at all. But some days I'll feel it and it will be a pretty loud. But again, I am so grateful for it. And when the doctor told me about it, I looked at him like he had 10 heads.

[A]

Sure.

[B]

This was in 2023, the summer of 23. And do you know that show, that movie from when we. I didn't watch it. I was too old. But like kids were watching it. Honey, I shrunk the kids. Sure. Or like the. What is it the inner space where they fly in? Was it Dennis Quaid's in it and he goes in a little spaceship in someone's body. That was my reaction. I was like, you want me to do what with what? And yet like when? But I'm like, yeah, my doctor says too, for diabetics who've had issues like this or other people for other reasons, like eventually it might be able to be something you could. The doctor can program via an app or you can or you know, something via technology to time it best for your body.

[A]

Interesting. Well, listen, hopefully that won't end up being the that that won't End up being the electric belt for erectile dysfunction. It'll end up.

[B]

It'll end up being the same, right? To your point. Yeah. And who knows, Scott? I was thinking about it. I don't dwell on it because it's making my life a game changer. Every day I'm like, maybe this device has, like, metal in it. It's gonna give me cancer. Or one. One day it's gonna, like, do something and rupture, like, a section of my. I'm like, you know, they've only been doing this for three years.

[A]

Well, listen, as. As wildly inappropriate as it is, I do have to say that orgasm does calm my hysteria. So maybe. Maybe there's something to be said for that one. I don't know. I don't think it's good that your doctor was doing it for you, but. But nevertheless, okay. You were awesome. Thank you for doing this. I really appreciate you sharing your entire experience. It was.

[B]

Yeah. I'll ask you one last question for you. Like, what does it take from your experience that get anything through to, like, the ADA or certain kind of doctors to kind of, like, talk about this? Or do you think it's still, like, a real struggle?

[A]

No, I. I don't think that'll ever happen. No, I. I think that. I think that professional people want to sound professional. I don't think that anything about the conversation you and I just had sounds the way that they talk to each other. And in. So in, you know, in polite society that this is not going to work this way. Like, their thing's always going to be their thing, which, by the way, has a ton of awesomeness about it. Like, there's no doubt. There's a thousand.

[B]

No, no, no. You.

[A]

You. You need.

[B]

You need. You need it.

[A]

But a thousand things I would go to a doctor for and gratefully say to you, I have no idea what you're doing, but please just do whatever it is you do. Thank you very much. And I just think that it's more of this part of it, the unknown stuff and having to pick through people's experiences, you know, like a. I don't know. Like, you're like. I don't know. Like, you're looking at a map and trying to figure out which way to go next, and then getting there and listening to the wind to decide which way to go next again. Like, that's what it feels like sometimes, and it's hard. Yeah.

[B]

Do you wonder if somebody was sitting on a computer and put my history into AI Right. Would it have actually been like, check for this. Oh, 100% check for that. Right. So it's like I couldn't trust the human.

[A]

Yeah. Critical thinking, the way I've said it before is that you're asking too much of a doctor to keep the entirety of medical knowledge and the entirety of your history together. And then to be able to collate them and come up with answers, that's impossible. You need a whiteboard and a 20, 20 miles of yarn to. And a lot of push pins. Right. Like, so you can't, you can't really. You can't expect a human being to do that. This is where my full belief is that if you somehow. I don't know what the simplicity of it is. If you sat down right now and opened up your ChatGPT app and turned on the voice talking or whatever AI you use and said, hey, I'd like to have a conversation about my medical history. And you laid out your history without giving it any of the answers that you got. I'm experiencing this. This is happening. This is happening. I have this happen. My mom has this, my dad has that, my blah, blah, blah. What do you think is wrong with me? I think that in about 20 seconds it would have figured out your problem.

[B]

Yeah. It would have said check for this, check for that.

[A]

Right. It wouldn't say. Yeah, it wouldn't say 100% do this, but it would give you a list of actionable ideas that would get you to the answer.

[B]

I think, I think for my brother to have my. Be watching my brother check for. And it's.

[A]

Yeah.

[B]

And I want to be clear than physicians.

[A]

I want to be clear. I don't think it's because, like, I knows everything. I think, I think that it does two things that are really valuable there. And one is that it can simply keep all of those ideas, like between your health, your health issues and your history, it can keep it straight very simply and it can order it very simply, and then it can go look at the Internet for simple answers to those questions and spit back.

[B]

And you have to be careful with it. Of course.

[A]

I'm not saying that you.

[B]

Yeah, we're both not saying, but we're both seeing the value in it having all of that information and ordering the information.

[A]

Yeah, it can, it can keep track of things better than you can. And, and like, that's that, that's the simplicity of it right there. I don't care what it does with making videos or pictures or like that. That's all like, I don't, I don't care about that. Like, right. Like, even for writing, like, yeah, technical writing, it's, it's gotten way better at. I don't know that it's ever going to write, you know, and take the place.

[B]

I mean, I'm, I'm in grad school and like, I'll use it sometimes just to, like, I'll write my paper. I never use it to because it sounds too wonky and I'm old and I want my brain to do the work, but it comes back to Wordy often.

[A]

Yeah. Now there's, it's a lot about how to learn, how to talk to it, and there's a way to work with it that I don't know that everybody's going to like, pick up.

[B]

I never tell it it's wrong. I love being like, you're wrong. I'm like, you're completely wr.

[A]

Well, I don't, I don't even mean, like, I don't mean like that. Like, I did a, I did a letter yesterday that goes out to the advertisers at the end of the year, right. I do one, I do one every year where I basically say to like, look, put the business aside for a second. Here's what the podcast did for people this year. Like real people, you know what I mean? Like, here, here's your, your ad dollars got you your clicks and it did all the things that you wanted it to do. But here's what, here's what. Why I'm doing it. Like, I'm not doing it for your clicks. I kind of don't care about your clicks. Like, I care that you care so that you'll pay me so I can make the thing, so I can have a two hour conversation with Tricia and pay Rob to edit it down and then put it online for people to hear it. Like, that's the part I care about. And so I sat down and I said, I went to. Usually I would sit and start writing and instead I went to a prompt and I said, I'd like to send a letter to the advertisers this year that highlights some of the good work that the podcast does for people aside of the business stuff for them. Here's a document that has all of this year's reviews for the podcast in it. Look at the reviews, figure out where the podcast has helped people this year, and put together a little note. And it put the note together and I read it and I was like, this is not a thing I would actually send to somebody. But it did have the bones of what I Meant. And so then I went back in.

[B]

I use it find that for a paper.

[A]

Yeah. Then I went back and I rewrote the whole thing. But over top of the bones have to sit and come up with like the, the structure of it.

[B]

Yeah. It gets your brain moving to think. I mean, and some things you're like, oh, no, I want to do a little bit. And I need to add that. But it's. It still is helpful. I do think for kids, it's dangerous. Like, you and I went to school. We know how to write. You know what I mean?

[A]

I don't know. It's going to. It's just going to change how people do things. Like, it's dangerous.

[B]

It's going to change. I would just say, like, to me, I always look at it, it's like, yeah, who knows? Who knows how it's going to change things?

[A]

I think, like, everything El. People who are lazy and not motivated will misuse it. And people who see it as a tool will use it correctly. Like. Like, as an example, like, I could not have gone through the like, hundreds of reviews I got this year to find the ones that actually lean into the idea of like, like. So it just was easily. It was able to like, go, zip. Hey, here's five of them. That will let the advertisers know that, you know, they're. They're buying ads from you actually helped people and the. And these reviews do that. And I'm like, okay, great. So there they are. And look, I'm going to. I'll read it to you right now. Like, I don't mind if anybody hears it. I said it says now. And it's me rewriting it. As we wrap up the year, I've been thinking about the work we've done together. On the surface, it's straightforward, but as with every year's end, I want to take a second to look at the part that doesn't show up in any report. The outcomes that will endure for lifetimes well after the business has been forgotten. All year long, I get messages from people sometimes long, often emotional and reflective about fear easing up, confidence coming back, parents finally feeling like they can breathe. Adults with type 1, adults with type 1 saying they understand their own bodies more completely. People who felt alone until something in an episode or an interaction in the juice box community made them feel less so. So, yes, we did good business this year, but your dollars are also making something human happen for a lot of people. Quietly, steadily, one episode at a time. And I just wanted to say that I See that and I appreciate it and I'm looking forward to next year. And then it gives you six reviews that came back from people. One from a parent of a child, one from an adult, one from a long term adult, one from a short term, one from an RN whose kid has diagnosed, like, got diagnosed, but they didn't know what they were doing. Like, it gives them the feeling very quickly, this is not just one person, right? Like, it's, it's. It's reaching all kinds of different people and all kinds of different things. And that's it. I just.

[B]

No, it's beautiful. You guys helped me. When I first got diagnosed, I used to take you guys on. I used to go for. For walks and, and even, like, like I said, some of the episodes on the digestive stuff, I was like, oh, my God, I'm not crazy. I am not.

[A]

Yeah, it's important.

[B]

Insane.

[A]

And it takes somebody to stay and pay attention. I don't know in the end if I'll even have time to look back over my life and wonder what it was, right? Maybe I'll just get hit by a car. But I think that the value of those ads on this podcast is that one person with a brain like mine gets to sit into this stew and think about it all the time. Like, it's my job to wonder about this. Like, I made it my job. Nobody gave it to me. But it's my job to hear your story and to think about it. Like, I'll think about your story forever now. Like, bits and pieces of it, just like I do everyone else.

[B]

No, no, you will. You'll be like, remember that time we had that woman who didn't get diagnosed for 16 years?

[A]

Well, it's even. And sometimes it's even more functional stuff. Like, you said you had cystic acne. Did it go away? Was spironolactone the reason? Like, why do you.

[B]

You know what it was? It was as soon as I went on the insulin and had, like, the low first, it really ebbed in flow when I went on that sibo diet. Okay. So I was spiking. It's something. And I'll notice now my acne is pretty controlled because I'm a pretty. My A1C. Everything is, like, pretty good. Every once in a while, if I'll have a low, which is kind of hard, I only take two units. But maybe I did a lot of physical. I'll get an. I'll get acne. So it's that up and down. Something about that will give me an Acne cyst. Like. Like, say I went not even super low, but the bouncing bounce. And who knows? I don't know. I'm a different individual that all these other genes. But, like, there's something about. There was something. Of course, I didn't have, like, really bad cystic acne before I got the diabetes. So, yeah, my nephew started to get it as soon as they caught his sugars were out of whack.

[A]

And I love that you explained there are some people whose brains will hear, like, that's not right, and, like. But she's not telling you that, you know, bouncing blood sugars definitely made her acne pop up. What she's telling you is this is what I noticed. Now take that little piece of it and see if you notice something. Like, that's the important part. You don't get stuck on the. What you just said is exactly wrong. Like, I sometimes get reviews and, like, people are like, you misspoke there. And I'm like, awesome, I'm glad you're perfect off. And like, yeah, like. And it doesn't. It doesn't hurt anything that I use the wrong word here or the wrong connotation of something. Like, it's the conversation that's important, and if you can't wrap your brain around that, then this kind of communication's not for you, and that's cool. I'm sorry that, like, it didn't help you, but, like, you can't get. So you can't word police this thing to death. You have to, like, just let people talk to see what comes from it. And a lot of times, good stuff comes from it. And I don't see a lot of bad stuff coming from it. Right? Like, there's no. There's 75,000 people in that Facebook group. No one's running around going, I misunderstood. Something in my head exploded. Like, you know, like, it's. It's okay to let people talk and see what they see what their.

[B]

If I helped one person who has this kind of family history go get all the screening and all. All the appropriate tests. I think some of the root cause for me started very young, where I stopped going to an endocrinologist, right, for checkups. So if I save one person, man, it's worth it. And I swear, if any of your sponsors, et cetera, anyone, talks of the ada, some of these other organizations. Stop. Start telling the truth about diabetes being a spectrum, okay? Like, we have the Data with the CGMs. Like, there's so much we know, and there's so Many diabetes is exploding in this country. Ultra processed food, et cetera, et cetera. The GLP1 drugs are changing things. But like, and to your point, what's really going on with, with some of that, like, we have to get this information talked about more in the mainstream.

[A]

Yeah, I agree. Okay. You're awesome. I'm gonna say goodbye. Thank you very much.

[B]

I'm gonna miss you. And then I have to look up. I, I, you're gonna miss me. They're talking to me about going on, possibly trying a pump. And I'm like, I'm gonna look through your episodes because you helped me go to the Dexcom 7 and I'm trying to see what's good for someone who's active and doesn't really go low.

[A]

I hope the podcast helps you. I tell you that from our conversation, I've made notes here for myself. I'm going to get on, like, therapist to talk about it. I'm also going to try to get somebody on who's doing psilocybin therapy out in Colorado and get them to talk about that because of the trauma stuff that you picked up. And I've got this Vibrant in front of me. I'm going to reach out to people there.

[B]

Oh, my God, please do it. My endocrinologist was the, my endocrinologist and then my, the liver doctor because she's in the digestible. They're like, they know about it. And they're like, this is incredible.

[A]

For diabetics, the Vibrant system is clinically proven to deliver effective relief from chronic idiopathic constipation with fewer nasty side effects than drugs and laxatives. So if the people at Vibrant are listening, I think that sounds like a good ad. You should get ahead of me.

[B]

I have no, I don't really have negative side effects from it. And then long and very short, I would say, too, I love your idea about the EDMR because type 1 diabetes, like, you have to think, I saw my mom turn purple and almost bite her tongue off. You've had your stories. I remember listening to the one about Arden in the prom. We go through trauma, trauma that sticks to you and it helps you calm. Like maybe that trauma you have from being a hypo or experiencing a hypo and going to the emergency room. So I love what you're saying.

[A]

I appreciate it also, you know those little experiences. You want to see a real life example of how it helps somebody? One of those girls that was there when Arden had that seizure is in nursing school now. And I Drove her back to school after a break. Recently, she didn't. She needed a ride back to school. And I was like, I'll take you, you know. So I'm driving her back and we've been talking. I've known her since she a little kid, and we're talking and everything, and she says, I'm in nursing school now. We already talked about diabetes. And I was like, right. And she goes. And then I look at Arden's life and I think, that's all they're going to teach me about this. How am I going to know what I'm doing? And then it hit her and she was like, oh, no, what else don't I know? And I was like, ah, that's the right, that's the right question. What else don't I know?

[B]

I only met one physician who said to me, I went into this because it's a lifestyle disease and I care about people and I want to be with them through their life with diabetes and help them live better. And I'm like, we need guys like you. We need people like you.

[A]

Yeah, I feel like that. I don't, I just don't know that everybody whose brain is doctory is. I think more of them just want to do tests like, see, you know, flow sharp endocrinologists.

[B]

Some are attracted because it's very much a numbers type field. So then sometimes you can get people who are less. I. I don't know if the tide's changing in terms of that, but, like, you got to be careful of just going to endocrinologists who are numbers guys to point about your wife and the normal tsh.

[A]

Yeah, no, I would imagine that we probably need people who are more diabetes related because endocrinology covers a lot of different things. And so, you know, it doesn't necessarily mean that they even wanted to be involved with diabetes. They might just have to be because of their specialty. I have no idea.

[B]

Yeah, yeah, yeah. And my, my best. I had a better experience to your story of your. With your daughter's friend with the diabetes. When I got handed off to the diabetes educator, she looked at me, oh, my God, I can't believe your story. And then she was so compassionate and she really taught me wonderful tips about how to ma. And I'm like the first doctor, you know, you didn't, you, you didn't. I didn't get that. And, yeah, it's like, we need those, we need those people within this field.

[A]

Yeah. So. Well, hopefully they'll come.

[B]

All right, all right, hold on one second Great.

[A]

You were lovely. Hold on one second. Dexcom sponsored this episode of the Juice Box Podcast Learn more about the Dexcom G7 at my link dexcom.com juicebox A huge thanks to Cozy Earth for sponsoring this episode. Don't forget Black Friday has come [e-mail] 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 this episode of the Juice Box Podcast is sponsored by the Omnipod 5, and at my link omnipod.com juicebox you can get yourself a free what'd I just say? A free Omnipod 5 starter kit. Kit free. Get out of here. Go click on that link omnipod.com juicebox check it out. Terms and conditions apply. Eligibility may vary. Full terms and conditions can be found@ omnipod.com juicebox links in the show notes links@juicebox podcast.com if this is your first time listening to the Juice Box Podcast and you'd like to hear more, download Apple Podcasts or Spotify. Really, any audio app at all. Look for the Juice Box Podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management? Go to juiceboxpodcast.com up in the menu and look for Bold Beginnings, the Diabetes Pro Tip Series and much more. This podcast is full of collections and series of information that will help you to live better with insulin. My Diabetes Pro Tip Series is about cutting through the clutter of diabetes management to give you the straightforward, practical insights that truly make a difference. This series is all about mastering the fundamentals, whether it's the basics of insulin dosing adjustments or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over 35 years of personal experience, and we break down complex concepts into simple, actionable tips. The Diabetes Pro Tip series runs between episode 1000 and 1025 in your podcast player, where you can listen to [e-mail] by going up into the menu. Thank you so much for listening. I'll be back very soon with another 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. Well, 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, ooh, I'll probably send you a Christmas card. Would you like a Christmas card?