← Juicebox Podcast: Type 1 Diabetes
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Transcript9 lines
- [00:00]
A
Hello friends. Welcome to the sips series. These foundational strategies were nominated by listeners. They told me these are the ideas in the podcast that truly made a difference for them. So I distilled them down into short, actionable insights. They're there's not going to be any fluff or complex jargon, just practical, real world diabetes management that you can start applying today. And I know your time is valuable, so we're keeping these short. Another small SIP will come out once a week for the foreseeable future. If you like what you hear, check out the Pro Tip series or the Bold Beginning series for more. Those series are available in the menu@juiceboxpodcast.com and you can find complete lists of all the series and in the featured tab on the private Facebook group. Please remember 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 health care plan or becoming Bold with Insulin. The questions you have, I guarantee you there's answers to them in the Juice Box Podcast and it's all free. Jenny, let's talk about apparently in, oh, look at this. Apparently in episode 37 again with you. And I brought up in episode 11, bold with insulin that, oh, I think the way I put it was I steal a 1C overnight, so like take advantage of overnight hours. And the way I used to think of it back then with Arden, like for full clarity, like, Arden's A1C wasn't terrific when she was little. They were in the eights and, and when I was first trying to imagine, like, how can I impact this, right? Like, how can I create at least maybe stretches of time with less glucose in our system? The first thing that I occurred to me was like, well, when she's asleep, there's no food in there. Like maybe that'll help, you know. Now eventually she got big enough where there was growth hormone overnight and that's a different headache. But if you are of the mind, like, I want to be stable overnight at 180 because I want to be safe or I want to sleep. You hear people say that all the time, like, oh, I leave my blood sugar 200 because I want to sleep. And I think, gosh, what if you could keep it at 100 all night? Now again, probably everything I say here in these smaller clips, people are really like, yeah, great, well, but if I know how to do that, buddy, I would, right? But the idea is that when you're overnight, you're at rest. I'm assuming the food should be I mean, unless you're eating late at night, there should be no food in your system. By the time midnight comes around, it's just a great time to steal a 1C. So if you're a six and a half during the day, but a six at night, you're gonna be more like a six two maybe or something like that.
- [03:03]
B
Yeah, it actually gives, you know, we break a 24 hour day into segments. You can break it in easily. Most people should be sleeping, let's say should be sleeping about eight hours. Right. Kids might even be sleeping longer than that because they go to bed earlier than most adults do. So stealing the overnight hours, in terms of affecting that long term average, if you've got eight to 10 hours, even eight hours, that's a third of the weight of your overall A1C. Right. And if you've got 30, 30 some percent of your overnight sitting at a blood sugar of 100, you are absolutely going to be able to weight a little heavier to a lower overall average or a 1C. So 100% take advantage of the overnight. And if you don't know how to do it, I think it's a good idea to start understanding the hours before the overnight impact. The overnight. So if your blood sugar after your dinner or, or after your evening snack are consistently leaving you higher, but your basil is allowing you to then stay stable and flat at 160, 140, 180 overnight, then it's not the basil's fault.
- [04:17]
A
Right.
- [04:18]
B
It's the problem before the hours of the overnight. And so I think it should teach you to look at time before where you're having the problem.
- [04:27]
A
Everything that is happening to you right now with, with that number is from something that occurred before.
- [04:33]
B
Correct.
- [04:34]
A
And it could be hours and hours before. Like you use something I think people all understand. I had a slice of pizza at 8:00 clock and my blood sugar got high at 10:30. You know, like that kind of thing, like there's food in your system, it's digesting. Once it's cleared out, the amount of insulin it takes to keep your blood sugar stable should be pretty consistent. And also I think that what you learn from overnight, not to shift gears too hard, but once you learn how to keep overnight stable, where you need it to be, where you want it to be, that information or way of thinking can go a long way into helping you in the waking hours as well.
- [05:11]
B
Absolutely.
- [05:11]
A
Yeah. So I tell people all the time when they're like, I don't know how to get my basal right, I'M like, well, it's easier to get it right because people don't want a basal test. You know, I'm like, well if you're not going to basal test, use overnight as a test, you know, clear system basal test, and then use that as a jumping in point for the morning and the rest of the day. Okay, awesome. Look at us being all like, good one. Yeah, yeah. If you or a loved one was just diagnosed with type 1 diabetes and you're looking for some fresh perspective, the Bold Beginning series from the Juice Box Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CDC, ES, a registered dietitian and a type one for over 35 years. And in the Bold Beginning series, Jenny and I are going to answer the questions that most people have after a type 1 diabetes diagnosis. The series begins at episode 698 in your podcast player, or you can go to juiceboxpodcast.com and click on Bold Beginnings in the menu. If you're ready to level up your diabetes care, the Diabetes Pro Tip series from the Juice Box Podcast focuses on simple strategies for living well with type 1. The Pro Tip episodes contain easy to understand concepts that will increase your knowledge of how insulin works and so much more. My daughter has had an A1C between 5:2 and 6:4 since 2014 with zero diet restrictions and some of those years include her in college. This information works for children, adults and for the newly diagnosed and for those who have been struggling for years. Go to juiceboxpodcast.com and click on Diabetes Pro Tip in the menu or head over to episode 1000 of the Juice Box Podcast to get started today with the episode Newly Diagnosed, we're starting over and then continue right on to episode 1025. That's the entire Pro Tip series, episode 1000 to 1025. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of the Juice Box Podcast.