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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, or you can listen to it@juiceboxpodcast.com by going up into the menu.
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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. Today's podcast is sponsored by usmed usmed.com juicebox you can get your diabetes supplies from the same place that we do and I'm talking about Dexcom Libre, Omnipod, Tandem and so much more. Usmed.com juicebox or call 888-721-1514 Today's episode is sponsored by the Tandem MOBI system with Control IQ technology. If you are looking for the only system with auto bolus, multiple wear options and full control from your personal iPhone, you're looking for Tandem's newest pump and algorithm. Use my link to support the podcast. Tandomdiabetes.com Juicebox check it out. 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 near podcast player. You gotta calm the down.
B
So yes, yes I do. So this is really weird and probably TMI but I had a bleph class. Oh this is a weird thing. Yeah, so I somehow when my son was like 12 months old my the bottom below my eyes blew up swell swelled like a bee sting with like a person who has an allergy to a bee would potentially look like and my eyelids swelled and it took two, three weeks to go down so I didn't wear my contact lenses in that time and then it happened again and I was like what the heck is going on? And I thought something during my pregnancy became I've now become allergic to contact lenses. So I went ahead and got prk which is like a form of lasik. But my corneas were too thin to do lasik so I had to get prk. Whatever. So I did this whole surgery to fix my vision so I would have to wear contacts because I didn't want to wear glasses because I'm a runner. And so then I moved to London. Then I was in London. Sorry. And then I. It happened a third time, and I saw a private dermatologist in London, and she was like, are you wearing gel nail polish? And I was like, yeah. She's like, that's what's doing it. I was like, are you kidding me? So I had three episodes of the most swollen eyelids one could possibly get, and it was because I had a systemic inflammation from the chemicals in gel nail polish that went through my bloodstream to my eyelids. And if you Google it, it's a thing, apparently. So she's like, the problem for you is that this has happened three times. The skin. Skin on your eyelid is so thin, it's never going to stretch to go back now that it's stretched so much. So I had extra skin on my eyelid that I could feel the weight of it, and people would be like, I don't see it, but I could feel the weight of my eyelids. And so I had an upper blepharoplasty. So they cut the. It's like plastic surgery. But, like, I did it because it was so heavy. People do it for, like, looks. But I just had it done April 30th. So I have the scars still from my, you know, stitches or whatever. And during the procedure. So I was not under full anesthesia. It was just sedated. During the procedure, I hear my low alarm go off, and I'm like, oh, like, so out of it. I'm like, listen, I need my phone. And the guy's like, no, I don't think that's. I'm like, yeah, I need my phone. So the nurse brings me my phone, and I open it, and she's 55 and she's in school, right? And I'm like, oh, damn. And this is the words coming out of it, because I'm sedated. I'm like, oh, she could go into a coma. I should probably do something about this. But meanwhile, my husband's on it. He's in the waiting room. He's already taking care of it. But I just don't know that because I'm just the primary caregiver.
A
How would you not make that assumption, though?
B
I don't know, because I can't shut my brain off.
A
Oh, Amy, you're out of your mind. That's lovely. Hold on a second. Wait. I don't want to go. I want to go back to you being crazy. But. But first. But first, I want to understand. I don't want to get past the gel nail polish thing. What did they tell you?
B
So something in gel nail polish has been linked to causing eyelid inflammation? Specifically, yes. Which is so weird. But I don't know how it happens. I don't know. But if you Google this, I have. After it happened to me, I was like, this is so weird. And the dermatologist in London picked up on it within seconds of me coming into her office. But I didn't go to a doctor before that, like, a dermatologist. So. In America. So, like, nobody knew.
A
But you're not saying it's not through contact with your. With your fingers?
B
Oh, no, it's from the soaking it in from your nail beds in through your blood stream to your eyelids.
A
Okay, well, I'm gonna. I'm gonna task something with researching that while you and I are still talking. But I. I'm not gonna actually, like, I'm not going to do anything. I just want to be clear, so I'm going to see if I can find an answer for that. Okay, now, wait, wait. Now back to you being crazy. So you. You weren't before this?
B
You have maybe. I don't think so. Like, I don't ever remember being an anxious person. Yeah.
A
Yeah. Listen, I. I'm not married to you, but I'll assume you were a little crazy before. I think everybody. I think everybody is a little crazy. But. But you have. Interestingly enough, after an hour of talking, you have not mentioned the one thing that you put in your note, which is that you feel guilty.
B
Oh, yeah. Well, I think, like, you know, this obviously came from my side of her, like, the genes. Right. Because my two people in my family have had it. So it's like, if you were to go back and be like, listen, something bad's gonna. You're gonna give your kids something bad. You still wanna have kids. You're like. Who would be like, Absolutely. You know what I mean? So. So I just feel like this is my fault. And at the end of the day, whether she's, you know, 18 and moves to college or 21 and moves away or whatever it is, I get to kind of take a step back from it and I don't have to worry or deal or, you know, at one point she's going to be an adult and she's going to have to worry about waking up from Lowe's and ordering the supplies and, you know, all that stuff. And, like, I'm not going to have to worry about it. And that's like. I just feel bad about that because she doesn't at 10, get a break ever. You know, if that makes sense where, you know, she had nine years of, like.
A
What does that mean? What does that mean? She doesn't get a break ever. Make contextualize that for me.
B
She doesn't just ever get to, like, you know, not have anything attached to her body or if she doesn't then have to do a finger prick. She doesn't have to think about what she's eating.
A
Is that bothering her?
B
Yeah. Yes. Well, this is why she doesn't want to pump for, like, you know, a lot of her friends had the Omnipod. She's like, I don't want stuff on me. So we went to the Moby because we decided on the Moby, which, again, we haven't started it yet, but because we can disconnect it in the shower, in the pool so she can get like a quote unquote break. And whatever's left on her is just tiny. She. Yeah, she doesn't. You know, she just, like, we'll be in the car and she's like, oh, I just don't want to have to do this anymore. And I'm like, I. I don't. The alternative is not something we're doing. So, you know, we're not going to let diabetes win today or tomorrow or yesterday. You're getting the shot. And she won't do shots, but on her own yet. I still do them. Or the school nurse, but, like, sorry, like, you know what I mean? Like. Or she'll be carved for X and she'll want additional food. She'll be like, I can't eat. I'm so. Like, I'm so hungry. But, you know, I'll be like, well, let's just give you another shot. It's fine. No big deal. Like, there's a fix for this. And she'll be like, no, I don't want another shot, so I'm just not gonna eat. And I'm like, emily, like, this is not, like, it's not a big deal. I know it hurts for 10 seconds, but, like, let's just. If you're hungry, you're hungry, and I get it. At 12, how are you supposed to know how much you're gonna eat? Like, you know what I mean? That's a lot to have to think about.
A
I'm not. I'm not minimizing anything you're saying. I'm just. At all.
B
No, no, I know.
A
Yeah. There's no Easy way to, to do what you're saying.
B
Yeah, no, no, I just, I'm thinking out loud like this.
A
Yeah, no, you should. I think that's good. Like, because, I mean, but she's going to develop. Listen, I think there's an argument to be made that honestly, that everybody living with type 1 diabetes has some sort of a weird relationship with food. Right. But I mean, if she's physically not eating when she's hungry to avoid an injection, I mean, that's, I mean, you're looking at an eating disorder at some point.
B
Yeah. And that's what I try to like, install in her. Like, Emily, it's just another shot. And this is why I've been like, just get on the. This is going to be solved. Because when you're on the pump, you, you don't even have to get another shot. It's just a few boop, boop, boop into a little phone, like, you're good to go. And the move to Texas, I think has kind of pushed her in that direction because, you know, she's gone to a few birthday parties or friends houses now where, you know, again, she won't let, she let one mom do one shot one time. And other than that, it's. They've had to call and be like, okay, we're eating now. So then I have to go back to that house, give her a shot for the food leave because no one wants their mom hanging out at 11, 12 years old. And then the mom at that house will call me and they'll be like, we're having cake. So then I have to go back and give her a shot for cake. And then, you know, two and a half hours later, it's pickup time. So I'm like, you know, most parents can just drop their kid off and like, whatever, and pick them up four hours later. I'm like hovering in circles within a, you know, a few minute radius to like be on shot.
A
You're off the street at the 711 reading. Reading your phone.
B
Yes. Yeah. And, and, and I just feel so. I think like I've been like, pushing the pump, but now she's like, okay, I'm moving to Texas. I want to meet new friends. I don't want mom hanging out. I don't know who the nurse is. Like, I gotta just have a little bit of that taken off me. And so, you know, as soon as this person from Tandem gets their act together and sends us the rest of our supplies and we can get the training done and all the things and we'll you know, hopefully be in a better spot and hopefully sleep more nice and hopefully, you know, have less anxiety and hopefully, hopefully do all this stuff a little bit better and you know, and, and have less highs as well. And, you know, I, I don't know. So she plays volleyball and like, you know, she'll, she likes these drinks from Starbucks. It's these strawberry acai lemonades. And we've noticed that she tends to go low during a sporting event. And so all the proteins, carbs, snacks, peanut butter, crab, like, whatever, we'll try them. Sometimes they work, sometimes they don't. But if we figured out if she has like a half of a grande size of that drink, it'll keep her up enough during the event and she'll be fine nine times out of 10. But then there's that one time where even that doesn't keep her up and you're just like, what? You know, like, it's, it's, I feel like you do the same thing. She puts in the same, exerts the same amount of energy. She's eating the same thing prior to that lemonade. She's, you know, it's the same time of day, it's the same, but like two totally different results. And that's just one example of the things I've seen, you know?
A
Yeah, I hear you. And I, I, obviously that's the thing people say all the time, like, I did the same thing today, I did yesterday. But I think it's possible that if you had a third party there looking, they might see something that you're not seeing, you know, because it could very well be, I mean, it could be hormonal. Right? She's old enough for that.
B
Yeah, for sure.
A
I hate to ask you, but she gets a period.
B
No, not yet.
A
Okay, well, that could be on its way and it could be activity. It could be, I mean, you could be, I mean, time of day a little bit like, based on. Because you're shooting basal insulin, right? Yeah, yeah. So like, you could say, oh, my God, it's, it's volleyball, for example. But volleyball at 8am on a day where you shoot basil at 7am might be different than volleyball at 5pm when you shot the basil at 8am yeah. And then that would be like a small difference that you would, you wouldn't see when you were saying, like, I just, I keep doing the same thing over and over. I, I, I, I, I wouldn't guarantee you, but I would strongly be willing to bet a couple of dollars that that there's something different that you're not seeing. And, and, and these things are impactful and could be around exercise, could be around hormones, could be around sleep, it could be around hydration, like, but something's different that you're not seeing well.
B
And yeah, the other thing is she's a little bit deceitful, too.
A
You've probably heard me talk about US Med and how simple it is to reorder with US Med using their email system. But did you know that if you don't see the email and you're set up for this, you have to set it up. They don't just randomly call you. But I'm set up to be called if I don't respond to the email because I don't trust myself 100%. So one time I didn't respond to the email and the phone rings at the house. It's like, ring. You know how it works? And I picked it up, I was like, hello? And it was just the recording. It was like you asked. Med doesn't actually sound like that, but you know what I'm saying? It said, hey, you're. I don't remember exactly what it says, but it's basically like, hey, your order's ready. You want us to send it? Push this button if you want us to send it. Or if you'd like to wait, I think it lets you put it off like a couple of weeks or push this button for that. That's pretty much it. I push the button to send it and a few days later, box right at my door. That's it. Usmed.com juicebox or call 888-721-1514. Get your free benefits checked now and get started with usmed Dexcom Omnipod Tandem Freestyle. They've got all your favorites, even that new islet pump. Check them out now@usmed.com juicebox or by calling 888-721-1514. There are links in the show notes of your podcast player and links@juiceboxpodcast.com to USMED and all of the sponsors. 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. Tandemoby 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 out@tandomdiabetes.com 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. Tandem diabetes.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.
B
Like, like I. When she was first diagnosed, I get it. She was used to being high all the time before we knew. So like a 90 felt kind of like, woo, this is. I don't feel great. And then, you know, we've slowly kind of been like coming down and down and down. But she still gets nervous depending on where she's at and what she's doing of the numbers. And so I have gotten really good at being like, take, you know, we don't need 15 grams of carbs. That's an over, overdone. Let's have eight. Let's wait 10, 15 minutes. Let's see what that's going to do. We'll double check with a finger prick and then we'll have something else if we need to. This is no big deal. But before I can even get to that point, she's ate in like an apple pouch and stuffed the empty thing behind something in the pantry, which I
A
find, like, so there's an impact now. And you're just, you're not, you're unaware of what it is.
B
Yeah. And then she's 400 and I'm like, how did 8 grams, you know what I mean? And it's like, oh, no. She had that apple punch that she snuck that she didn't tell me.
A
Or she had your, she had your 8 grams plus the 23 in the thing. Right?
B
Right. Yes. Yeah. And I'm like, emily, like, we have to work together on this. If we don't, like, this isn't good. This. We need you. But she's, she's not doing it to be a brat. She's doing it because she's afraid. So afraid.
A
Yeah. Why wouldn't she tell you, though?
B
Because I think she, she wants it come up really fast. Like she's comfortable at like a 200. Like, she's like, I'm good. Like, this is fine. I'm not low. I'm not going to die. I can coast. But I think like, I think for me, I'm like, let's try to get you at like a 1 or a 100, a 110. 100 or 110?
A
Yeah.
B
You know, and I think for her, she's like, really?
A
Is she seeing a therapist?
B
Well, so. So funny enough, when we moved home, we saw one, she hated her. And to be honest, the lady was kind of condescending, and I didn't like her either. And then we saw two others, including needle exposure therapy guy, who I thought was great, by the way, and he was super chill and he had all the right techniques with toys and different stuff, whatever. And then we saw a therapist that the hospital, uh, Rainbow Babies here in Cleveland gave us. So she was like in the endocrine world directly. I was like, she'll know all the things. Um, and she just has. She comes across as rude. And my husband and I have gotten on her because we're like, listen, if you go in there and you don't want to talk, like, and you just want me to do primary talking until you get to a point where they know a little bit about you and you're comfortable with them, and then I can step out of the room and you can. But like, she. She like, like the eyes she gives these people. I want to be like, she's really not that rude. She's just mean to you because. And like, the doctor, like, the doctor will ask her questions and she, like, doesn't look at her. I'm like, emily, this lady saved your life. Like, you know, that's her job and fine, but like, at the same time, she didn't give this to you. She's helping us survive this. You got to be kind to this lady. But it's like anybody, she's having a
A
lot of trouble with this.
B
Yeah. Yep. So it's just. It's honestly, it's like a day to day thing. And that's the other thing too. Like, you know, she'll. If my husband's up on like a Friday night watching like the basketball game or whatever, and I'm like, I'm tired. I'm going to bed. And she wakes up from something, he'll be like, I got this. Like, we're fine. And she'll run past and wake me up, and he's like, I have told you to let your mother sleep. Like, she does not get enough sleep. This is her night to sleep. Let it go. I've got this. And she just. Until I'm awake and I'm aware of what is happening, she is Not. And I have a Sugar Pixel next to my bed. So if she's, you know, 85, that thing's waking me up regardless, so I'm not worried about missing something. But she is worried so, so much that I will miss something.
A
Can I. Can I pimp for a second? Did you see that Sugar? The Sugar Pixel update? The new one with the big screen. Oh, wait. You should go to customtypeone.com juicebox and take a look. But I am. He added, like, all these characters and everything to it for younger kids, and I'm one of the characters.
B
I just want to say Carl take away. That's amazing.
A
Yeah, he really set up this really lovely. It's really something. Anyway, people should check out the new Sugar Pixel. It's pretty cool.
B
Yes.
A
I think I make a couple. If you use my link, I make a couple of bucks when you buy one. That's not why I told you about it. I told you about it. I told you about it because I'm like, a little. There's a pirate character that has a chameleon living on it, and that's me. Okay.
B
I love it.
A
Yeah, it's pretty good.
B
I love it.
A
I don't know if I should say the owner's name, but he's really a really lovely person. But. Okay. But back to your daughter. Would she talk to somebody else who's not you about it and not a doctor? Would she listen? Would she come on the podcast and talk about having diabetes, or is that a thing that you think would mortify her?
B
You know, it's a good question. I don't know. So last summer. Well, so right after she was diagnosed, my mom came, right? So my mom, diabetic herself, type 1 ICU nurse for her entire career that she worked. So I was like, perfect. Like, I've got a babysitter, I've got a backup. She lives in Maine, so she's not always available, but whatever. She came out to help, and it was awful. I love my mom. So, mom, if you ever listen to this, I love you, but she bruised Emily so bad, and I'm like, how have you been an ICU nurse this long? Like, I don't know if you're just like, I don't know. But she's been on an Omnipod, so she hasn't had to worry about, like, actual injections all the time, you know, frequently for herself. But, you know, like, she would be preparing food. And there was a thing where I was like, mom, I gave Emily a shot for, like, a fourth a Cup of strawberries. Like, this was in the very, very beginning, like a month after we were diagnosed. And I. I leave the room, I come back in, and Emily has probably, like a cup's worth of strawberries on her plate. And I'm like, mom, did you hear a fourth of a cup? Because I'm not. Or she would throw things in the rubbish, like, can or the packaging on, like, a tortilla wrap. And I'd be like, I need to know what the are. Oh, I threw that in the rubbish. Well, how do you know what you're dosing for? You're a diabetic also, you know, you're
A
just like, well, how's your mom?
B
Your things. Dinging all the time.
A
How's your mom's health? How's your mom's health?
B
Dinging all the time. It's dinging all the time. She has, you know, honestly, for what she. Bless her heart, she took care of us. She put herself on the back burner for spirit for her entire life. Like when she was 42 or 40, I think, when my dad died. And she just worked, you know, 12 hour shifts. She walked to work sometimes so we could have a car to drive when my older sister had got her license. Like, she sacrificed everything for her children. So I think she put her health on the back burner for what she's done and how she is today. She's 75, and she's really not terrible. Like, she has no high blood pressure, she doesn't have high cholesterol. Like, all the typical things. You see people getting around their 70s. Like, she doesn't have them. She has the Hashimoto, she has the type one. And she does have eye issues where she has to get an injection in her retina every four weeks, I think. And she claims it's not from diabetes. I think she claims diabetes exacerbated her condition, but it's something different. I don't know if she's telling me the truth because she's just trying not to scare me for Emily. And I do know somebody else who has the same thing, and they don't have diabetes. So I'm just like. I don't know who to believe, but I. Overall, for what you would think she would be, she's actually not terrible. She's. Yes.
A
Yeah. Well, I mean, gosh, I. So I don't. So to. You were kind of hopeful that your daughter would talk to your mom, but that didn't go as well?
B
No, no, no. And she won't even sleep over at her house. And that was like an annual summer thing. We'd go to Maine and Emily would get, like, a private sleepover with Grandma and they'd go out to dinner and they'd get a toy and they'd go. And now she's like, I'm not going there.
A
Because of the bruise from the needle?
B
Because of. Yeah, she's just scared that Grandma won't wake up from a furlough or, you know, she'd get bruised or she won't know what she's doing or how to count. The only person she's let babysit her for, we'll have a local babysitter. But I'll only go away for three hours. So I'll give Emily a shot. She'll have dinner as I'm walk the door and I'll come back by nine to give her her next shot for bedtime. The only person that she's allowed to babysit her longer than three hours is my sister, who is an RN forever. You know, over the top, like, over, you know, checks everything. She is my best friend. She is everything to me. We are pretty much twins separated by nine years. And that's the only person who Emily has let babysit her for an extended period of time. When Adam and I went to. My husband and I went to a concert last summer, like, 45 minutes away. And it was actually the. It was a Jack White, but it was the first time in this diagnosis that I was away and I didn't look at my phone. I looked at it, like, once or twice, but it was like, well, what changed?
A
How come you didn't look? Were you high because my phone.
B
No, because my sister was watching her. And I have all the faith in my. And, yeah, all the faith in my. Like, I love her. She is my best friend. Like we are. I couldn't do life.
A
Let me ask you a question, though. Is there some reason why your sister is a better choice or is it just a person you're comfortable with?
B
I think it's a person that. I think because she's an rn, she knows what she's doing. She's not relaxed. Like, she wouldn't be relaxed about Emily's care. Because my daughter's care. Because she knows, like, you know, like, she would. She's just. If anything happened on her watch, like, she would not forgive herself. So she's very on top of it. She is a great rn. And my. And my daughter knows how much I love my sister. And like, we do girls trips and stuff like that. Like, her, me and my Sister. So, like, I think Emily realizes how much I trust my sister even before the diabetes, just in life. And so that was like, oh, I know.
A
Auntie Swami, are you telling me that your attitude and what you say is transferable to your daughter. Daughter. About her care? I don't.
B
So I've never said anything about Kristen being a good caregiver.
A
That's the vibe that she gets from you.
B
I just think. Because she sees how close I am with Kristen. Yes. That my sister. That. Yeah.
A
My question would be, isn't it possible that some of the anxiety is a vibe she's getting from you, too, that you're not aware of?
B
I don't.
A
Maybe.
B
But, like, me and my husband are getting along great. Like, we, we don't fight. Like, we're not, you know.
A
No, I don't mean that. I mean, you're. Listen, I, I, I think the, the, the, the value of this recording for other people will be one thing, but for you, it's going to be a completely different thing. Because when you listen back to this, if you don't listen to this and think I sound a little unhinged, I'm going to be surprised. Okay. And, and if, and if you don't. Thank you. And if you don't listen back to this five years from now and go, holy hell, is that how I was? I'm going to be surprised.
B
It's gonna be a good time capsule.
A
No, I really think so. Like, I think it could be really valuable for you. And I don't, I just don't. Don't disregard the idea that you might be giving off weird energy that you're not aware of and that she's not reflecting it and that you guys might not be standing like two mirrors just reflecting it back at each other.
B
Yeah, I do agree. I'm exhausted. So I think, you know, I can
A
hear it in your speech pattern.
B
Pattern.
A
Yeah. Yes. Yeah.
B
Yeah. And, like, I think, like, that comes across. Like, I get, I get, like, I have no patience. And, like, a lot of people are like, oh, I hate Everybody in my 40s. Perry, menopause, whatever. And I'm just exhausted, so I'm like, I'm annoyed at everything and everything. You know what?
A
I don't have time to hate anybody. I'm too tired.
B
Yes, I do. But I think, like, and, and she has a little bit of the teenage tude coming on, too, so it's like a double whammy, you know? And I think, like, there will be some times where I'm just like, oh, this Is like, just, you know, I just told you to wait 15 minutes or eat your protein first or whatever that.
A
That's gonna start happening.
B
Yeah. Like, I don't know. Like. Yeah. So I just.
A
I have to tell you, I don't know if it's right or wrong or if I should even. I wanna. I wanna talk to your daughter so badly I could taste. Yeah, yeah. Like, don't. Don't force her, obviously. But no, I will say if you, like, tell her she can complain about it or whatever she wants sense she can. I also. I love the way you curse. Will she curse like this, too?
B
No. So I always say I'm from Massachusetts. Like, that's part of who we are. I don't know if that's the thing or not, but I.
A
Such an interesting mix of the time you moved, you referred to the trash as rubbish. So that comes.
B
That's a New England thing, though. That's a New England. Okay, it is, but I think it came over to New England a bit, too, because my grandmother and my mother, we grew up calling it rubbish. And a lot of people call me out on that. I'm like, no, no, that is a New England.
A
Oh, I don't think it's a wrong word. I just think it's. And there's. And there's times where you have, like, some Southern stuff from the South Carolina going on, but your. Your language is definitely from Boston. Like, it's all. Really. You're a really interesting mix. So much you've said more times in this episode than I've said in the last month of making the podcast. Like, so much so that at the end of this, I'm gonna have to leave a note for the editor and go, hey, like, listen, she even said it under her breath one time, by the way. Like, 13 minutes into it, you said it under your breath. And. And so anyway. But I don't care. I just think I. I think it's. Anyway, I'm gonna tell you that you're early on in this. Yeah, I understand all of your concerns, if you can find a way to believe me. They're not really things you have to worry about, mostly.
B
Okay.
A
I'm not telling you not to pay attention and just throw it up to God. I'm not saying that either. There are definitely things you have to pay attention to and. But I just think you're just too deep in it right now. Like, you sound so far up your own ass. I don't know another way to put it.
B
Yeah. No, you're not wrong.
A
Oh, I know I'm wrong. I've been doing this a long time. I'm good at this.
B
I want to go to a comedy show with my sister in December in Rhode Island, Providence. And Emily heard me talking to her. She's like, you can't go. I'm like, Emily, it's 11 months from now. She's like, no, you can't go. I'm like, well, I'm going to go. And that's going to be a different. We'll have a conversation about that at a different time. But, like, you will live, but the
A
conversations aren't going to fix it. Like, you have to meaningfully do something without talking that alleviates her anxiety about it.
B
Yeah, yeah.
A
You can explain to people all you want from here to eternity. If that worked, then Jerry Springer would have only had to run one episode where a 13 year old was pregnant and the rest of the world would have went, that's not a good idea. And then it wouldn't have happened again. Okay, but that's not. People don't. People don't learn by being told. People learn by having experiences that make their nervous system comfortable.
B
Yeah, that's true.
A
So, yeah. And you might not be the best arbiter of it. And even like, like, and, and that's gonna be tough because you've also tried three therapists. You've only liked one of them.
B
No, no, I like two. I didn't like one. Okay. So, yeah, the other way, but fair.
A
And now you're gonna move to Texas.
B
Yeah.
A
Right. So that. So things are gonna change. She's going to get a new school. You run the real possibility of her hiding her diabetes, like, deciding like, oh, change of, like, venue. I'll just pretend this isn't happening to me. And then you guys are just going to get into fights about it and it's going to get worse and she's going to eat more food and hide it, and you're going to, you're going to be. I don't. Listen, I like you. I, I don't think. But you're, you're, you're aggressively unapologetic when you're talking about stuff.
B
Well, it's so funny because I just listened to your podcast with that lady who moved to Finland for six months and she was like, but we don't. Because kids need stability. And then I was like, oh, we've moved our kids so many times. Like, that lady would hate me.
A
I'm sure she wouldn't hate you. And I think there's way to Find stability in this too. Like, but again, like you are. I know nothing. I want to be clear. I barely graduated from high school. I did not go to college. I hold no degrees for the lady on Reddit that like to say all the time that I think I'm a therapist. I don't. But, but, but what I'm going to tell, what I'm going to tell you, I just assume it's a lady, by the way. And, and it might not be. It could just be a very sensitive guy. I have no idea. But, but, but what I'm going to tell you is that, is that you got to lead by example. Yeah, that's how kids learn. That's where they get their confidence from. When you panic, they panic. When you think you're not showing your panic, you're out of your mind. My kids are 26 and almost 22. And you haven't had this yet because your kids aren't old enough. But older parents are going to know about this. We had a lovely couple of hours conversations where our kids broke down everything we do wrong recently. It's a nice thing you got to let them do as they grow up. When they think they're understanding the world and they think they're smarter than you now and sometimes they want to let you know. And I went through the same, same thing as a, as a, you know, when I was young too. And we very like happily stand and have conversations and let them explain how we've, everything we've done wrong and, and you know, and we try to absorb it because they might have points and there might be situations where they, where they, they're misunderstanding because they don't have enough life experience. But my point is, is that the only thing that really comes from that conversation is they feel heard and they believe we're listening and that teaches them lessons outside of the conversation. Our parents will listen to us when we're talking, they'll let us be critical. They'll push back when they don't agree. Those are the lessons from that conversation. Like the life lessons, the words from the conversation are not what's going to be remembered. And I try to make that example more simply. When I said, I think that one of the greatest things about being a stay at home parent was that when my kids opened the door after school, they knew I'd be there. And that builds stability, it builds trust, it builds calm. And my point is that all the things that you think you're hiding, you're not hiding from your kids. So your anxiety I really do think that. That the best analogy for your conversation right now is that you and your daughter are standing very close to each other, like two mirrors, just bouncing your anxiety back and forth with each other. That's how it seems to me. And I don't know how to fix that other than to say, you've got to calm the down.
B
And then.
A
And then. And not just pretend to be calm, but actually be calm so that she can absorb that. And that's what you can start bouncing between each other.
B
Other. Yeah, yeah.
A
Don't say the thing, do the thing.
B
Right, Right. Yeah. No, I. And I do think there's been a slight increase in my, you know, less. Having less anxiety since diagnosis. But. And I'm hoping, you know, and I'll go back and forth and I'll be like, in three years or five years, maybe I'm a diabetes educator. Maybe that's what I'm going to take away from this.
A
You gotta stop. Like, really, Your husband's gonna leave you for sure. I just want to say that and. No, no, seriously.
B
He travels so much for work.
A
I have to go to Brazil. You should have Googled that. I don't think his company's probably even in Brazil. He's probably up the street at a Best Western just sitting there. So.
B
So I wouldn't blame him.
A
No, but. But seriously, like, he's not going to say this to you because he would like to continue to see your boobs. But, like, I'm telling. I don't care about that. So I'm able to tell you, you really got to calm down. Yeah, like, I don't know how to do that. Like, I know that's not functionally helpful, but you have to figure out what that means. Yeah, yeah, that's my best advice. And. And I am a podcaster, so you should probably listen to me. I. I also want to tell you that I was not able to, nor was ChatGPT or Google Gemini, verify what you said about the. The gel nails. That. That is not. Yeah, there's no. There's no. Nothing I can find that says that. Here's what it is.
B
So funny.
A
Extremely common due to hand to face transfer. That can happen, confirmed by patch testing that it could be an allergic reaction. But the idea that it's drawn through the blood through the nail bed, I could not find any backing for it all.
B
Really? Oh, that's funny. So I'll have to look that up again and if I find it, I'll send it to you.
A
Yeah, I'd love to know or just keep in mind that, like, it could be a colloquial thing that the doctor said to you.
B
Like, it could be. It could be. And all I remember is her saying, this is never going to go back. You are doomed for life. And I was like, okay, I just got to get an upper blepharoplasty.
A
And also, I'm not judging you because I, I came very close to having the sun spots lasered off my cheekbones. Talking about bougie and like, and the, the, the cost scared me, but it wasn't. But I could have have. I could have found a world where I would have gotten over the cost, except they were like, it's going to come back in a year. And I'm like, well, then what's the point?
B
That's not worth it.
A
No. Yeah, what's the point? Because it's a thing. I'm anxious. Anxious. I. I see it. When I, When I see myself, I see it.
B
Yeah.
A
And I do some, I do a few things on video. Like, they usually put makeup on me, so it's not an issue. But like, I, I worry about it. It. And so I did go to ask about it and I probably would have shook the money free for it if it would have been a, A forever fix. But the lady was like, it's going to be back in a year. And I'm like, well, then I don't. Yeah, I was born in the 70s. I don't. That sounds like to me, I was like, you either fixing it or you're not. Like. But we. Yeah, we're not patching. I'm not throwing spackle on this thing and like, you know, waiting for it to crack and fall apart again.
B
That's so funny.
A
All right, so have I been at all helpful to you? Have you had a good time? Is there anything you want to say?
B
Yes. No. Great time. You know, I just hope that maybe as I get, become more of a seasoned veteran at this whole thing, I'll be a little bit able to roll with the punches a little bit more.
A
You absolutely are. Listen, that's the hidden secret of all this, is that eventually everybody gets there.
B
Yeah.
A
You just got to get out of your own way so you can get there faster.
B
Yeah. 100, I think. And then there's the whole other thing. And talking about being worried is like my 8 year old, like, is he gonna get it? You know, And I don't want to do the testing because I don't want to know what. I don't want to know. You know what I Mean, but it's like. And I've had two different opinions from endocrinologists, from my endocrinologist, who she has spoken to different endocrinologists. And they've been like, one has gotten their other kid tested because they wanted to know. And one was like, well, if it happens, we. It happens. And I don't care to have that in the back of my head. So I'm like, I've heard both.
A
I understand. I heard both arguments. I. I agree with both arguments. Like, they're, you know, that's a personal thing. But again, like, you need a hobby worse than anyone I've ever met in my life. Like, is there a thing in your life you don't do anymore that you miss?
B
Oh, my God, you're so funny. I just. I love. Well, I don't know. I mean, I always say, like, I think it's a weird time of life, too, because a lot of my friends here in Ohio are just people I've met since we've moved here. So, like, my. My close, close friends do not live here. They live in England. They have Massachusetts, whatever. But, like, the people I know, I'll be like, let's go play pickleball just for fun. And, you know, it'll be like, yeah, let's do it Wednesday. And then someone gets sick, a kid has. Whatever. You know, there's always just something with life that comes up. I used to, like, horseback ride growing up, and I loved it. And I'll go back into it here and there, but, yeah, I don't know. Like, I always just feel like.
A
I feel like you need a thing to do worse than anybody I've met recently. Seriously. Yeah, yeah, Yeah. I. I think. Pick something that's not gonna get, like, that you can do by yourself or that maybe you and your daughter could do together. That. That you could. That wouldn't. You know, maybe it's a thing like, that you, you know, like. Like go to a movie.
B
Like, I want to take up golfing. I think golfing would be fun.
A
Go learn there. Go. You are the whitest lady I've talked to in a while. I just want to say it's absolutely fantastic.
B
I feel awful about that, though.
A
You're translucent. I imagine I could see through your skin. You're so white.
B
It is a combo between red and white, depending on the sunshine.
A
Even though I like horseback riding, I might want to golf.
B
You make me sound terrible. I'm so sorry.
A
First of all, you don't sound terrible. You sound like you. There's Nothing wrong with you. You're awesome. But it's just, I'm just making fun and joking. Also. I'm very, I say a lot of very Caucasian things. Don't worry, it's, you know, like, like, like, listen, we didn't get to it, but I called the township today to complain about my recycling pickup. As I was doing it, I was like, this is terrible. This is not a thing. I don't think my dad would spend any time on. You know what I mean? But, but, but, but seriously, like something, something that, that takes you out of it for a minute.
B
Oh, man. You know what I mean? Funny. Now I'm. Now I'm gonna go around thinking all day. I'm too white. Scott, thank you.
A
No, there's no, there's no joking. There's no such thing. Like, you just. It's so funny. No, no, I, but seriously, like one of those things. Like, go do one of those things.
B
Yeah.
A
Because you need to not think about this for a little while. And I don't mean like planned, like planned. Not thinking about it. Like, I mean, your life has to be such that there are times where you just don't think about it or you're thinking about something else and it's occupying some of your time. Yeah.
B
I do think though, like, if I, if this was me, I probably would be like, whatever, like this is. But because it's my kid who I'm supposed to be able to protect, like there's a part of me that's like shit, you know, like.
A
Well, I'm gonna guess if it was you, you would turn this type A personality on that.
B
Probably.
A
Yeah. Which by the way, I'm. I'm beginning to think that type A just means anxious. So like, and, and not for you. I mean, in general, like, the more people I talk like, like time wise, like we used to call people like type A and now I realize those were anxious people. And so, but yeah, you, you would probably do that thing where you, like, you, you controlled it and that would give you some sort of feeling of calm. And, and it feels to me like you don't have control over this. And it's so out of control. Like there's just so much about it that you can't know. I think that's what your language means when you say I do the same thing over and over again. I think what you're actually telling me is like, I feel like I don't know how to wrangle this. And that's making me feel uneasy.
B
Yeah.
A
Yeah. And so, like, find something you can control. Not. And don't make it your husband. He really will leave. Like, and don't. And don't put it on that little boy, by the way. Like, you have to go find something. He's so sweet. You have to go find something else that you're good at that goes the way you expect it to, that takes up a little bit of your time.
B
Well, I mean, you know, it's funny because you wouldn't think somebody who's this anxious in this Type A to move as much as to be so free to be like, yeah, let's just move country, like, whatever, or state or the other, you know, like, and all that stuff. It's like, but then this is so different. Like, it's so bizarre to me that I could be two separate personalities in one person.
A
Well, there might be something about it that, like, you know, like, almost like two tuning forks, if you hold them together, they stop. So, like, you know, like, maybe, maybe there's something about the excitement and the unknown part of like, and there's something to do. Right. So here. So you've moved a lot. So there's a lot to do when you move, but, you know, you can get through it and get it all done. So it probably. Moving probably just seems like a lot of tasks that you know you're going to win at.
B
Sure, that's true.
A
Right? Yeah, yeah. Because it's a, it's a, it might be your hobby. It's a thing that you know how to do. You know how to do it well. You're going to get it accomplished at the end. You get a prize, you get a new house or you get, you know what I mean? Like, that whole thing, it's probably just the thing you're comfortable doing.
B
Yeah, yeah, yeah.
A
And, and so you, so it probably bring. Listen, I, I'm. Again, I, I hear you. I'm not a therapist Reddit. I, I, I, I, I'm just. This is how it sounds when I'm talking. I could be 100% wrong, by the way.
B
Who cares? It doesn't matter.
A
It also makes you feel better. Yes. There's a Charlotte Crowe song about that. If it makes you happy, it can't be that bad. So I was gonna call this episode Yard House, but, but now, I don't know. Now I might call it something else. I feel like in the, in the last 20 minutes here, I feel like we actually hooked into, like, what, what the, the thing. Like, it took me a while. Like, I think you're delightful so, like, I got lost in the conversation a little bit, but. But, like, you. Seriously, like, I. I think it's. There's something about the. I just think you guys are just reflecting it. I think you're just in that mirror situation I was talking about. If you can figure a way through that, I think you get it. But if not, I'm sure you'll be fine. You just live anxiously your whole life. And I haven't asked about medicating yet because I don't. I mean, I assume there's ways that you could probably work your way through it, but, I mean, maybe. No idea.
B
So. Yeah, I don't know. I mean, I've not even taken, like, a Tylenol my entire life. Like, I hate medicine. And it's funny because I was listening to your episode about your daughter taking the levothyroxine or whatever every day, and, like, there will. I am pretty good about it, but there'll be days, like, I'll be like, oh, shoot, like, maybe once every three months, I'll be like, did I take that? You know, but it's normally a thing that's.
A
Hey, did your daughter.
B
I'm not. Yeah.
A
Did your daughter get checked for Hashimoto's?
B
So she did. She's fine on her TSH and her celiac panel. That is typically high, I guess, when your first diagnosis is coming down nicely. So she seems to be. Everything seems to be checking out as far as, you know, all the other potential.
A
What. What's your tsh?
B
What's hers or what's mine?
A
Hers.
B
I am not sure. I could pull it up on the.
A
Do you know yours while you're looking?
B
I can. My chart. Uh, hold on. See what. If I can log in really quickly here. It's so funny because I was actually going to have this number ready to go because I thought we would talk about it, and then I didn't do it. My last TSH was. TSH was 4.33, which is actually higher than it normally is.
A
Yours was?
B
Yeah.
A
Oh, sweetie, that's way too high.
B
You think so?
A
Yeah. Yeah, we want that under 2.1, at least.
B
The other one, the one before that was 3.94.
A
No, no, you're not taking enough.
B
So I need. I'll just double up on my pills.
A
Your doctor, they'll do the math and tell you what to do, and if they don't know how to do the math, you have the wrong doctor for your thyroid. Okay. What was your daughter's.
B
I'm gonna go back to her now, hold on one sec. Oh, that's funny. I honestly, like, didn't even, like, you know my stuff. Now I'm just like, yeah, that's fine.
A
It's not, though. Some of your anxiety could be from that.
B
Yeah, that's true. That's true. Okay, hers was in. What date was this? January. Of this year. It was 2.8.
A
No, no, no, no. Okay. All right. Now we're getting to it. Oh, Rob. Two parter. Okay. All right, ready? First, you fatigue, yes or no?
B
Yes. I mean, but I don't sleep.
A
No, no, don't. Don't do that.
B
Okay.
A
Are you fatigued?
B
Yes.
A
Okay. Have you gained weight? Unexplained.
B
I'm huge. I used to be 120, and I'm now 138. And every day I'm like, those cage jeans.
A
I know for sure that people who are body positive are not going to let you say you're huge at 138.
B
For me. For me, that's fair. But, like, when. You know, when you put on your favorite jeans and they don't. They don't. But in any.
A
But. So you've gained weight. You've gained weight.
B
I have gained weight.
A
Sensitivity to cold.
B
Oh, God.
A
Yes or no?
B
Please just check all the yes boxes.
A
Digestive issues, constipation, or decreased bowel frequency?
B
I would say, like, I wouldn't say constipation, but potential digestive.
A
Are you pooping at least once a day?
B
Yes. Yes.
A
Skin and hair changes, dry skin, brittle nails, hair loss or thinner?
B
Yeah.
A
Cognitive issues, like brain fog? We're going to say yes. Muscle and joint pain, aches, stiffness, or weakness. Oh, well, God bless you. We're nine deep in the list, and you found one. You don't have mood changes, feelings of sadness or depression.
B
Yep. Depression. Not depression. That. Yep.
A
Was awesome.
B
In my defense, it's not depression, but it is mood changes. Like, I'll be like, I'm just so tired of everybody, you know? And I freak out. And everyone's like, mommy needs to go to bed. And I'm like, yes, I do.
A
Okay. Okay. Okay. Hold on a second.
B
Yep.
A
Now your daughter.
B
Mm.
A
Fatigue?
B
No.
A
Weight gain?
B
No.
A
Sensitivity to cold?
B
No.
A
Okay. Does she have digestive issues?
B
No.
A
Skin or hair changes?
B
No. No, I don't think so. Not that I've seen or she's complained about. Definitely not hair change. And her skin seems great.
A
Brain fog?
B
No. She's a straight A plus student.
A
Okay. Mood. Joint pain, acheness, stiffness. Weakness.
B
I wouldn't say stiffness or weakness. She does seem to be injury prone, but I kind of tease her because I'm like, Emily, this is not. Well, how are you getting hurt? Like stubbing your toe, you know, that kind of thing. But not. But I don't know if it's just for like picking up on things to complain about, but I wouldn't say no. I would say no mood changes. How do you differentiate between.
A
I don't know. I've only had a daughter for 21 years and I've only been married to a woman for 30 years. I haven't, I don't have any of this figured out yet. Just so you know. And anyone who's. Anyone who's insulted by that, stop it. Okay, so symptoms of hypothyroidism. So the anxiety adrenaline cycle. If the thyroid is in a phase of releasing excess hormone, your body is essentially in a state of chemical overstimulation. This mimics the physical sensation of anxiety, racing, heart shakiness. Your brain then attempts to find a reason for these physical sensations, which can manifest as psychological anxiety or hypervigilance, blah, blah. Point is, is that there's stuff about thyroid issues that can kind of make anxiety worse.
B
Yeah.
A
Okay.
B
Yeah.
A
And so I would tell you this, that your mom and you have Hashimoto's and her TSH is in the threes already. It's, it's here if it's not coming.
B
Yeah. Okay.
A
And so it's great that she didn't have any symptoms, but don't let those things pop up and you go and make excuses for them like, because she's. I would absolutely bet my, my little pinky on my right hand that she's gonna have Hashimoto's at some point if she doesn't have it now. Right.
B
So are you left handed?
A
No, that's why I said my right hand, because I was trying, I was trying to project actual confidence in my statement.
B
Okay.
A
So I mean, I might get her scanned now. Like, let them do the scan because an undersized thyroid is, is probably Hashimoto's or if she's got little, the, the nodules. Right. And so, but you, you should know better that your, your TSH is way too high.
B
It might.
A
Just because of the weight gain that it is. I don't know, it might just be that you need more medication and you haven't adjusted it lately. But what do you want? 0.75?
B
No, no, I think I could be wrong, but it might. Maybe it is 0.75. It's either 0.75 I've never been higher than 1.25 and that was like peak pregnancy. So maybe it is back down to one.
A
Not a doctor, not advice. I would, I would get your. I would get your TSH under 2.1. I'd get it as low as you can get it without being hyper. But like, I would, I would def in the fours. My goodness. Most of these issues are going to probably go away for you when you get it down.
B
Honestly, like, it's so weird because I get this like nervousness when I'm driving over a bridge that I've never experienced in my life. You're out of your mind.
A
Did you just hear all the things that you're experiencing and your kid has type one and blah, blah. I can't, I can't. Let me just say. Can I say something for a second? I can't be in charge of all of you. Okay?
B
Like.
A
Like I need to some of you to do something once in a while. I had to explain dumping a trash can to a person who works in the recycling office today and I can't. I want to go. Listen, I want to go out in the world and I want to see someone with some level of confidence do their job. Okay? Like. Like, seriously, I can't. I can't. Okay? I just, I need. You cannot have nine things wrong with. You know, you have Hashimoto's and not do anything about all of you. I'm talking to all of you, not just Amy.
B
Well, the thing is in the green, Scott, so I thought it was. Okay.
A
The green. You're a nurse. You know who's bad at being.
B
I know.
A
Nurses are a problem. I'm just going to tell you right now, I've talked to enough of you. Seriously. I'll say it again, but people have to be sick of it by now. Your lab results in range doesn't mean anything.
B
I know, I know, but you know I don't. I know, but I kind of do like the bare minimum. I go to the doctor once a year, they do the thing and whatever.
A
What if none of this stuff was happening to you anymore?
B
Oh, why is that? Love it.
A
Since we're into a two hour episode. Amy, explain to me before we go, explain to me why that's a laughable idea.
B
I just, I'm just so like. I feel like I'm two different people, Scott. Like I have this massive anxiety about stuff, but at the same time I just love to, you know, have a good time and relax and.
A
What a weird. I'm cutting you off. Now, what a weird statement, right? Like, I have massive anxiety about things and I say to you, hey, you have fatigue, weight gain, sensitivity to cold, digestive issues, skin and hair changes, cognitive issues, muscles and joint pains, and mood changes. And I didn't ask you about your heavy periods. Do you have heavy periods?
B
Sometimes. Not all the time.
A
Decreased libido. I bet your husband would like that one fixed. Now, listen, what I'm trying to tell you is, is that literally you would take the same size pill, it would just have a different dose inside of it. And why aren't you anxious about that?
B
I don't know. It's a good question.
A
Oh, it's a goddamn good question. Like, no, no, we're not fixing the world's problem problems today. But, like, that's the thing I want you all to ask each other. Like, why are you putting so much effort into stuff?
B
That.
A
And. And on the. It's. I don't even know how to put this exactly. It's like. It's like you're trying to walk into an open fire hose and. And you're struggling to get through this jet of water that's bl. That it's never going to get through. And. And then I pull back and find out you're the one shooting the hose at yourself. Like, just shut the hose off and then you don't have to fight anymore. I can't possibly make more sense than this. Oh, everyone fix themselves and leave me alone. That's what I'm honest. I'm sorry. I'm so upset about the recycling still. Why could they not just take the recycling?
B
Well, it's annoying because then it's in your house for another week and you don't.
A
I made that point to the gentleman. Also, we're two weeks here. So I said, now I'm sitting on this can of recycling for a month. He goes, why a month? I said, well, I've already been holding for two weeks and now it's going to be two more weeks.
B
No, you know what? In England, the rubbish would not come every. It would come every two weeks. You only had one can. And they would not take a bag if it was not inside the. The can, right? So if you had extra stuff, you're like, out of luck that week. And so we would go and we would walk down the street and we would find other people's rubbish bins to put our trash. Like, not big bags, but like little coffee cups because it would take up precious square footage with inside rubbish can. You didn't want to do it.
A
Worst episode of Paddington Bear ever. So I would. I just. I will say this, that this is a thing that's. I'm not going to bore people with this. But in my town, they suddenly decided there was one can they'll pick up and no other cans. So about a year and a half ago, suddenly, they just weren't taking one of my cans. When I called and made the point to the lady on the phone that I'm now stuck with this at my house for a month. She said, and I'm quoting, just throw it in the trash. And it's been in my head ever since. And so today when. So anyway, a few months after that, I was talking to the driver, and the driver goes, I'll take whatever can you put out. So for a year, they've been taking all my cans. Now, today, suddenly, they don't take it again. I'm back on the phone, I hear the lady, and she's like, you're complaining to the wrong person. I'm like, well, do you not work in the trash in the recycling department in my township? And she said, yes. I'm like, well, I don't know. Why are you not the right person? She goes, well, we contract out to another company. I'm like, well, that's between you and Jesus. That has nothing to do with me, okay? I'm like, you're telling me she thought she wasn't responsible because they pay someone else to pick up the. I'm like, are you out of your mind? So I tried not to get upset. And then I might have. And I was trying to explain to her my taxes and other things. I sounded insane. She didn't even. She just put me on the phone with another guy. And, like, she didn't even say, hold, please. I just. There was another voice on the phone. I laugh. But I said to him, I was like, it's either important that we recycle or it's not. But if it's not, then I'm gonna stop recycling and throw all my recycling in the trash. And that's not a thing I want to do. I want to do whatever the right thing is here, but you can't tell me, just throw it away now. And he goes, we'll come pick it up. And I went, thank you. He goes, but don't use that can again. I said, but I've been using it for a year. He goes, you probably got a different driver now. And I'm like. Like, none of that makes any sense. And I was like. And I am Insulted that I seem like the crazy person Now I'm like, you were taxed with picking up my recycling. Just do that, please. I was like, and don't tell me that the guy you hired to pick up my recycling is at fault, not you. Like, I pay you to pick it up. I don't care. I don't care who you subcontract to. Like, what an inane conversation. Then I came in and complained to my wife for 10 minutes. And then. And she stared at me like, scott, what do you want from me? And I was like, I, I just want somebody to pick up the garbage. And so anyway, all right, listen, I, I, I, I, I, I, I, I wish you a ton of luck. I think you'll get there. I want you to get your thyroid checked. I want you to stay on top of hers, and I want you to find a way to do not say the right things. And then see if your daughter doesn't pick up on that and maybe start having that experience as well. Also, you should probably see a licensed professional. I am probably. I'm probably an idiot. Okay, so that's pretty much it. You good?
B
I'm good. Yeah.
A
I really did love you. This was awesome. If I didn't know what a mess you were, I'd track you down if my wife died and your husband left you. But I think it would be upsetting after a while. So party. We'd have a good time in the beginning, and then it would go woefully wrong. Although you would move to Tennessee if I asked you to, right?
B
I would. Listen, apparently, I'm just whatever. I'm up for anything, as long as it doesn't involve health issues.
A
Because these sons of bitches are arguing with me.
B
Listen, it is way better. I mean, I'm sorry, but New Jersey's a bit cold. It's a bit gray. Tennessee, not so much. So it's where I'm at. And there's Nashville. So, I mean, where I'm at, people
A
just need to listen to me. All right, listen, God bless you. I, I. Hold on one second, please.
B
Okay.
A
This episode of the Juice Box podcast was sponsored by US MED usmed.com juicebox or call 888-721-1514. Get started today with US MED. Links in the show notes links@juiceboxpodcast.com the podcast you just enjoyed was sponsored by Tandem Diabetes Care. Learn more about Tandem's newest automated insulin delivery system, Tandem moby with control IQ/technology@tandemdiabetes.com juiced box there are links in the show notes and links@juicebox podcast.com. If this is your first time listening to the Juice Box Podcast and you'd like to hear more, download Apple Podcasts or Spotify. Really any audio app at all, look for the Juice Box Podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management? Go to juiceboxpodcast.com up in the menu and look for Bold Beginnings, the Diabetes Pro Tip Series, and much more. This podcast is full of collections and series of information that will help you to live better with insulin. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of the Juice Box Podcast.
Host: Scott Benner
Guest: "Amy" (Parent of a child with Type 1 Diabetes)
Date: July 27, 2026
This episode continues the "Two Mirrors" discussion, diving deep into the emotional and practical realities of managing Type 1 Diabetes (T1D) in a family. Amy, a highly involved mother of a diabetic pre-teen, joins host Scott Benner for an unfiltered, honest conversation. The episode focuses on parental anxiety, guilt, the evolving independence of a child with diabetes, family support structures, and the cyclical transmission of stress and coping patterns between parents and children. There’s also candid talk about self-care, imperfections in medical support, and the impact of other health conditions on overall wellbeing. True to the Juicebox Podcast style, the discussion is lively, irreverent, and loaded with memorable moments.
“During the procedure... I hear my low alarm go off, and I’m like, I need my phone... I should probably do something about this, but meanwhile my husband’s on it.” (B, 04:24)
“She doesn’t at 10, get a break ever... she had nine years of, like...” (B, 06:47)
“If she’s physically not eating when she’s hungry to avoid an injection... you’re looking at an eating disorder at some point.” (A, 09:27)
“It’s the same thing... but like two totally different results. And that’s just one example of the things I’ve seen, you know?” (B, 12:10)
“She’s not doing it to be a brat. She’s doing it because she’s afraid. So afraid.” (B, 17:27)
“You might be giving off weird energy that you’re not aware of... and you guys might be standing like two mirrors just reflecting it back at each other.” (A, 27:00)
“You need a hobby worse than anyone I’ve ever met in my life.” (A, 39:30)
“Your TSH is way too high... most of these issues are going to probably go away for you when you get it down.” (A, 53:10)
On inherited guilt:
“So, I just feel like this is my fault... she doesn’t at 10, get a break ever, you know?”
(Amy, 06:47)
On managing diabetes as a kid:
“Most parents can just drop their kid off and pick them up four hours later. I’m like hovering in circles within a few minute radius to like be on shot.”
(Amy, 10:41)
On eating and injections:
“Emily, like, this is not, like, it’s not a big deal. I know it hurts for ten seconds, but if you’re hungry, you’re hungry.”
(Amy, 08:34)
On parental anxiety feedback loop:
“You’re just in that mirror situation I was talking about. If you can figure a way through that, I think you get it. But if not, I’m sure you’ll be fine. You just live anxiously your whole life.”
(Scott, 45:00)
On burnout:
“I don’t have time to hate anybody. I’m too tired.”
(Scott, 28:15)
On practical advice:
“Don’t say the thing, do the thing.”
(Scott, 35:22)
On thyroid and anxiety:
“There’s stuff about thyroid issues that can kind of make anxiety worse.”
(Scott, 52:04)
On feeling like two people:
“I feel like I’m two different people, Scott. Like I have this massive anxiety about stuff, but at the same time, I just love to, you know, have a good time and relax.”
(Amy, 55:33)
Episode Mood: Fast-paced, raw, empathetic, irreverent, and highly relatable for parents and caregivers of children with T1D.
For more Diabetes Pro Tip episodes, check episode numbers 1000–1025, or visit juiceboxpodcast.com.