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Hello friends, and welcome to episode 1821 of the Juice Box Podcast. I haven't said that in a while. If you or a loved one is newly diagnosed with type 1 diabetes and you're seeking a clear, practical perspective, check out the Bold Beginning series on the Juice Box Podcast. It's hosted by myself and Jenny Smith, an experienced diabetes educator with over 35 years of personal insight into type 1. Our series cuts through the medical jargon and delivers straightforward answers to your most pressing questions. You'll gain insight from real patients and caregivers and find practical advice to help you confidently navigate Life with Type 1. You can start your journey informed and empowered with the Juice Box Podcast. The Bold Beginning series and all of the collections in the Juice Box Podcast are available in your audio app and@juicebox podcast.com in the menu. If you're looking for community around type 1 diabetes, check out the Juice Box Podcast. Private Facebook group Juice box podcast type 1 diabetes but everybody is welcome. Type 1, type 2 gestational loved ones it doesn't matter to me. If you're impacted by diabetes and you're looking for support, comfort or community, check out Juice box podcast type 1 diabetes on Facebook. I am here today just for a few minutes to let you know about some in person events that I'm doing. Some coming up very soon, some over the summer and to let you know about some pretty big updates to the website. Juiceboxpodcast.com I'm going to do the events first, then the website. If this takes me more than seven minutes, I've failed. You ready? Here we go. Juiceboxpodcast.com, go to the menu. The menu now is in the top right. It's three little lines on juiceboxpodcast.com on the browser. Let me see what it looks like on your phone. Same thing, two little lines, top left, right. Click on that there and scroll down to events. That'll take you to juiceboxpodcast.com events and there you will see that this coming Wednesday, April 15th at 4:30pm I will be at Hofstra University giving a talk. This is the annual symposium hosted by Cohen Children's Medical center and tickets are absolutely free so you can go to my link juiceboxpodcast.com events click on reserve a seat and get your free tickets. Right now it's from 4:30 till 7:30. I believe there's food. Am I right about that? Yeah. Scott will share his blend of actionable insights, honest discussions. Who wrote this? Let's see, we're gonna be talking about a bunch of stuff. Let me get the thing. I said six minutes or seven minutes and now I'm already lying. But let me just look through my notes real quick. Hofstra, interesting. Are you out on Long Island? Do you know what? Do you know where the Hofstra is? And I'm going to be a few days after that. I am going to be in Atlanta, Georgia. I'll tell you about that in just a second. But I just do want to check on. Yeah, it looks like 4 o'. Clock. Welcome and registration 4:30 to 5:30 Keynote address with me 5:30 to 6 at dinner break Networking light Dinner and refreshments available 6 to 6 where breakout sessions. Guests will choose one of the following specialized sessions, Nutrition with Diabetes, Exercising with Diabetes, Diabetes Technology and then from 6:50 to 7:30, diabetes research update. It's going to be a nice little event here, isn't it? I again, I'll be there from 4:30 to 5:30 giving a talk and then I'll be around for a little bit afterwards at dinner and everything. If you guys want to say hi, that would be lovely. That is April 15th, Wednesday, the Donald and Barbara Zucker School of medicine at Hofstra, 500 Hofstra Boulevard, Hempstead, New York. And don't forget, you got to get those tickets to get in the door. But again, it's absolutely free. I think you're going to love it. Now if you're in Atlanta, Georgia. Just some days later on the 18th, I will be at the Community Connections networking event for Touched by Type one. This is a caregiver chat with me, Scott. Join us for a day filled with meaningful conversations and genuine connection. On and on and on. Again, go to my link, click on event details. That's going to take you to the Touch by Type one website where you can register right now, I believe, for a morning or afternoon. Is that right? Morning or afternoon? See what happens if you click on this one. 9:00am Atlanta, Georgia. And then what if I click on this one? What does this one say? Hmm. Yeah. And at 1pm There's a meetup in Atlanta. So. Okay. All right, I see what this is. You would think I would know about it because I'm going, but I don't pay as much attention as you would hope. 330 Marietta Street Northwest Atlanta, Georgia, April 18, 2026. Absolutely free to attend, but again, you got to go get the tickets at this Touch by Type one website. I'm going to be speaking, it looks like at 10am and I think again at another time not 100% sure. And then there's the T1D meetup from 1pm to 4pm at the same location, 330 Marietta Street Northwest. This is exclusively for adults with type 1 diabetes. It's free to attend, but registration is required and space is limited. So. So go ahead, head over to my website now juicebox podcast.com events and jump on those tickets for next week. Now, I will be taking a little break there in May. And then June 5th, 6th, 7th and 8th, I will be at the ADA Scientific Sessions with Sugar Pixel. Look for the Sugar Pixel Juice Box podcast booth at ADA in New Orleans. If you're there on June 21st to the 28th, I will be on the Juice Cruise on the Celebrity Beyond. There is still time to get tickets for the Juice Cruise, though I think time is now short. And then Friends for Life, I will again be with Sugar Pixel. Actually, I'll be at Sugar Pixel, friends for life, Ada and Adces. But friends for life is July. I'll be there July 8, 9, 10. We have a really great event coming up. I don't think I'm allowed to spoil it yet, but if you're going to be at Friends for Life, definitely look for the Juice Box Sugar Pixel event. Those of you Who Are Clinicians, ADCEs annual event in Columbus, Ohio, August 7th, 8th and 9th, I will be there again with Sugar Pixel. And to round out the year, September 26th at Touched by Type 1's huge, huge event in Florida. Florida. You can get all the details you need about any of this at my link juicebox podcast.com events okay, I'm trying to do this so I don't have to edit this. The website has also been really significantly updated. So now when you go to juicebox podcast.com on the main page there's some searching tools. Epis Episode Episode Episode FAQ. If you type something in there just like in English, like, I don't know, my blood sugar is high in the morning. That's a thing that happens when you do that. It takes you right to like right there. You just get dropdowns of episodes where that's discussed. It gives you The Bold beginning 715 bowl beginning 750ft. The Pro Tip 1011 episode diabetes variables on stress, food quality. And if one of those doesn't look right to you, if you go, oh, I click around like, I don't know if this is it. Like, so I clicked on the first one here. Bold beginning 7:15. What you'll learn fear of insulin causes people to run chronically high. This is a far more dangerous long term. And, but, and so there's one where your, you know, what you typed in matches up with stuff that's been said in that episode. Maybe that's not the one you want, right? Maybe it's a different one. Or maybe you go like, you know, on the main page here, it showed me five of them. I don't think any of these are right. You can actually click on see all results. Takes you to the frequently asked questions page. And my goodness. Like this search tool for the podcast is really just awesome. I clicked over after asking. My blood sugar is high in the morning, so it stays populated and gives you, you know, different links there to different episodes. But you can do a lot at this website. So I'll clear out the search bar if you just click in it. It gives you a ton of things that people commonly ask for. Can my child eat cake at a party? Click on that. Boom. Bold beginning 731 food choices. Can my child with type 1 diabetes still eat cupcakes? Sneaking food. Episode 473 Bolus 4 comes up episode like it? It's, it's really good. Trust me. Go take a look at it. And then on the side there's like things you can click on. I think there's on the mobile you have to go to the bottom of the page, but on the browser on the side you could say, oh well, you know what, I really only want to search I don't know the Ask Scott and Jenny episodes. So you click on that, go back to search. You know, I don't know, I'll just type in glucagon. It's just a keyword and it gives you everywhere that the word glucagon pops up in the Ask Scott and Jenny's. It's really pretty awesome. You have to take a look at it to really get a good feeling for what it is. But it's a wonderful tool to help you find your way through your questions and link you back to episodes that might be able to help you. I'm clicking on just any episode here to show you that. Afterwards you can click on link online. You can jump right to Spotify to the episode, right to Apple Podcasts, or right to the entire series on the website. Tons of different ways to listen back to that menu top right. You want to do an. There's an A1C estimator, a basal estimator, a bolus estimator, a fat and protein estimator, and a setting simulator. You should go check all of them out. They're very interesting. There's also an autoimmune explorer. Now, you click on that. It. You gotta, you know, you gotta click on the disclaimer and get in. But you can kind of choose, I don't know, things that you've been experiencing, different markers. You know, I have. Let's see, heat intolerance, hair loss. Let's see, nail pitting. And now you've clicked in three things. I mean, there's a ton of stuff here to pick from, but you click in some things and then it shows you what those symptoms kind of code to. Now, it's not a diagnostic tool, right. It's not going to for sure tell you what's wrong with you, but it will help you to figure out maybe what's going on. For example, on the four things that I just clicked on, I got one match on each one. So there's no, you know, no, oh, sorry, my phone. It's not like three of the things I clicked on went to Hashimoto's. One of them did. But, you know, I don't know. Let's say I keep going, oh, you know what? I had some sexual dysfunction. Now all of a sudden, there's two matches on Graves. Two matches on Hashimoto's. Oh, I've had skin rashes. Oh, okay. It doesn't really help anything. You kind of click around a little more, and then it starts to come into, okay, oh, I have lost weight. Now all of a sudden, you realize there's three of these are popping up for Graves disease, Two for Addison's, two for Hashimoto's. Graves disease antibodies cause the thyroid to produce too much hormone. That maybe does sound like me. You click on that. There's other shared traits in there, maybe you'll notice, oh, I didn't see fatigue on there. That is me too. And I have value protrusion. Okay. It'll tell you, like, there's some shared traits that you have. It also can tell you that there's other stuff that's frequently associated with it. With this one, it's like Vitilago and ra. But more importantly, maybe you can type in a specific concern. So if you say, like, you know, I don't know, I also feel whatever and hit plus, that adds it into your notes. And then the notes app can actually make suggestions. So you can click on suggestions and it'll tell you, like, oh, discuss managing heat intolerance. Or in the context of Graves. And you look at all those things, you go, okay, those are things I'D like to talk with my doctor at that one. I don't have. Like, click that off. You can save the note, you can copy the note, paste it somewhere, or you can generate an email to yourself so that you have an outline for the things you want to talk about with your doctor. That's on the website. Back to that menu interactive. Defining Diabetes. This is like 78 definitions from the defining diabetes series. I said seven minutes. I lied. If you're still with me, you care. It doesn't matter. And that's in. It's been translated by AI into English, Spanish, French, I think German, Hindi. I forget what else did. Maybe I do Japanese. I forget what I did. You'll see when you get there anyway. And there's also like a chat, like a quiz, so you can click on the challenge and start. A hormone co secreted with insulin that delays gastric emptying and suppresses glucagon, like by hypertrophy. Amylin intramuscular. Oh, I think it's amylin. You click on it. Yay. There's like a little countdown. It's a little game. You know, you can score to the end to try to test yourself on what some of these things mean. Back to the menu guides for you guys, right? Advice for type 1 parents from type 1 adults. Caregiver burnout, the episode frequently asked questions that I told you about earlier. There's some articles about GLP and diabetes, how to build good habits. There's a guide for physicians. There is the takeaways from the Grand Round series. If you want to share them with your doctor. There's just, you know, thyroid stuff. There's an article on pre bolusing. There's also something called clinician share. So if you're a doctor or a clinician, this is a website that you can use to help support you when you're trying to share the podcast with other people. Go check that out because there it's a nice, simple setup. You select a series that you want to share the Bold beginning series with somebody. Click on it. All you have to do is click print, text or email. It generates a list for you. I'm just going to hit text real quick. It opens up my texting app and it gives you juice box Podcast Bold Beginnings. Listen online at the link gives you a link for Apple podcasts for Spotify and a list of all the episodes with the episode numbers in it. Boom. You can just text or text or email that or of course copy it and paste it anywhere that you'd like to see it. What else should we do? Oh, the search is also on that tool there too, for, for physicians. And there's some stuff there for clinicians themselves. Takeaways from the Grand Round series and the link to Juice box docs. So juiceboxdocs.com is. I don't know how many is in there at this point. Let me take a look. This is a directory of doctors and cdes that, that have been suggested to me by listeners. There's 225 of them in there right now, and it's very easy to search through. If you live in Nashville, you type in Nashville. And let's see, we got two doctors in Tennessee that have been suggested by listeners. Tells you if they're pediatric, if they're adult, if they have. If the provider themselves has type 1 diabetes, pretty really cool. And if you have a doctor you love and you want to suggest them to me, you can click on submit provider and send in their information. Please fill it out as completely as you can so it's valuable for others. What else do we have here? All the links to all the series. Bold Beginnings, pro tips, bolus 4, small sips, after dark, defining diabetes myths, GLP, MA, everything. It's all there if you want to go find the series. Some lists, some site links, Juice Box Docs, the private Facebook group, the blog, how to contact, disclaimers, merch sponsor page, all that's right there, right in that menu. So that's it. I kept it to 15 minutes. That's not bad. There's a lot going on at the website, a lot of it I think you'll find interesting, these estimators that you're going to find there. Like, listen, they're not medical advice for certain, but they should be able to give you, like, some ideas about how to talk to your doctors or, you know, get a feeling for if your settings are really wonky or something like that. Using example here of the settings simulator. You know, you have to. It's educational simulator only. You have to click I understand and everything to get in. And then you just are. You can just pick a weight just to see how it affects insulin. So like, you know, say somebody weighed 138 pounds, you might expect their total daily incident to be around 34 and a half units. You might expect their Basil to be around 17 quarter units a day or 0.72 an hour. You might expect their insulin to carb ratio to be 14 and a half. You might expect their sensitivity to be 52. Like just, you know, not saying this is exactly right but it's the same math your doctor uses to figure stuff out, and it's something you don't know about. So maybe you go there and go, oh, hey, I'm high all the time and this thing says I should maybe be using more insulin or less maybe you're low a lot and you don't know why. It's a, it gives you a good starting place to talk to your doctor. Same with the fat and protein estimator. Again, you got to understand this is a tool not for medical device, blah, blah, just helps you understand. Hey, if there's, I don't know, 15 grams of fat in a meal and 6 grams of protein and an insulin to carb ratio of 1 to 10, then what? You simulate the event. It tells you like, hey, you know, this is just a simulation, but you might need this much insulin to cover this meal, right? Just, it helps you with kcals, fat and protein units, theoretical units, how much the bolus might be, how long you might stretch it out if you're doing an extended bolus. And again, could help you understand maybe a little better how bolusing works. There's also a bolus estimator that takes a lot more into account. Insulin to carb ratio, your insulin sensitivity factor, target blood sugar that you're shooting for, and then how many carbs and what I'm eating, I'll say 45. How much fat? 5. How much protein? 4. My current BG is 123. How much do I have on board? I have a unit on board and it, it'll explain to you like, well, you know, we might use about this much insulin here. Pre bulls time should be about this, but there's no, you know, extended needed for fat. But you can look then and change the fat to like, well, what if there was 10 grams of fat in that, would that change it? And it certainly does. All of a sudden it starts talking about how the Warsaw Method might indicate to you that you maybe should spread out some extra insulin over time to impact that digestion. Again, they're just kind of visualizations for you to try to understand. Some of the stuff that we talk about in the podcast, I find some people understand by listening, some people understand by clicking and doing. I thought this might help some of you with that. I hope you find it valuable. It's pretty much it really. We're about to add, I guess I'll tell you about this right now. This is like a little quiz about the positive childhood experiences and negative childhood experiences. The aces and the paces and it kind of helps you understand if you've experienced these things in your life as a child. And it helps to show you how to create a home environment for people who end up, generally speaking, having a better chance at positive outcomes as an adult. That's in the menu as well. And there is a series coming out on that very soon with myself and Erica Forsyth. That is pretty much it. Guys, I hope you're enjoying the show. Please. I'm not a YouTuber, so I'm not really accustomed to saying this, but subscribing to the podcast is such a significant help that it's hard to put into words and sharing it as well. When you're listening to an episode and you're enjoying it, please do share it with somebody else. If you know somebody who might need the podcast, sharing it with them, either with a link or a text or, hey, check out Juice Box or whatever it is you're comfortable doing. This podcast is in its 12th year, and I'm telling you, it keeps going because of good word of mouth. It is really the best way to keep content like this going. It's free to you guys. I, you know, I. I try very, very hard not to charge you for it. And I've had a lot of luck so far, knock on wood. Because so many of you listen. And of course, that makes me kind of an eligible place for advertisers to put their ads, which is how all this gets paid for. So just a general example, the. The episode Frequent Asked Questions page, like the search feature, I've been working on that for a couple of months now, and it's taken up, I mean, I would say, probably 30 or 40 hours of my time. And what it is like, the back end of it is this. I took the top 250 most googled questions about type 1 diabetes. I took the entire list of struggles, which is a list that was compiled from listeners about things they say they struggle with. With Type one. Right. It's a really comprehensive. I think we ended up doing like 70 or 80 pages of that. It got distilled down into, gosh, I want to say like 75 items, but. And I just read a couple for you. Mental burnout, hypoglycemic fear, insulin timing, exercise and blood sugar illness, sicknesses, stress, physical health, technology overload. Like this goes on and on. This is a long list. So this struggles list, plus the top 250 most Googled type 1 diabetes questions, plus some other stuff, all mixed together in kind of a secret little goo, digital goo, and then all of those questions are mapped back to content inside of the podcast. So if you've. We figured these are the. I figured these are the questions that people ask. And we, generally speaking, think that most of those, you know, you know, answers or, you know, associated conversations are in the podcast. So how do you find them most quickly? Right. And this has ended up how it ended up being so like, you know, ketones and DK warning signs. Click what is a rage bolus here. What is a rage bolus? What is insulin stacking? What is insulin resistance? What is insulin bolus? What does the word bolus actually mean? That that's just from, you know, what is pre bolusing and how long before you should eat. This is all just coming back from what is a rage bolus? It matches to conversational stuff. Is it perfect? It's not. It works really well. And I am working on it to make it better and better all the time. So my point is there is, if you share the podcast and people buy ads on the podcast, then I can spend 40 hours on working on this tool for you, or I can sit around imagining other things that I think will be helpful for you to hear on the podcast or take the time to meet people and set up shows like the one you might have heard recently about, you know, a potential cure for type 1 diabetes. Like that doctor who came on, really lovely man, Dr. Wachowski. He's in episode 1817 for an example. Like, I've been working on setting up that interview with him since October of last year of 2025, and we finally recorded in April. And then that recording is rushed out to an editor who is a grown up who gets paid and I pay him and I pay for the website to go up. And there's a lot of money that goes out the door to keeping the podcast going. I'm not crying poor. I make a living. I'm not arguing about that. What I'm saying is that supporting the podcast brings you this stuff. It allows me the time to have these conversations. Do these things go to Ada? You know, I mean, I'm. Listen, I'm going to go speak at that hospital on Wednesday. Nobody's paying me to do that. I'm going to leave my house at noon to get somewhere in time. I'm going to spend a number of hours there. My whole day is going to be that. I'm going to drive back and forth. I'm not charging a hospital for my time, but I can afford to do that on a Wednesday afternoon because you guys support the Podcast, I am driving to Atlanta to speak at the Touch by Type one event. I am not charging Touch by Type one for me to be at that event. I'm sure they'll help me pay for my drive, right? Or if I wanted to fly, I'm sure they would have helped me with my. My airfare. But I don't get paid on top of that. And that's a thing where I'm leaving on a Friday and I don't come home till Saturday. I just think it's a great thing to do. I like supporting people like that, and I'm, again, I'm able to support those people because you guys listen to the podcast, you share it, and no kidding, you're subscribed and you're downloading episodes and listening to them. This is what keeps all this going. Then the more social media changes, the more I need you guys. Because Facebook doesn't let creators get to their followers the way they used to, because Instagram doesn't do that. Because there is no good way to share a link with you, because every time you share a link, Instagram, Facebook, any social media platforms, really, they want you to stay in their platform. So if I make a post that says, like, hey, you know, today on the podcast, uh, and I put up an episode called Orange Julius, it's pretty great. It's with Kelly. She opened up about raising two teens that's diagnosed with type 1 diabetes at age 6. She discusses international living, multiple miscarriages, alarm fatigue, and managing different sibling personalities. If I put that into a post and put it in Facebook, the Facebook algorithm will not serve it to you. You will never see it, because it'll also have a link that leads you out of Facebook into a podcast app. Or even the fact that the. This is crazy, but even the fact that the verbiage in the post indicates that I'm trying to tell you about a podcast. Facebook's algorithm will see it as an attempt for me to get you to leave Facebook. And so therefore, it's not going to show it to you. So, I mean, I could tell you to join my email list. That might help, but truth be told, it's. I need you like I'm. It's on you. You got to open up your app and download some episodes, make sure you're subscribed to your following, you know, especially in the big apps, Apple podcasts, Spotify, stuff like that, and just tell people about it. I really do appreciate your time. And I mean, 12 years of fantastic support. Thank you so much for listening I'll be back very soon with another episode of the Juice Box Podcast and I guess I should have said at the beginning 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 were becoming bold with Insulin and I only went over my 7 minute estimation by 21 minutes. It's not really bad. 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 with insulin. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back with another episode of the Juice Box Podcast.