#1783 Charlotte Must Hate You - Part 2

Summary

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Juicebox Podcast: Type 1 Diabetes

Episode #1783: Charlotte Must Hate You – Part 2
Date: February 25, 2026
Host: Scott Benner
Guest: Jen

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Brief Overview

This episode continues the candid, insightful conversation between host Scott Benner and Jen, a long-time type 1 diabetic, focusing on her late diagnosis, coming out story, real-world diabetes management with modern tools (Afrezza, pumps, algorithms like Trio), and the emotional effects of diabetes. Through humor, storytelling, and practical detail, Jen shares strategies and lived experiences for thriving with type 1—underscoring the podcast’s ethos: being “Bold With Insulin.”

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Key Discussion Points & Insights

Jen’s Coming Out Story (and Diabetes Intersection)

• Jen recounts being diagnosed with type 1 at 29, then coming to terms with her sexuality around the same time (“I didn’t come out to myself…until I was 30 or 31.” [02:27]).

  • Memorable “movie-like” story at a wedding in St. John, breaking up with a fiancé, and unexpectedly falling for a bridesmaid.
  • Hilariously awkward and heartfelt description of her first kiss with a woman ("In that moment, I went, this is what everybody's been talking about." – Jen [06:29]).

• The “diabetic cover” for teenage romance:

  • After being caught making out, Jen told her girlfriend: "Oh my God. Blame it on my diabetes. Like, tell them I've been sick." [08:16]

• Balancing personal milestones with diabetes management during a wild, emotional time:

  • Navigating hypo episodes, handling awkward family situations, and learning to advocate for herself.

Being Open with Partners about Type 1

• Always bringing partners into the diabetes conversation:

  • “The person dating me is going to understand it, so… I teach them. Yeah, yeah.” – Jen [16:29]
  • Taught her partner about carb counting, exercise impact, and the need for snacks and timing adjustments.

• Transition to more advanced management tools:

  • Discusses evolution from Animus pump, to MDI (multiple daily injections), to inhaled insulin (Afrezza), and algorithm-driven pumps (Trio).

Experimenting with Insulin Delivery Methods

Afrezza

• Adopted due to frustration with A1C (up to 7.9%) and hormone-related glycemic variability ([17:11]).
  • Remarkable improvement: “September of 2017, it was 7.9. March of ’18, it was 5.9.” – Jen [18:46]
  • Loved for its quick action and flexibility during exercise: “If we had quick liquid insulin, it would be amazing.” [26:22]
  • Drawback: “It's a lot of tracking… You inhale it and then need to keep track for layering protein/fat, so it was a constant having to take it.” – Jen [25:11]

Switching to the 'Trio' Algorithm

• Motivation: Sought better nighttime control and less manual intervention.

  • “I wanted to see if this algorithm could help me with my nighttime blood sugars. And that's why I'm at a 5.1 [A1C].” [25:53]

• Favorite Feature: Allows for logging external insulin, so she still uses Afrezza as a “rescue” when needed.

  • “If I miss, if I don't pre-bolus or whatever…then I'll take the smallest dose of Afrezza. I'll put it into the algorithm…” [21:37]

• Comparison: “If I made you choose between the two, you'd pick Trio over Afrezza for sure.” – Scott
  “Yes. I love it. Yeah, it's really great.” – Jen [26:22]

• Challenges: Adjusting to algorithmic insulin delivery, especially transitioning from Afrezza’s 'dose-and-go' to the predictive adjustments of an automated system. [24:29–26:22]

Navigating Algorithm Complexities

• Scott and Jen discuss frustrations in finding clear, user-friendly education on closed-loop systems like Trio.

  • “You have to have a technical understanding of it and be conversational about it at the same time…” – Scott [28:11]
  • They note differences between Trio and other algorithms (dynamic ISF, integrated handling of fat/protein, no explicit extended bolus setting but handled algorithmically).
  • “That is an extended bolus. It's just being extended by the algorithm.” – Scott [30:55]

• General message: “Take your general knowledge and apply it to the thing you’re doing... Don't overthink it.” – Scott [33:03]

The Emotional Reality of Lows & Living Alone

• Jen recounts a harrowing hypoglycemic episode while alone:

  • Disorientation, confusion, unable to respond to texts or alarms (“I literally was so low, I didn’t know what a text was.” – Jen [40:12])
  • Partner tries to intervene remotely via smart devices (“She was apparently trying to talk to…Alexa…[to say] ‘Jen, drink juice.’” [35:49])
  • Aftermath includes PTSD and panic attacks triggered by Dexcom alarms.

• Jen’s advice: Scary lows have lasting psychological effects—she changed Dexcom alerts, and emphasizes value of having support network or safety nets (neighbors with access, etc.)

• “There’s something to be said for a thing that is taking away insulin when it thinks you're going to get low, that's pretty damn valuable.” – Scott [42:00]

The Role of Hormones, Weight, and GLP-1 Medications

• Menopause & weight gain threw off diabetes control, despite healthy lifestyle.
• GLP-1 (Zepbound): Helped restore insulin sensitivity, normalize blood sugar, and lose stubborn weight (“I went down to about 30 to 35 [units per day] including basal on the [Trio].” [43:58])
  • “And the amount of Afrezza, I was using probably 100 units a day…as soon as I got on the GLP1, I went back down to about 45 to 50 units. And now, today, I use about 30 to 35…” – Jen [43:58]
• Dosing tips: Splits her dose twice weekly for more stable effect.

Living Boldly—Advocacy, Adaptation, and Humor

• Jen’s story is threaded with humor about relationships, sexuality, and diabetes mishaps.
  • “I got married to a lady who doesn't go ‘ew’ when I get near her.” – Scott [32:32]
  • “My blood sugar is tanking because I’ve had no food…I'm about to pass out, going, excuse me, I need a juice.” – Jen [11:00]
  • On early gaydar: “How did I not know I was a gay?” – Jen [05:01]
• She actively seeks and adapts new information—using the Pro Tip Series, Facebook groups, etc.—and advocates for others to keep learning and experimenting.

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Notable Quotes & Memorable Moments

• Coming Out Epiphany
  “In that moment, I went, this is what everybody's been talking about. I was like, oh, my gosh.”
  – Jen [06:29]

• On living alone with type 1 and scary lows
  “I literally was so low, I didn't know what a text was…I just kept pacing and pacing…My wife was trying to get Alexa to make an announcement: ‘Jen, drink juice.’”
  – Jen [35:49–40:12]

• On hormone replacement and diabetes
  “As soon as I got on the estrogen progesterone, my blood sugar stopped going from two hours up to two hours down for no reason. And now it was just more normal again.”
  – Jen [42:06]

• Comparing Afrezza and algorithms
  “It was like a constant having to take it…So I wanted to see if this algorithm could help me with my nighttime blood sugars. And that's why I'm at a 5.1.”
  – Jen [25:11 & 25:53]

• On not fitting gay stereotypes
  “You can tell when someone looks a little gay…But look, I'm more of an athletic tomboy, but I'm cute…”
  – Jen [09:34]

• Lighthearted banter
  “I got married to a lady who doesn't go ew when I get near her.”
  – Scott [32:32]

• On information overload in diabetes tech
  “There's a… there's an X factor about people who can just kind of like, bounce through it and talk about it, and… you don't know who it is right away.”
  – Scott [29:31]

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Timestamps for Key Segments

• Jen’s Coming Out Story: [02:27] – [11:00]
• Sharing Type 1 with Partners: [13:04] – [16:29]
• Transition to Afrezza: [17:19] – [18:46]
• Algorithm Experiences (Trio & others): [19:25] – [30:58]
• Comparing Algorithm Features and Challenges: [30:00] – [33:01]
• Harsh Low while Alone, PTSD and Panic: [35:49] – [41:20]
• Hormonal Shifts, GLP-1, and Weight Management: [42:00] – [45:49]
• Life & Diabetes—Closing Banter and Cruise Promo: [47:00] – [48:42]

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Tone & Style

• Warm, irreverent, often humorous yet deeply honest—both host and guest use colloquialisms (“dude,” “totally,” etc.) and playful teasing.
• Stories flow with laughter, but address the real vulnerabilities (relationship gaffes, dangerous lows, medical gaslighting during menopause).
• Conversation encourages listeners to be proactive, bold, and unashamed in both diabetes and life decisions.

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Additional Observations

• Strong advocacy for self-education (Pro Tip Series praised as helpful even for algorithm users).
• Community & connection are crucial (multiple references to Facebook groups, the value of supportive partners, and upcoming community cruise).
• Continuous adaptation: Jen’s approach embodies ongoing experimentation, willingness to try new tech or strategies, and honest assessment of what works.

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For listeners seeking practical peer wisdom, this episode is a lively, relatable, and deeply informative journey into managing not just blood sugars, but a joyful life with type 1 diabetes.

Transcript

[Scott]

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

[Jen]

Well, all right. Well, hey everybody. I'm Jen and I'm a type one. I was diagnosed when I was 29 and I'm now 52.

[Scott]

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, Blair. 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. 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. The episode you're about to listen to is sponsored by TandemMobi. The impressively small insulin pump. Tandem Mobi features Tandem's newest algorithm, Control IQ Technology. It's designed for greater discretion, more freedom and improved time and range. Learn more and get started [e-mail] channel. Juicebox I'm having an on body Vibe alert. This episode of the Juice Box podcast is sponsored by Eversense. 365. The only one year wear CGM. That's one insertion and one CGM a year. One CGM one year, not every 10 or 14 days. Eversensecgm.com Juicebox Today's episode is also sponsored by USMED usmed.com Juicebox or call 888-721-1514. Get your supplies the same way we do from US MED. Have you done the deed with the boys?

[Jen]

I have done the deed with the boys, yes. I've done the deed with the boys. And I was just like, I was like I don't really get the big, you know what's the big to do with this? I never really understood that and then when so just to I guess go and tell my coming out like when I so I got diagnosed in 29, I don't come out to myself right? It's not even to anybody, to myself until I was 30 or 31. So a couple years later. But it's a funny story. I was. Okay. I was dating this guy I knew he. This would have been my third engagement ring. And I'm like, I don't want another ring. You know, I could feel it coming. And I'm like, I got to break up with him. So I know I sound horrible. I hope I don't sound horrible, but I was like, I'm going to break up with this guy. I'm not in love with him. He's a lovely person. So I broke up with him. And this was, like, in May, and then I was already supposed to be in his sister's wedding.

[Scott]

Oh, geez.

[Jen]

In St. John's you know, the Caribbean. And so when we broke up, his sister's like, well, I still want you to be in my wedding. I'm like, oh, okay. And my parents are going to pay for everything. I'm like, okay. Because I was in school at the time. I'd gone back to ultrasound school. And anyway, the whole thing. And I'm like, I don't have any money. That sounds great. And so go to St. John's this wonderful trip in August. And I knew that the bride's best friend was also going to be a bridesmaid. And she was gay. She was out. And I just thought, huh, that's interesting. But I didn't think anything about it. But someone said, oh, you need to watch out for her. She might hit on you because you're really cute. I'm like, that's. No, she's not. What are you talking about? Well, she did. And so, long story short is this person that I ended up dating for eight and a half years flirted with me. It was literally like a movie, like, where the two bridesmaids and have the hots for each other. And the whole time I'm going, what is going on? Like, this is crazy. I've never been so attracted to someone. I've never wanted to be around someone so much. And she's actually into me. You know what I mean? Like, it's not. You know. And so we on. On the. So the reception was on a. I don't know. Well, not a yacht, but, you know, one of those boats that go out for a sunset cruise kind of thing. And so they get married on the beach. We go on the sunset cruise again. I'm diabetic, as we all know. Not had much to eat all day because it was a wedding, whatever. And it's open bar and I'm not a big drinker, but when something's free, I'm like, woo. It's free. I was like, I'll have a drink.

[Scott]

I don't want to be in your wedding, but free trip to St. John. Right on. Yeah, yeah, yeah.

[Jen]

I sound horrible. Anyway, so I was very appreciative of the trip, but so we're. We're in this one. This girl, cute girl who loves Sarah McLachlan. Talk about a generalization. Like, I did, right? How did I not know I was a gay? But anyway, so you know, we're talking about Sarah and you know she's flirting with me on this boat. Well, the dude, right? The dude I used to date, okay? I mean, he was trying to get back with me on this trip and I'm like, giving him the time of day, right? I'm just going, yeah. He's trying to buy me wine at the dinners, whatever. I'm like, nah, I'm good. And I'm talking to the. To Aaron, who's the girl. So anyway, at the reception, it's like me and Aaron, it's like this movie and we're just like connecting. We're laughing, we're having a good time, we're drinking, and I'm a lightweight. Like, I've had two drinks and I'm like, woo. And I could see the guy circling, right, the boat. I could see him like, oh, he could see us flirting, whatever. And I'm going, oh, dear, there's only like 30 people in this boat. It's not big. And so then Aaron, the girl says, I dare you to go to the bathroom with me. And I was like, okay, so. And so we go to the bathroom. It's so romantic. Go to the bathroom. So romantic. She lays one on my.

[Scott]

Sounds predatory, but go ahead.

[Jen]

No, but it was cute.

[Scott]

I understand. I'm joking.

[Jen]

I know, I know. So we go to the bathroom. And so, I don't know, we're just standing there and then she. She's like, can I kiss you? And I was like, sure. And so she kisses me.

[Scott]

And.

[Jen]

And I went, oh, my. In that moment, I went, this is what everybody's been talking about. I was like, oh, my gosh.

[Scott]

How old are you? 32?

[Jen]

I'm like, 30 or 31? Dude, I'm clueless. Yes. God, I'm so clueless. Yeah, this is like, what, 2003 or something? I don't know, 2004? I don't even know.

[Scott]

Stop and explain this to me for a second. You're 32. How old were you the first time you had sex?

[Jen]

Dude, you're gonna make me sound so nice, so Square. I was 24.

[Scott]

Okay, but you had been having sex for seven years.

[Jen]

It's not like I was having sex, like, all the time.

[Scott]

But I didn't say you were doing it every day. But, like, you'd had sex for seven years with men and then you didn't have any of that, like, oh, this is awesome feeling?

[Jen]

No, I just thought there was something wrong with me. Of course. That's what I do.

[Scott]

Right?

[Jen]

Okay.

[Scott]

Okay. And then. And then this. This girl, she's hunting you like a. Like a big cat. You know what I mean? Like. Like, she sounds like. She sounds like she's. You're in the Serengeti and she's trying to like. But she gets you in the bathroom. And by the way, the poor guy, you know, he's. He's circling the ship. You know, at one point he was like, oh, my God, I'm going to have a threesome. Like, you know, he thought that for a half.

[Jen]

He totally's like, oh, this is gonna be awesome night.

[Scott]

Yeah. And he didn't realize. And then. So she gives you a kiss and you feel something you've never felt before.

[Jen]

Never in my whole life.

[Scott]

I'm gonna say something uncomfortable.

[Jen]

Oh, Lord.

[Scott]

Had you orgasmed with a guy?

[Jen]

Yes.

[Scott]

Okay. And not like you weren't just like,

[Jen]

nothing, but it just. Why function? It's just like, oh, that felt. That felt good.

[Scott]

Okay.

[Jen]

But it was very.

[Scott]

Yeah, no, no, no.

[Jen]

I'm just emotional. That's what the body does kind of thing. Yeah. It's just not having that emotional. I don't even know how to explain it. That connection, just like, oh, wow.

[Scott]

And then you see this girl for eight years.

[Jen]

Eight and a half years. Yes.

[Scott]

That's where that U Haul joke comes from, huh?

[Jen]

Dude? I mean, we. We would have moved in, but she was getting her master's degree two hours away. And so, I mean. Oh, I. Not that we need to talk about this the whole time, but I mean, literally, so. No, I'm telling you, I will finish this part. So we make out. We're making out in this bathroom for a long freaking time because apparently all of a sudden, they start banging on the door. They're like, we're back. We're at the dock, and we're like. And I was like, oh, my God, too. Yeah, we're about to dock, too. And then I said. I said to Aaron, I said, oh, my God. Blame it on my diabetes. Like, tell them I've been sick, right? And so she's like, okay, got it. So we come out, and I'm, like, trying to look sick, but I'm looking like, you know, this the best day of my life, but I'm trying to look sick. And. And she's like, yeah, Jen got. Got sick. And they're like, sure, you know. Yeah, yeah, like, you know, our hair, whatever. So that's.

[Scott]

So does everyone in your life think you're gay except you? No, no, it's not like that.

[Jen]

It wasn't that. Dude, I'm telling you, I don't. Like, if you were to see me, you wouldn't go, oh, wow, she's gay.

[Scott]

I don't know what that. Listen, I'll generalize about a lot, but I don't know what that means.

[Jen]

You can tell when someone looks a little gay, but, you know, like, lesbian. You can tell a little lesbian, teeny bit, Les. But look, I'm more of an athletic tomboy, but I'm cute at this. You know what I'm saying? Like, just a little mix. Just something. And Aaron didn't look like a lesbian. So, you know, we're just like. I don't know, we're lipstick lesbians is what they call them. But anyway, so. But the horrible thing was, the next morning, okay, so maybe Aaron and I may have slept in the same bed that night, okay? And we may have been staying in the same house as my ex and his family. And we may have been in a room. Cause it's St. John's that is open air. Like, it's a screen. And people may have seen that we were in the bed that morning because we were hungover. It was awful. And so the next morning, guess who's dehydrated? Guess who Feels like.

[Scott]

I'm gonna think, Jesus. It's Jesus from crying. Is that what it was?

[Jen]

My blood sugar? Yeah, exactly. And my blood sugar is tanking because I've had no food. And I'm like, oh, my. Because it was just appetizers on this boat last night, right? And I hadn't had any food. And I'm like. And I go. And I'm like, I have to walk of shame up the stairs to get. For your love. The mom's packing up. We're leaving today. Mom's packing up the kitchen. Adam, the ex, is sitting on the couch, like, arms crossed, mad as can be. And here I am, little Jen, woking up, about to pass out, going, excuse

[Scott]

me, I need a juice.

[Jen]

Can I. Can I have some crackers and a juice? You know, and his mom's like, here. And like. And I'm like, oh, my God, everybody knows. And you know, because Aaron and I thought, oh, no one knows. We were so clueless. And. And so, yeah, it was horrible. It was like she wasn't playing right back.

[Scott]

She didn't say something like, well, that box lunch didn't keep your blood sugar up. That would have been fun.

[Jen]

No, no. But she was not happy with me.

[Scott]

No, no, no. I mean, listen, you are painting a hell of a picture. You have a coming out party in a bathroom on a boat while the boy. While her son, by the way, on a free vacation while hers that she paid for, while her son, who thought he was going to marry you, is dejected off in the center thinking, did I make this girl gay?

[Jen]

Totally.

[Scott]

Oh, yeah. No, there's nothing good about this story for him at all.

[Jen]

Nothing good about this story about him at all. Oh, no. And guess who, guess what? But this is the thing, Scott. I found this out later. He was talking to someone who ends up being his wife, and they're still married right now, before this trip happened. So between me breaking up with him and this trip in August, he was talking to this girl and now they're married. So I'm just saying I get people read. So all the boys that I was engaged to and I broke up with them, they got married to the next person. They're still married and they're still married for as long as I know.

[Scott]

Well, they learned how to try with you.

[Jen]

They understood what not to do. Yeah, they were ready. And then finally a woman loved them. They're like, oh, my God, this is great.

[Scott]

So much better.

[Jen]

This is so much better. She wants to be around me.

[Scott]

I got married to a lady who doesn't go ew when I get near her.

[Jen]

Exactly. Like, oh, my God, you're so gross. You have so much hair. Your stubble is so hard.

[Scott]

So wait, so you stayed with this girl for eight years? So you were.

[Jen]

Yeah.

[Scott]

And then when did you get married to the next girl you bumped into?

[Jen]

Well, I did. Yeah. Jen was the next one I bumped into. So, yeah, I understand how this works.

[Scott]

Don't worry. Yeah, we can have fun. And I can still understand at the same time.

[Jen]

Yes, yes, yes, for sure.

[Scott]

So you dated that girl for eight years when you had diabetes. How much about your Type 1 Did you share with her?

[Jen]

Trying to remember. I'm pretty sure at that time I definitely shared it. I didn't hide it.

[Scott]

Okay.

[Jen]

From her. And I'm pretty sure when I dated her, I was on the Animus pump the Animus ping back then. And she, yeah, she tried. She was vegetarian. Not that that matters, but, but because I didn't know how to cook. Like, my cooking was a healthy choice. Pizza or. You know what I mean? Like, I didn't cook. So it was really bad. And so she taught me how to cook, which was a great thing that she taught me.

[Scott]

Right.

[Jen]

Of course it was vegetarian, but she would cook meat. Didn't you know? She, she, she knew that it was fine. But yeah, she was definitely involved. But you can only be so involved because what back then was there, the G4. I don't even remember. There was no follow. There was no, you know.

[Scott]

Right. So.

[Jen]

But yeah, I mean, anyone I've ever

[Scott]

done asking anything from her, like, you know, understand this, help me with low blood sugars. I used to hate ordering my daughter's diabetes supplies. I never had a good experience and it was frustrating. But it hasn't been that way for a while. Actually for about three years now because that's how long we've been using usmed usmed.com juicebox or call 888-721-1514. Usmed is the number one distributor for Freestyle Libre systems nationwide. They are the number one specialty distributor for Omnipod Dash, the number one fastest growing tandem distributor nationwide. The number one rated distributor in Dexcom customer satisfaction surveys, they have served over 1 million people with diabetes since 1996. And they always provide 90 days worth of supplies and fast and free shipping. USMED carries everything from insulin pumps and diabetes testing supplies to the latest CGMs like the Libre 3 and Dexcom G7. They accept Medicare nationwide and over 800 private insurers. Find out why US Med has an A rating with a better business [e-mail] juicebox or just call them at 888-721-1514. Get started right now and you'll be getting your supplies the same way we do. Let's talk about the Tandem Moby insulin pump from today's sponsor, Tandem Diabetes Care. Their newest algorithm, Control IQ technology and the new Tandem Moby pump offer you unique opportunities to have better control. It's the only system with autobolus that helps with missed meals and preventing hyperglycemia, the only system with a dedicated sleep setting, and the only system with off or on body wear options. TandemMobi gives you more discretion, freedom and options for how to manage your diabetes. This is their best algorithm Ever. And they'd like you to check it [e-mail] juicebox when you get to my link, you're going to see integrations with Dexcom sensors and a ton of other information that's going to help you learn about Tandem's tiny pump that's big on control. Tandomdiabetes.com juicebox the tandem mobi system is available for people ages 2 and up who want an automated delivery system to help them sleep better, wake up in range, and address high blood sugars with auto bolus.

[Jen]

No, no, no. I definitely. The person dating me is going to understand it, so. Oh, yeah, yeah, yeah. I teach them. Yeah, yeah. So I would teach and talk about carb counting and exercise. Oh, I can't go for a walk right now. We need to wait an hour because I got to do this and I got to have snacks with me all the time. You know, like, I definitely would educate.

[Scott]

We haven't talked about this. How much do you understand it?

[Jen]

I think I understand it pretty well.

[Scott]

Now you do. Where's your A1C and your variability at the moment?

[Jen]

Dude, it's really good. I had it done. I can't wait to tell you. Yeah, last A1C was 5.1 awesome on the trio. And I've been on Trio for. I want to talk about trio a little bit. But yeah, five months on Trio.

[Scott]

Yeah, please. So you tried. Just inhaled. So were you doing basil injected and inhaled and nothing else?

[Jen]

So, yeah, so when I. In 2017 is when I started Afrezza and it was because my A1C got up to 7.9, I went back and looked. I'm like, oh, my God, that's so high. And I was 44, I'm pretty sure about in my mid-40s. And I remember going to my female endo telling her, I think my hormones are affecting my blood sugar. And I said, I just. I'm exercising, I'm eating well, I'm doing what I know to. And I'm giving myself insulin. I cannot control these two double arrows up and two double arrows down. And she's like, eh, it's just a part of life. You're fine. And I'd been researching hormone replacement therapy. She's like, no, I don't believe in that. And I'm going, okay. Well, you know, at the time, I'm like, okay. I said, well, what about a freza? You know, because again, Kelly had been on freza for maybe three or four months before me. And she was like, oh, my God. Jen, it's great. You ought to try it. And I was like, if you help me, I'll try it.

[Scott]

Okay.

[Jen]

So I went on to. I was already. Before I started Afrezza, I was. I went back from Alpha pump to mdi. So I was like a Novolog pen and Tresiba. So I was already on Tresiba, and I liked it. And then everybody's like, oh, Tresiba Freza is a great pairing. I'm like, okay, I'll try Frezza. And I literally. Scott went from Novolog. I stopped Novolog entirely and went straight to Afrezza. And then my A1C dropped from September of 2017, it was 7.9. March of 18, it was 5.9.

[Scott]

Okay. And be. Prior to that, you were doing what, mdi?

[Jen]

Yes.

[Scott]

Okay.

[Jen]

Yes. I was doing MDI because I was playing roller derby at the time. I used to play roller derby. And it's a very.

[Scott]

Why would you say that?

[Jen]

Totally. I know, I know. See, I want a part two, Scott. I want a part two. So I played roller derby. Bank track roller derby. Hardcore. And I was tired of the putting my pump in my bra or worrying about this and that or taking it off and not having insulin in my body. And that's why I went to MDI for a little bit. And then I went. So I was on a Freza from 17 until the August of 25. So what? That's eight years.

[Scott]

Why'd you stop?

[Jen]

So, yep, so then I stopped Afrezza and went straight to Trio without doing any other thing, because I have another friend who does Trio, and she's been pushing it for, like, a year. And Afreza, I still had really good A1Cs with it. My standard deviation is usually around 30, 35, just to answer that question. But on Afrezza, I was doing well. But I. What I didn't like about Afrezza is I would have to do it correctly. I would put it into my Dexcom app. I would put, like, how much insulin I took because it's in and out of me in about an hour. And so I didn't want to. I want it, you know, So I put it in my app every time I took a. You know, and then I'd have to. Okay, I took four units. And now, you know, like, I'm going up. Do I need more? Is this a protein rise? Whatever.

[Scott]

Felt like a lot of tracking work.

[Jen]

It's a lot of tracking. Yep.

[Scott]

What was your A1C on the Afrezza?

[Jen]

It was in the fives. Anywhere from. Well, I would say it was anywhere from 5.3 to 6.1.

[Scott]

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[Jen]

I do. I do. So, yeah, that's what I like about the Trio app is that you can put in external insulin.

[Scott]

Yeah.

[Jen]

And I don't think a lot of algorithms will do that. So if I miss, if I don't pre bolus or whatever, something happens and my sugar is really high and I know this is going to take a long time to come down, or longer than I want, longer than an hour, then I'll take the smallest dose of Afrezza. I'll put it into the algorithm so it knows I have that insulin on board, and then it'll bring me right down. And then I kind of have the soft landing, so I still use both if I'm out and about. And. And I don't have time to pre bolus and I. I really want to eat. I'll use a freza.

[Scott]

Okay.

[Jen]

Instead of the.

[Scott]

Using the pump.

[Jen]

The Humalog. Yeah. So the pump. Yeah. So I do both, but I'm mainly doing the trio.

[Scott]

Okay.

[Jen]

Yeah.

[Scott]

All right. Yeah. What was I gonna say there? Shoot, I lost my train of thought. Damn it.

[Jen]

Damn it.

[Scott]

Damn, damn, damn, damn, damn, damn.

[Jen]

It's okay. He'll edit this out.

[Scott]

No, I probably won't. I mean, that's. That, that's. Oh, I have it now. I'm sorry. So did having listened to the Pro Tip series eventually help you or did you end up having to go back?

[Jen]

Totally helped me.

[Scott]

Okay.

[Jen]

And I'M sorry I'm calling you dude all the time.

[Scott]

I said, whatever you want. I don't care.

[Jen]

Okay, good. Okay. But, yes. So once I went, oh, well, before I went on Trio, that's when I, like, I put on Facebook or I message you. I'm like, hey, dude, you ever going to talk about Trio? And you're like, yeah, eventually. And I'm like, well, hurry up. Well, you. You know, you. You can't do things. You have your schedule, right? So I'm like, okay. So I went back and I listened to the Pro series for sure. Like, religiously. And then I listened to the Loop, even though I know Loop's very different from Trio, but it's not that different. I listened to all the Loop. I'm like, okay, I want to understand algorithms. I want to under. You know what I mean? And then I got on the Trio Facebook group, and I'm talking to my friend, and I finally said the thing about Afrezza. What's great about it is it's quick in and quick out. So I never had to worry about really, really dropping during exercise. As long as I eat an hour before it's out of my system, I can go exercise, go run, go play pickleball. I'm not gonna drop. Right. And so I was hesitant to go into an algorithm because of insulin acting like it does. And so it's been a big shift. Like, I have to. Because Fresa did pre bolus, I would literally go, this is how much I'm eating. And I would take it as soon as I started eating or sometimes after I ate, and it would still cover the rise or whatever. And so it's a whole different mindset to go from Afrezza, I think, to an algorithm. But I only did it because I had a friend who really knows the Trio app and was. Helped me with my settings, helped me with everything.

[Scott]

Made sense to you to try it?

[Jen]

Yeah, yeah, yeah. So that's. That's why. But a Fresa is great, and I love it as a complimentary now. But it definitely. You have to be willing to track it, because if you don't. If. Let's say you take. You inhale it right now, and then in 30 minutes, you know, you go, oh, I'm rising. When did I take it? Was it 15 minutes ago, or was it an hour? You know, and. Because if it's just 15 minutes, you probably need to wait. It probably hasn't hit you really yet, you know, so that's why I would track it and stay. And then you'd always have to follow up. So, like, you take it for the initial rise, you have to take a follow up dose for the protein, then another dose for the fat. You know what I'm saying? So it was like a constant having to take it.

[Scott]

You're involved. Involved too much.

[Jen]

Yeah, I did. And then, like, Traceba was not doing a great job. I was a little in denial. But at night, I was trying to. I'm trying to figure this out. But at night, almost every time when I lay my head down, my sugar goes high. No matter what time I go to bed, it starts going up. And so I try to adjust the Tresiba, and it would make me low maybe 12 hours later. Or I couldn't figure out the Traceba, but because the frezza worked so well, the rest of the time I was like, it's worth it. But then again, I got tired of tracking it. I wanted to see if this algorithm could help me with my nighttime blood sugars. And that's why I'm at a 5.1.

[Scott]

Oh.

[Jen]

I mean, that's the only way I got to a 5.1, because my blood sugars overnight are so beautiful. I'm like, this is so great. But what I do have to do is when I get. Get ready for bed, I usually read before bed, and now I gotta remember my override. Go. Okay, nighttime override. And it's like 40% increased basil for two hours, and then it tends to cover the bump at night. So that's what I do.

[Scott]

If I made you choose between the two, you'd pick Trio over Afrezza for sure.

[Jen]

Yes. I love it. Yeah, it's really great. I mean, I still don't like that I have to get ready for exercise and the whole thing, but I just. I just. You just have to. I wish insulin was quicker, like Afrezza. If we had quick liquid insulin, it would be amazing. I think for now, I would stick with Trio.

[Scott]

Okay, fair enough.

[Jen]

Just because I don't have to worry about the in between as much.

[Scott]

Yeah.

[Jen]

Because I know the algorithm's taking care of me in between eating and whatnot.

[Scott]

Yeah. Arden's been. We all got sick last week, and Arden was like the last one, but pretty interesting after. She did eventually get sick, but she kicked it like, a couple of days, which I think we think is because she got her tonsils and her adenoids out, that she wasn't sick forever like she used to be when she was sick. But nevertheless, she's sick for a few days and she didn't really eat and really didn't matter. Like, that thing just perfect. Right.

[Jen]

If I didn't have to eat, Trina would be. I'd be a 4.8. Yeah. I mean, like, it's just perfect.

[Scott]

It just really kept her super steady while she was.

[Jen]

Yeah.

[Scott]

Sleeping and ill and, like, all that stuff.

[Jen]

Yeah. So are you gonna do. Are you gonna talk about. I know we're talking about it now, but are you hoping to. It would just be great if you and Jenny would talk about Trio.

[Scott]

So that's the thing, is you have to find somebody who really understands the.

[Jen]

The. Yeah. The algorithm.

[Scott]

Well. Yeah. I mean, how is it working? And what. What are all these settings doing? And how do you go through the different menus and make sense of them? And I'm not that person.

[Jen]

Me either. I know.

[Scott]

And so I really. I enjoy the people very much who work on the algorithm, but sometimes they're not that person either. Like, they're not as. I love those guys and a couple of them have been on the show, like, but they. Yeah, they're better at the part that makes the algorithm than they are about the part that talks about it.

[Jen]

Yes. Yes.

[Scott]

And it's tough. So you're looking for someone conversational who, like, it's a tough mix. Like, you have to have a technical understanding of it and be conversational about it at the same time, because otherwise someone's just going to come on and read a manual to you, and that doesn't really help you and you don't care to begin with. Right. And if someone just comes on and, like, you know, just talks about, like, oh, it's great because of this and that. Like, that's not very directional. And I don't know, it's tough. Like, I just don't think that person has become obvious to me yet.

[Jen]

But is Jenny using Trio?

[Scott]

She does, yeah. But, I mean, could she talk about it? I don't know how deeply. I don't know I've ever asked her. I don't know how deeply she can talk about it.

[Jen]

Scott, you gotta ask Jenny.

[Scott]

Well, Jenny's busy also making, like, bolus four episodes and she has a life and all the kids and a job and stuff like that, so.

[Jen]

Good. At least. Look, if I can talk to my sisters, you can ask Jenny.

[Scott]

I mean, it's not that I can't. Not that I can't ask her. I just, like, I don't know what I. I don't know that she's the right person. Not that she doesn't understand it, but like the conversationally, like, I just did an interview with somebody else, and they. I loved the way they thought about things. I love their. Their understanding of it. And then when I got done with them, I was like, it didn't go great. And like, there's just. There's a. There's an X factor about people who can just kind of like, bounce through it and talk about it, and it's. You don't know who it is right away.

[Jen]

Right. You need a Kenny Fox for Trio.

[Scott]

Well, and listen, I love Kenny, but Kenny also talks way too technically about it.

[Jen]

That's true. It's very technical. I know, I know.

[Scott]

I'm the one that dumbs Kenny down.

[Jen]

I know, you're right. Yeah, you do have to dumb it down.

[Scott]

I can do that. I can't smart it up. Like, I can dumb it down, but I can't smart it up. Does that make sense?

[Jen]

Well, don't you think the main thing about Trio is that it has dynamic isf, which means. Right, the isf. You put it in there, but then it will change as needed.

[Scott]

Well, sure.

[Jen]

Which I think we need to talk

[Scott]

about that on a podcast for. Just use the damn thing. Well, yeah, you put your settings in and it'll help. You know, generally speaking, for Arden, I think it adjusts well with her changes.

[Jen]

But listen, but when you talk about an extended bolus with other algorithms, this doesn't have an extended bolus. Right. All right. So, you know, like it.

[Scott]

So, yeah, we just put in fat and protein in the. And let it do the thing that way.

[Jen]

That's what I'm saying. Right. You let it do the thing. So I just wanted to clarify with you. When you say extended bolus, I don't need to do anything because I'm on Trio is all I want to know. You know what I mean? Like, that kind of stuff.

[Scott]

If you're putting together, like a high fat meal, right, and it's got 16, you know, 18 carbs in it, then. And you put that in your. In the bolus calculator. When you make your. When you make your. Your meal bolus, it's going to spread out more boluses into the future to cover that fat.

[Jen]

Right?

[Scott]

But that is an extended bolus. It's just being extended by the algorithm.

[Jen]

That's what I mean. I don't have to go in and do it. So my point is, my wife will come to me now that she's listened to the Pro series, and I've known her for 13 years, by the way. But anyway, so she just listened to it. She goes, babe, you need to extend a bolus. I'm like, babe, no, I don't, because Trio's doing it for me. I'm pretty sure.

[Scott]

Yeah, but. But if. I mean, but if you are getting a rise, you know, after a fatty meal, then maybe the FPU calculation in Trio doesn't work for you or for that meal.

[Jen]

Right.

[Scott]

You know, and I don't know if I want to be clear. See, this is why I don't talk about it. I don't know if the Trio app is using the Warsaw calculator or not to figure out fat. I don't know how it does.

[Jen]

Is. It is. Yeah. If you look at the info, it. Yeah, it's using that method, but I'm

[Scott]

not gonna look at the info. That sounds like a lot of work.

[Jen]

I know you're not. I know it's so much work. But that's fair. That's fair. I just wanted to make sure that. Because I, you know, we're kind of on cutting edge. I feel good about that. That I'm like with this algorithm, but that when I'm listening to you and Jenny speak, then I'm like, okay, but I think the algorithm's doing that for me. You know, that's the only thing I. I sometimes question.

[Scott]

So I think that. Not dissimilarly to when people say, oh, that Pro TIP series. I'm mdi. That's not for me. That Pro TIP series is exactly for you, if you're mdi.

[Jen]

Totally. Totally. Yes.

[Scott]

Just because it's just about putting in insulin in certain places. Like, you can do that with a syringe, right? You can do that. You can do that. But some people have that knee jerk reaction like, oh, this isn't exactly what I'm doing. You can adapt it. And I think the same thing for, you know, conceptually, where insulin goes in and how. And you know, how you time it, how much it is, you know, timing an amount. If you're using Trio, those ideas still work there. Like, it's automating stuff for you. Fair enough, but. But nevertheless, like, the idea, like the, The. The foundation of what you're doing, which is timing and amount and understanding the impacts of different foods. It's still the same, right? Yeah. Okay. I would say don't overthink it. Like, take your general knowledge and apply it to the thing you're doing.

[Jen]

Yes, that's fair. I could do that.

[Scott]

Yeah.

[Jen]

Well, can I talk? You tell me if I'm all over the place. You already said I am. But I wanted to mention this one thing about Lowe's, if I can, just in case there's other people that have had this experience. So I algorithm. I don't want to say which one. Two years ago, for, like, three months. And this algorithm is very conservative, and I was used to a really tight control. But again, I tried this algorithm, not trio another one. Because of that nighttime rise. I thought, well, maybe an algorithm will catch it. Well, it didn't, by the way. It did not help me in that way. But what happened was, I think because it was so conservative and I was high. Like, to me, high is over two. Like, over 150 is high. But 200. I'm. I'm mad, right? I'm upset. And with being on a frazza before that, I wasn't used to being high for very long, right? So if I was high for three hours, I was like, this is not full. So I kept giving myself insulin. Give myself insulin. And then at this point two years ago, I was alone. My wife was working in South Dakota on an Indian reservation. That's a whole nother story. But she's gone, right? And. And all of a sudden, I remember, like. And the other funny part, as I was talking to this pumps rep on the phone, she was trying to help me with the algorithm. I get off the phone with her, like, 5:30 at night. I wasn't very impressed with her. Like, she didn't help me at all. And then all of a sudden, I'm starting to make, like, a dinner or whatever. And then I'm like, oh, dear. Like, I could feel like, oh, God, I'm really dropping. And I look, and the two hours are going down. The Dexcom's alarming me. I'm freaking out. And I just remember, like, oh, my God. And I remember pacing in my kitchen slash living room, and I have two little dogs. And I remember their heads were distorted, their eyes look big, and they're licking me because I'm sweaty. And I know I'm supposed to do something. And I'm like, what am I supposed to do? I don't know what I'm supposed to do right now. I'm supposed to do something. And I just kept pacing and pacing. And we have a ring camera. And my wife, of course, is following me. So she's in South Dakota, and she's going, oh, my God. My wife is. You know, I can see her pacing. I can see her not drinking juice, and I can't get. So she's texting me And I remember looking at my phone going, what's that? Didn't know what a text was. I'm like, oh, my God, what is. I don't. Who's text. I was like, what is this? And then all of a sudden, the TV, I went, oh, my God, the TV's trying to talk to me because it was black. And then all of a sudden it had a sentence on it. And I went, what the hell? And I'm like, what is the TV trying to do to me? She was apparently trying to talk to. I'm not going to say her name because she'll start talking, but Alicia, you know, Alexa. She's trying to get Alexa to make an announcement. Jen drink juice. And that's what it said on the tv. And so she's trying to help me, calling me. I don't understand how to answer a phone. I mean, I was that bad.

[Scott]

Yeah.

[Jen]

And then eventually I grabbed some Wheat Thins. Why? Because they were on the cat on the counter. I'm eating Wheat Thins, which is the worst thing to eat, because how dry is that? I mean, I'm eating these wheat things and. And I just remember. And I sat on the couch and all of a sudden I, you know, you come too. And I went, oh, my God. Like, and I look and there's crumbs everywhere on the counter. And I'm just like, freaking out. And I text my wife and I'm like, babe, I'm so sorry. I'm okay. And, you know, the whole thing.

[Scott]

But thank God you didn't put the Wheat Thins away, because, you know, she's the one that left them out. Right?

[Jen]

Right. Yeah. Seriously? Yeah. And so. But what's. What's really, you know, and my heart was pounding. I had all the symptoms of a really bad low, but not only was that a bad low, but maybe a week later, I think I had almost like ptsd. So as soon as I saw two arrows going down, no matter what I was, I. My heart would start pounding, I start sweating, and I'm going, oh, my God, maybe the dex comes off. Oh, my God, maybe I'm having a low. And I was so. And I was like, I was foggy brained and I literally gave myself a whatchamacallit, a Jeeva pin in the leg. And I don't even know if I was low. But my wife told me later, she said, sweetie, I think you're having a panic attack.

[Scott]

Oh.

[Jen]

And I went, what? I've never had a panic attack. She goes, I'm pretty sure you were having a panic attack. What you're telling me was happening is more of a panic attack than a low blood sugar. So anyway, I had to change the Dexcom alarm. I couldn't stand the sound. I'm like, I hate this sound. You know? And I did that. And then. And that was the other reason with the frazza. Fraser is great, but it. It. It'll drop you quick. You know what I mean? And it was. You would see two arrows coming down all the time, but then it would come in. In a soft landing. Right. Because it's in and out in an hour for me. And. But it's still that trigger of, oh, God, oh, God, oh, God. You know, I'm dropping really quick, and I'm just now, two or two years later, you know, not as worried about having. But it's still happened before where it's almost like I'm causing these symptoms mentally. And it's really scary because they're very similar to. To a low blood sugar.

[Scott]

Some of these triggers kind of make you panicky.

[Jen]

Yes.

[Scott]

Yeah. Wow. I can't blame you. That. That's got to be frightening. Also, the TV's talking to you, like, right out of Pluribus. You watch that?

[Jen]

I mean, say it again.

[Scott]

Have you watched the Pluribus show on Apple Plus?

[Jen]

No.

[Scott]

It's pretty good.

[Jen]

The Severance. Did you say severance?

[Scott]

No, no. Is it not plurbus with, like a 1 in it or something like that? I haven't figured the one out yet.

[Jen]

Oh, I haven't watched that one. I don't know.

[Scott]

Yeah. Plur. Is it? Yeah, it's Pluribus.

[Jen]

Oh, yeah, I've heard of it, but I haven't watched it yet.

[Scott]

Watch that. It'll freak you out when the TV starts talking. Door.

[Jen]

Awesome.

[Scott]

Great. You'll probably give yourself glucagon when it happens.

[Jen]

Exactly.

[Scott]

My gosh. So anyway, well, that's frightening. I mean, and not. You know, gosh, I just think that we probably don't talk enough about adults by themselves and what that must feel like, you know?

[Jen]

Yeah, it's really scary. I told her, I said, you have got to quit that job. I was like, I hate being by myself. I was so afraid of being alone.

[Scott]

Damn it.

[Jen]

Sit and stare at me. Like, Scott, stare at me at Arden. Okay. I need somebody to stare at me and tell me if I'm okay.

[Scott]

I haven't laid eyes on arden in, like, 36 hours.

[Jen]

I know, I know. Yeah. I mean, when she was little. I know, but.

[Scott]

Yeah.

[Jen]

Yeah, but. So I. Yeah. I was like. But I was. And my wife was like, okay, we have to have a neighbors. Like, we got to give them the garage code, a key. I'm like, babe, I'm like, I don't want to have to walk in. I'm naked because I'm, you know, I'm so hot and sweaty that I've taken all my clothes off. She's like, they'll be okay. Better naked.

[Scott]

Better naked than pass down dead.

[Jen]

Yeah, I know. I know how she felt trying to

[Scott]

send messages through the election.

[Jen]

She was so helpless. I know. I was like. I felt so bad for her because she said, I could see you circling. And she says, oh, my God, babe. She knew it was bad because of the number plus my behavior, because normally I can feel it If I'm at 70 or 60 or whatever, and, you know. And I know what to do. But it was like I was so depleted of sugar in my brain that I didn't know what to do. It was so scary.

[Scott]

She watching you on account camera?

[Jen]

Yes, it was a ring camera that was in the living room. And so she could see me pacing and she could see the dogs following me. And. And, yeah, she felt helpless because she called me and I didn't answer. She texted me. I didn't respond. And she tried to talk to Alexa, and I didn't respond because I literally was so low, I didn't know what a text was.

[Scott]

No, of course.

[Jen]

I mean, that's crazy.

[Scott]

Did she get to the point where she called 91 1?

[Jen]

No. Did you ever say why she. Oh, she was close. I mean, I think she was like, I was about to call 911, and then she. I think she saw me starting to eat the weekends because they were in the kitchen.

[Scott]

Okay.

[Jen]

So she saw me start eating. I'm pretty sure is what happened. And I think I finally. As soon as I started eating, I was able to go. I'm. You know, I'm not okay, but I'm going to be okay. You know, sort of like I'm still coming up.

[Scott]

But don't worry about me. Worry about the dog. Something's wrong with their eyes.

[Jen]

Their eyes are popping out of their head.

[Scott]

Yeah, honey, there's something really wrong with the dogs.

[Jen]

Totally. Their heads are distorted. They're so big. I don't understand what's happening. Yeah, but I could just see their concern. It was like. Yeah, it was weird how everything was so distorted. It was so scary.

[Scott]

You think they were just waiting for you to die so they could eat you?

[Jen]

I probably. Yeah, I Mean, they love to lick the salt from the sweat.

[Scott]

So they're like, oh, my God, she's gonna taste great when she passes out.

[Jen]

Exactly. So, anyway, I do want to mention that that was horrible, and I hope no one else has that. But I've never had a seizure, which I'm very grateful for. And that's the other thing about having the trio. I feel a little more safe, I guess, with it, with lows. I mean, I still can have a bad low if something weird happens or the dex comes off or whatever, but I still feel so much safer than I ever have before. And so I'm very grateful for that.

[Scott]

There's something to be said for a thing that is taking away insulin when it thinks you're going to get low, that's pretty damn valuable.

[Jen]

It's really important. And I'll say I'm also on Zepbound, so that helps with, I think, algorithms and things, you know, using less insulin and stuff. But because going back to the hormone thing, like, I eventually went to a hormone specialist. I was at 47, was actually in menopause. I went into menopause very early, and as soon as I got on the estrogen progesterone, my blood sugar stopped going from two hours up to two hours down for no reason. And now it was just more normal again. So that really helped. But even though I've always exercised, I've been a runner, I work out, I eat healthy, I take care of myself. I had gained, like, 30 pounds. I couldn't lose it. And I'm like, what the heck? And so an ex endo. I don't see her anymore, but she mentioned, you know, Ozempic or whatever. I can't remember what it was, but I think it was Ozempic. And she goes, it's not approved for type ones, but off label, I can prescribe it. We can see if instruments will cover it. And so I started off with the sample pens for, like, three months. I kept that going as long as I could and lost weight. And now I'm at my normal weight. And the amount of Afrezza, I was using probably 100 units a day, which is really like 50 units of normal insulin. And normally I was using 50, so I was using twice as much insulin. And then as soon as I got on the GLP1, I went back down to about 45 to 50 units. And now today I use about 30 to 35, including basil on the. Yep. And so I'm willing to pay the 4.99amonth. I hate that I pay that much, but that's what I'm doing is that Lily direct plan to be able to get it, because it's worth it to me. And I. And I split it. So I take it, like, on a Saturday and then a Wednesday, so I have it set up on my phone to remind me, but I split the dose because the dose doesn't last the whole time for me.

[Scott]

Yeah.

[Jen]

And when I would just do one dose, by day six, I was. My sugars would be crazy again.

[Scott]

Yeah.

[Jen]

I'm like, this sucks. I don't want to have to deal. You know what I mean?

[Scott]

Did you find that you didn't need it all to begin with?

[Jen]

I think it was. So, like, I'm on. On setbound, I'm on 12.5, so it's a higher dose.

[Scott]

Oh, okay.

[Jen]

But I'm supposed to. The dose is 50 units because I get them in little vials, like little insulin vials is how they ship it. Not pins.

[Scott]

Yeah.

[Jen]

So if you use a syringe with it, So I can dose it. Right. So I use 20. So 40 units a week. So 20, you know, on a Wednesday and 20 on a. On a Saturday. And by splitting it up, I use. I mean, I don't have a weird day without GLP1 in me.

[Scott]

I. Yeah, I feel like that a micro dosing of it is probably really valuable for people. Did you. You needed to lose some weight, but you lost it. It's gone now.

[Jen]

Oh, yeah. I totally need to lose weight because I promise you, I've always exercised, I've always eaten healthy, and I could not lose weight. I'm like. I'm running three miles a day. I'm lifting weights. I'm eating really healthy. I'm taking care of my blood sugar. I'm on hormones, and I think it was just hormones. And then I think I'm GLP1 deficient. I mean, that's the only thing I can figure out. And now I'm at a very healthy weight, and now I basically use it because I still get really hungry because I still work out a lot. I do orange theory. So when I work out and lift weights, I'm hungry. So I still have hunger. But I used to wake up every morning famished, and now I don't.

[Scott]

Yeah.

[Jen]

And I used to just snack all the time, and I don't snack as much as I used to. It was more of a. I think my body needed it. And I mean, my endos. Like, I think you have some insulin resistance. And so let's. You Know, let's put you on this glp. And that's how it started, so.

[Scott]

Yeah. Well, good for you. I think it's a really valuable. I. I still maintain that it's been keeping larden needs down by like 30%, so.

[Jen]

Totally.

[Scott]

Yeah.

[Jen]

Yeah. It really dropped mine.

[Scott]

It stops the, you know, any kind of post meal spikes that maybe, you know, come from, you know, bad bolus or a bad site or something like that are lesser. Fewer low blood sugars, more stability, you know, a lot comes with it.

[Jen]

So I definitely recommend it. For sure. It's made my life a lot easier.

[Scott]

Yeah, I'm glad. That's awesome.

[Jen]

Yeah. Yeah.

[Scott]

And I really appreciate you doing this with me. Thank you very much. This was.

[Jen]

You're so welcome.

[Scott]

You did a great job and this was awesome. I had a great time talking with you.

[Jen]

Yeah?

[Scott]

Yeah, Yeah. I never even noticed your accent.

[Jen]

I don't believe that.

[Scott]

That's right. I am lying about that completely.

[Jen]

You're so lying about that. Scott.

[Scott]

What do we call this episode?

[Jen]

Dude, that was what I. I told Kelly. I'm like, I want a part one and part two and then I want. I wonder what he's going to call it.

[Scott]

Well, I got to figure out what to call it. But I do want to say one thing. I do want to tell you one thing. St. John's is a small island off of Canada. St. John is in the Virgin Islands. There's no way. Seriously?

[Jen]

Seriously, you're going to call me out for that? No, you're right. You're right.

[Scott]

I know I'm right.

[Jen]

So I was in St. John.

[Scott]

Bothered me the entire time you said it.

[Jen]

Are you serious? Why'd you wait?

[Scott]

No, no, no.

[Jen]

You should have told me.

[Scott]

No, no. Let people understand now.

[Jen]

Okay, got it.

[Scott]

St. John. By the way, my brother got married on St. John.

[Jen]

Really? That's cool.

[Scott]

Yeah, yeah, I vacationed there a couple of times. There's actually. I don't think I should say this, but a fairly popular diabetes doctor. I think their daughter runs a charter boat on St. John.

[Jen]

No way.

[Scott]

I just like. I won't say who that is out of, like, you know. Yeah. Yeah.

[Jen]

That's awesome.

[Scott]

Beautiful little island. Like. Like fly into St. Thomas, take the ferry over.

[Jen]

The ferry.

[Scott]

Oh, yeah, it's great. Maybe, maybe rent a jeep if you're gonna move around. If not, like plop yourself into a house and just wander.

[Jen]

Totally gotta have a jeep because it's so hilly, but.

[Scott]

Great.

[Jen]

Yeah. 20 years ago when I was there, it was not touristy. It was just really pretty, really nice.

[Scott]

I mean, I haven't been there for a handful of years, but it's still. It's just too small to be touristy. And you have to like.

[Jen]

Is that what it is?

[Scott]

Yeah, it's the effort. You have to. You have to. I mean, you have to put your butt on a ferry and go across and it's just not a thing people like. People get to St. Thomas, like, this is good. I'll stay here.

[Jen]

This is good enough, right?

[Scott]

Yeah, but man, just really awesome. I am going back to the Virgin Islands. The cruise I'm doing in June makes a stop and I think sink hits. I'm excited to go back.

[Jen]

No, I'm going. We're going on the cruise.

[Scott]

Oh, wait, you're on the. You're.

[Jen]

Yeah.

[Scott]

You'll be there.

[Jen]

Yeah, yeah, I'm totally on the cruise. Yep. We're excited.

[Scott]

Well, then I'll see you then.

[Jen]

Yeah, you'll get to meet the Gins.

[Scott]

Yeah, that'll be awesome. Oh, look at us.

[Jen]

Yeah.

[Scott]

See?

[Jen]

I know.

[Scott]

I'm going to bring this full circle.

[Jen]

Yep. So we are excited. That'll be fun.

[Scott]

Good. I am too. All right, great. Well, if anybody wants to come along and meet the Gens Juice Cruise 2026 [e-mail] JuiceCruise Yes. All right, cool. Thank you. Hold on one second for me.

[Jen]

Okay. Thanks. Kat.

[Scott]

The podcast episode that you just enjoyed was sponsored by Eversense CGM. They make the Eversense 365. That thing lasts a whole year. One insertion every year. Come on. You probably feel like I'm messing with you, but I'm not. Eversensecgm.com Juicebox the conversation you just enjoyed was brought to you by usmed usmed.com juicebox or call 888-721-1514. Get started today and get your supplies from US MED. Head now to tandom diabetes.com juicebox and check out today's sponsor, Tandem Diabetes Care. I think you're going to find exactly what you're looking for at that link, including a way to sign up and get started with the Tandem Most Adobe system. Okay, well, here we are at the end of the episode. You're still with me. Thank you. I really do appreciate that. What else could you do for me? Why don't you tell a friend about the show or leave a five star review? Maybe you could make sure you're following or subscribed in your podcast app. Go to YouTube and follow me. Or Instagram TikTok oh gosh, here's one. Make sure you're following the podcast app in the private Facebook group as well as the public Facebook page. You don't want to miss Please do you not know about the private group? You have to join the private group. As of this recording it has 74,000 members. They're active, talking about diabetes. Whatever you need to know, there's a conversation happening in there right now and I'm there all the time. Tag me. I'll say hi. How would you like to share a type 1 diabetes getaway like no other? Join me on Juice Cruise 2026. You may be asking, what is Juice Cruise? It's a week long cruise designed specifically for people and families living with type 1 diabetes. It's not just a vacation, it's a chance to relax, connect and feel understood in a way that is hard to find elsewhere. We're going to sail out of Miami and the cruise includes stops in Cococay, San Juan, St. Kitts and Nevis aboard the stunning Celebrity Beyond. This ship is chosen for its comfort, accessibility and exceptional amenities. You're going to enjoy a welcoming environment surrounded by others who get life with type 1 diabetes. I'm going to host diabetes focused conversations and meetups on the days at sea. There's thoughtfully designed spaces, incredible dining and modern amenities all throughout the Celebrity Beyond. Your kids can be supervised and there's teen programs so everyone gets time to recharge, not just the kids going on vacation. But maybe you get to kick back a little bit too. There's going to be zero judgment, real connections and a whole lot of sun and fun on Juice Cruise 2026. Please come with me. You're going to have a terrific time. You can learn more or set up your [e-mail] JuiceCruise get a hold of Suzanne at CruisePlanners. She will take care of everything. Links in the show notes [e-mail] if you'd like to hear about diabetes management in easy to take in bits, check out the Small Sips. That's the series on the Juice Box podcast that listeners are talking about like it's a cheat code. These are perfect little bursts of clarity, one person said. I finally understood things I've heard a hundred times. Short, simple and somehow exactly what I needed. People say Small Sips feels like someone pulling up a chair and sliding a cup across the table and giving you one clean idea at a time. Nothing overwhelming. No fire hose of information, just steady, helpful nudges that actually stick. People listen in their car, on walks, or while they're actually bolusing anytime that they need a quick shot of perspective. And the reviews? They all say the same thing. Small sips makes diabetes make sense. Search for the juice box Podcast Small Sips. Wherever you get audio, have a podcast. Want it to sound fantastic? Wrongwayrecording. Com.