Think Like A Pancreas...The Podcast!

In Episode 54 of Think Like a Pancreas—The Podcast, the Trynamic Trio of Dana Roseman, Tavia Vital, Jennifer Smith, and Kathryn Alvarez share their thoughts on the Trio Open-sourced Insulin Delivery System. Hear the challenges that they faced as users and how they learned from their experiences to better help their clients at Integrated Diabetes Services. MEET YOUR HOSTS Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. She strives to be an expert resource on intensive diabetes management options. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.   WHAT YOU’LL LEARN: ✔️ The value of learning the Trio language. ✔️Valuable information found onscreen. ✔️ Trio requires more extreme experimentation than Loop. ✔️The value of Trio for teens and athletes.   CHAPTERS 00:11  Welcome and disclaimer 00:36  Meet the Try-namic Trio 02:26  Starting Trio in a refreshed state 03:41  Favourite Trio Features 08:53  Trio + Steroids = Great blood sugar control 10:18  The Freedom of Unannounced Meal Bolus 16:58  Tighter Standard Deviation with Trio 18:23  How to basal test with Trio 22:05 Who should use Trio? 25:14 Recap RESOURCES MENTIONED IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w Trio: An Open Source Overview https://integrateddiabetes.com/diy-services-support/ https://integrateddiabetes.com/what-is-a-hybrid-closed-loop-system/hybrid-closed-loop-comparisons-options/ https://integrateddiabetes.com/some-technology-updates-from-the-diabetes-world/ https://integrateddiabetes.com/6-top-tips-for-open-source-diy-diabetes-management/   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 53 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Kristi Paguio and Dr. Paula Diab discuss the invisible burden of living with diabetes and the vital role of self-advocacy. Kristi shares her experiences as both a patient and a clinician, while Paula provides insights as a doctor.  Their conversation highlights the need for better education, preparation, and understanding when working with people with diabetes, as well as tips for both medical staff and patients. MEET YOUR HOSTS Dr Paula Diab PhD, CDCES is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. She earned her undergraduate medical degree from the University of Cape Town in 2000 and then returned to her home province of KwaZulu-Natal to establish her career and continue her post-graduate studies. She is certified as a Diabetes Care and Education Specialist in the US. Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies).   Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  WHAT YOU’LL LEARN: ✔️How much diabetes training many medical professionals receive. ✔️Tips to make the most out of your next diabetes appointment. ✔️ How to shift your mindset when managing your diabetes. ✔️The importance of context over data for physicians.   CHAPTERS 00:12  Welcome and Introductions 01:49  The highlighting the invisible burdens of diabetes 02:31  The barriers a person with diabetes faces to manage their care 05:28  The reality of diabetes education for general physicians 06:31  Navigating a perceived lack of empathy in diabetes care 08:30  The role of self-advocacy in diabetes management 10:12  Clinician anxiety 10:31  Words matter when talking to patients 13:05  The healthcare system is not set up for chronic illness management 15:38  How to get the most out of a visit with your clinician 19:44  Creating an advocacy team to help when you can’t 23:42  How to improve conversations with healthcare providers RESOURCES MENTIONED Diabetes is the ULTIMATE Ultramarathon CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! MORE GREAT EPISODES LIKE THIS Coping with Burnout in Diabetes Management: Strategies for Success   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 51 of Think Like a Pancreas—the Podcast, host Gary Scheiner speaks with Victor Van Beuren, director of book operations for the American Diabetes Association. Victor shares how he moved from a career in geology to publishing in the diabetes space was a natural evolution. He highlights the importance of effective scientific communication to both individuals and clinicians. Victor also shares with Gary how to identify trustworthy sources of information amid online clutter and what to consider if you want to get your diabetes story published. Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Victor Van Beuren, MS, has dedicated more than 38 years to the publishing world. While publishing has shaped his career, his work with the American Diabetes Association over the past decade and a half has transformed it into his mission. What you’ll learn: ✔️The importance of effective scientific communication ✔️The evolution of book publishing in a digital age. ✔️ How to find reputable diabetes publications. ✔️The steps involved in publishing your diabetes book. ✔️The importance of a good hook for your diabetes book ✔️ Publishing is a business   Chapters: 00:15 Welcome and introduction 00:57 Meet Victor 3:40 How a geologist became an American Diabetes Association book publisher. 7:00 The importance of sharing medical information in a way that everyone can understand 7:56 ADA’s new focus in consumer publishing 14:02 Finding trustworthy authors and publications 17:00 Modern publishing options 18:20 Tips for book marketing 26:30 The value of communication Resources Mentioned: Joslin Diabetes Center   Practical CGM    Think Like a Pancreas—The Fourth Edition     Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this Think Like a Pancreas—The Book   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 50 of Think Like a Pancreas—The Podcast, host Gary Scheiner spends time with former professional athlete, Gary Forbes and 12 year-old Elliot to discuss “Excelling in Sports with Type 1 Diabetes”. They each share personal stories of their diagnoses, the challenges they faced, and how they manage their diabetes while competing at high levels in sports.   Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Gary Forbes is a former pro basketball player turned entrepreneur and advocate. He now leads SOLE SURVIVORS LLC, empowering others to thrive through adversity. Living with Type 1 Diabetes, Gary has used his platform to raise awareness and inspire strength both on and off the court. Through speaking, writing, and strategic leadership, he connects the lessons of sports to life and business. Elliot is 12 years old and has been living with type 1 diabetes for the past two years. He currently uses an open-sourced automated insulin delivery system to help him manage his diabetes both on the basketball court and on the baseball field. What you’ll learn: ✔️Personal resilience and support systems play a key role in overcoming challenges. ✔️Using technology like CGMs and insulin pumps can enhance diabetes management. ✔️Blood sugar levels significantly affect athletic performance. ✔️Communication with coaches and teammates is essential for managing diabetes during sports. ✔️Traveling and competing can present unique challenges for athletes with diabetes. ✔️Learning from failures in diabetes management is important for growth. ✔️Understanding nutrition is vital for performance and blood sugar control. ✔️Maintaining a positive attitude and confidence is crucial for success.   Chapters 00:15 Welcome and disclaimer 01:43  Meet Gary Forbes 04:26 Meet Elliot 05:35 Diabetes management tools used by Elliot and the Garys 08:31 Were Elliot or Gary Forbes discouraged from competing in high level sports because of diabetes? 12:43 The added preparations when playing sports with type 1 diabetes 14:52 Dealing with coaches and support staff during competition 15:40 Traveling and Competing with Type 1 Diabetes 17:38 Tips to manage your glucose levels while playing sports 23:37 Learning from Failures in Diabetes Management 26:22 The Advantages of having diabetes 28:57 Advice for individuals competing in sports with type 1 Diabetes Resources Mentioned: The Sole Survivors Gary Hall Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this: Diabetes is the ultimate ultramarathon Next Level Diabetes Management: Austin’s Experience with Android APS Technology   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 49 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Integrated Diabetes Services clinician, Dr. Paula Diab. Together they discuss the off-label use of type 2 diabetes medications in type 1 patients. Paula and Gary describe the hormonal balance necessary for blood sugar management and how the off-label use of medications like metformin, GLP-1 receptor agonists, and SGLT2 inhibitors can help. During their conversation, they emphasize the importance of patient education and informed discussions with healthcare providers regarding medication options. Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, ADCES Fellow, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Dr Paula Diab PhD, CDCES is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies). What you will learn: ✔️ The role of other hormones in managing type 1 diabetes ✔️How biguanides, SLGT-2 inhibitors, and GLP-1s work in people with diabetes. ✔️What is double diabetes? ✔️ The safety of metformin use for people with diabetes ✔️ How to safely use SLGT-2s when you have diabetes ✔️ The benefits of GLP-1s.   Chapters 00:11  Welcome and introduction 02:19  Gary Scheiner--ADCES Fellow 02:50 Meet Dr. Paula Diab 05:20 The hormones involved in diabetes management 09:19 Why are there so few medications available to manage type 1 diabetes? 11:27 Understanding off-label use of diabetes medication 14:44 Type  2 diabetes medications that are prescribed off-label to people with type 1 diabetes 28:17 The best candidates for biguanides, SLGT-2 inhibitors, or GLP-1s use. 30:57  What to do if your doctor is uncomfortable prescribing drugs off-label?   Resources Mentioned REMOVAL Trial https://pubmed.ncbi.nlm.nih.gov/28615149/ DEPICT study – SGLT2 inhibitors (dapaglif) in T1D https://pubmed.ncbi.nlm.nih.gov/30352894/ EASE study – SGLT2 inhibitors (empaglif) in T1D https://pubmed.ncbi.nlm.nih.gov/30287422/ Liraglutide (GLP-1 RA) Trials in T1D https://www.thelancet.com/journals/landia/article/PIIS2213-8587%2815%2900436-2/abstract Semaglutide (Weekly GLP-1 RA) Trials in T1D https://pubmed.ncbi.nlm.nih.gov/39794615/ Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More Great Episodes like this 🔷Entreprenism in the Diabetes Space 🔷Turning a No into a YES! Winning over your insurance company 🔷Diabetes is the Ultimate Ultramarathon   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 48 of Think Like a Pancreas—The Podcast, host Dr. Paula Diab is joined by fellow clinician, Kristi Paguio. They draw powerful parallels between long-distance running—specifically the iconic Comrades Marathon—and the journey of managing diabetes. The conversation highlights the invisible challenges faced daily by people with diabetes, the essential role of support systems, and the importance of redefining success through small, meaningful victories. Paula and Kristi highlight the fact that there is no perfect control in diabetes, and each individual's journey is unique, filled with personal wins and challenges. Meet Your Hosts Dr Paula Diab PhD, CDCES is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies). Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  What you will learn: ✔️ Support from others is crucial in managing diabetes. ✔️The power of positive words. ✔️There is no “cracking the code” to perfect diabetes management. ✔️ Compassionate curiosity can help in understanding diabetes challenges. ✔️ How to live in the messy middle with diabetes. ✔️ Diabetes will be with you on your best and your worst days. ✔️ Living with diabetes really is heroic. ✔️Self-management doesn’t mean self-blame. ✔️It's important to pace yourself through challenges. Chapters: 00:11  Welcome and introduction 00:37  Meet Dr. Diab 01:25 Meet Kristi Paguio 02:34  The Comrades Ultramarathon 05:28  How managing diabetes is like running an ultramarathon 08:28  The value of curating your fan base 11:01 The anxiety around perfect diabetes management 11:51 Type 1 diabetes in the wild 13:15 The of pendulum of perfect blood sugar readings 16:52  What your blood sugar readings could be telling you. 19:30 Using compassionate curiosity with your diabetes management 23:30 The value of pacing our diabetes care goals 28:01 Diabetes is the ultra-marathon Resources Mentioned Diabetes and Obesity: The Long Road of Chronic Disease Management Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this ✔️The Illusion of Glucose Control ✔️Integrated Diabetes Services Unfiltered! Life, Laughter, and Real Diabetes Care ✔️Integrated Diabetes Services Unfiltered! Life, Laughter, and Real Diabetes Care--Part 2   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

This is an extra special edition of Think Like a Pancreas--The Podcast as fangirl, and fellow Integrated Diabetes Services clinician, Alicia Downs talks to Gary Scheiner, author of Think Like a Pancreas after the release of the book's FOURTH EDITION! A staple read for anyone who lives with diabetes and uses insulin, Alicia shares how these books changed her life and gets Gary to reveal how the original book came to be.  Meet Your Host and Her Guest Alicia Downs,  RN, MSN, CDCES,  BC-ADM  experienced years of mis-diagnoses and ineffective treatments that gave her the  incentive to take the lead in her own health care and educate those around her. Areas of clinical specialty for Alicia include working with patients through cancer treatment, Type 3C diabetes, Diabetes management along with complex medical challenges, diabetes management in combination with behavioral and mental health challenges, as well as Tandem diabetes device optimization. Alicia is also passionate about providing educated compassionate informed and equitable care to all people. Her specialized experience in gender diverse care, LGBTQ care areas, as well as experience in diverse ethnic and faith backgrounds is Alicia’s greatest pride in her professional career. Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation.   What you’ll learn: ✔️ What is new in Think Like a Pancreas 4th Edition. ✔️Why Think Like a Pancreas needs to be updated. ✔️When knowledge and care come together in a book, you get one like “Think Like a Pancreas”. ✔️A good diabetes educator knows how to communicate. ✔️ The impact of technology and new medications on diabetes management. ✔️ The value of old school methods in modern diabetes management. ✔️Reflections on what a cure for diabetes will look like.   Chapters: 00:13 Welcome and Disclaimer 01:30 How the Think Like a Pancreas book impacted Alicia Down's life 03:13 The Evolution of Think Like a Pancreas 04:17 When is it time to update the book? 05:27 Who should read Think Like a Pancreas 4th Edition? 06:15 Now available in an audio version. 08:59 What to expect from Think Like a Pancreas Edition 5? 11:59 The Unique Approach of 'Think Like a Pancreas' 17:18 Writing "Think Like a Pancreas" 20:50 Advice for aspiring health writers 24:25 How to get the most out of "Think Like a Pancreas Edition 4" 31:29 Music plays a key role 38:13 Other diabetes resources 39:25 The future of diabetes management   Resources Mentioned: Think Like a Pancreas (Fourth Edition) Sugar Surfing by Stephen Ponder Bright Spots and Landmines by Adam Brown Pumping Insulin by John Walsh   Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

In Episode 46 of Think Like a Pancreas—The Podcast, host Gary Scheiner, owner and clinical director of Integrated Diabetes Services, welcomes Dr. Inge Van Boxelaer. Dr. Boxelaer is an endocrinologist from Belgium, a diabetes technology expert, and the founder of Diabetotech. Together they discuss and compare continuous glucose monitors (CGMs) and automated insulin delivery (AID) systems available in the US as well as in Europe. They share insights on the rapidly evolving landscape of diabetes tech, the challenges of comparing different systems, and the importance of patients and healthcare providers staying up to date. Meet Your Host and his guest: Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Dr Inge Van Boxelaer, is an endocrinologist in Belgium. She's on a mission to improve the lives of people with diabetes by making sure that both healthcare providers and people with diabetes are up to date on all the latest in diabetes technology. Her platform Diabotech is recognized as a top international resource for insight and education. What you will learn: ✔️ Diabetes technology is rapidly evolving, therefore ongoing education for healthcare providers is crucial for effective diabetes management ✔️Open-source and DIY systems are gaining traction but are not widely used in all regions of the world. ✔️Emerging technologies, such as implanted sensors, are changing diabetes management. ✔️Do not hesitate to try new diabetes technologies available. ✔️Healthcare providers should encourage patients to find the right system that fits their lifestyle.   Chapters: 00:13  Welcome and introduction 01:28 Dr. Inge Boxelaer 04:29  The challenges of health care teams lacking technology knowledge 06:24  How Dr. Inge von Boxelaer helps healthcare providers better help their diabetes patients 8:07  Who Dr. Inge Boxelaer works with. 10:00  What diabetes technology is hot in Europe right now? 18:14  The best pieces of diabetes technology currently available. 22:55  Meeting the challenge of getting people to pre-bolus or bolus 28:13  Which connected insulin pen gets top marks? 29:01  What is the best data software? 31:03 What systems would Dr. Boxelaer use to manage type 1 diabetes? 34:22 What advice would you give for getting the most out of your diabetes technology? Resources Mentioned: Think Like a Pancreas (Fourth Edition) https://www.diabetotech.com/ Diabetotech Courses GlucoTrack https://glucotrack.com/ Ypsomed Libre 3 https://hellokaleido.com/ https://www.medtrum.com/product/nanopump.html Dexcom G7 Minimed Tandem CLOSE IT Trial   Connect with Us: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this: ✔️ATTD Discoveries with Melissa Holloway ✔️Pregnancy with Type 1 Diabetes--The Book and The Authors ✔️IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.  

In Episode 44 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services nutrition experts Dana Roseman and Jennifer Smith discuss how nutrition guidelines for diabetes have changed since they were both diagnosed almost 30 years ago. They emphasize the importance of individualized nutrition plans that change as you change. This dynamic duo offers tips and insights on exercise, fasting, new food choices, and the importance of a comprehensive approach to diabetes management. Meet Your Hosts Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.   Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. What you will learn: ✔️Nutrition needs change as you age with diabetes. ✔️The value of the exchange system for eating with diabetes. ✔️Free foods still have nutrients. ✔️Your body’s response to nutrients is your own. No two people are the same. ✔️Your body changes over time and will not process nutrients in the same way as it once did. ✔️There is more to your diet than just the carbs that you eat. ✔️Food is fuel that must be effectively used. ✔️The importance of understanding the timing of your insulin. Chapters 00:11 Welcome and introduction. 0:34 Meet Integrated Diabetes Services Licensed and Registered Dietitians Jennifer and Dana. 01:24 How type 1 diabetes nutritional guidelines have changed over the past 30 years. 03:52 Most helpful piece of technology to battle your meals. 05:04 There are no “free” foods. 08:43 Your diabetes may vary. 10:42 Fuel your body. Don't follow a "diet" 14:51  Calories and Carbohydrates 17:53 The liberation of ratios 20:28 The three pillars of diabetes management 24:22 The value of Afrezza for those over 18 25:58 Fiber and net carbs 28:59 Eating for activity 35:52  What else to expect in upcoming episodes Resources Mentioned https://integrateddiabetes.com/type-1-diabetes-what-nutrition-macros-should-i-follow/   Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team, visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

In Episode 43 of Think Like a Pancreas—The Podcast, we open pull back the curtain and share the fabulous personalities of the Integrated Diabetes Services clinicians. In part one of our three part series, meet: Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. She was diagnosed with type 1 diabetes over forty years ago. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time Learn why they became diabetes clinicians, the challenges that they help their clients overcome, who enjoys listening to Boyz II Men, and which team member would first die in a Zombie apocalypse! What you’ll learn: ✔️The importance of personal experiences in diabetes management. ✔️Mental health plays a significant role in diabetes care. ✔️Teamwork enhances the effectiveness of diabetes education. ✔️Planning is essential to avoid challenges in diabetes management. ✔️All foods can fit into a diabetes-friendly diet. ✔️Support groups provide valuable resources for caregivers. ✔️Continuous learning and adaptation are key in diabetes care. Chapters 00:15 Welcome and Introduction 01:36 Kristi's diabetes diagnosis 03:12 Tavia's diabetes diagnosis 08:53 Gary's diabetes diagnosis 10:34 What tools do the IDS team use in their own diabetes care? 14:27 What is the biggest challenge they face in managing their diabetes? 19:33 How do the Integrated Diabetes Clinicians stay in shape? 23:04 Why did you become a Certified Diabetes Care and Education Specialist? 29:15 What challenges do you help your patients overcome? 34:56 What you didn't know about the Integrated Diabetes Services team 45:25 Tavia shares support for parents of children with type 1 diabetes Resources Mentioned https://integrateddiabetes.com/time-out-program-for-caregivers-of-kids-or-teens-with-type-1-diabetes/ Glow gummies https://glowgummies.com/ Glucose Melts Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open Sourced Insulin Pump Systems And then there were two! When your child is also diagnosed with diabetes. 3 Moms and a Diabetes Diagnosis:  From “Oh no!” to “Nailed it!” Coping with Burnout in Diabetes Management: Strategies for Success   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 42 of Think Like a Pancreas—The Podcast, Kathryn Alvarez sits down with the “Trynamic Trio” to discuss the innovative Trio Open-Source insulin delivery system. Joining her are Integrated Diabetes Services clinicians Tavia Vital, Jennifer Smith, and Dana Roseman, who share their firsthand experiences beta testing the latest TRIO updates. This dynamic team highlights several features that have improved their day-to-day diabetes management. They stress the importance of trusting the system’s algorithms once the onboarding process is complete, and delve into the advantages of tools like the cone of uncertainty and the sigmoid feature to name a few. Throughout their conversation, the IDS clinicians underscore the collaborative approach needed for effective diabetes care and the ongoing learning that comes with adopting advanced technology.   Meet Your Host and Her Guests Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.   Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, Tavia she understands that each person’s experiences and needs are unique. She strives to be an expert resource on intensive diabetes management options. She enjoys learning about the newest medications, strategies and technologies available that may help her clients reduce the diabetes burden while improving diabetes self-management skills.   Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.   Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.   What you’ll learn: ✔️Understanding algorithms is key to optimizing diabetes management. ✔️The onboarding process is essential for new users of Trio. ✔️Adjusting settings can significantly impact glucose control. ✔️The cone of uncertainty provides valuable insights into glucose variability. ✔️Sigmoid feature helps manage insulin resistance effectively. ✔️Shortcuts in Trio can simplify diabetes management tasks. ✔️Continuous learning is necessary for effective use of diabetes technology. ✔️Trust in the system builds confidence in diabetes management.   Chapters 00:17 Introduction and Disclaimer 00:39 Meet Tavia, Jennifer, and Dana...The Trynamic Trio 2:07 Community and continuous learning with Trio 04:48 How Trio builds confidence in users 06:05 Who should use Trio? 08:27 Why trust in Trio? 11:37 Trio was created just for us 13:40 The value of the open sourced community 18:20 The importance of onboarding with Trio 21:37 Using the shortcuts for Trio 26:07 The Cone of Uncertainty 30:04 Default, Auto sends, log, or Sigmoid? 34:06 Trio highlights Resources Trio: An Open Source Overview https://integrateddiabetes.com/diy-services-support/ https://integrateddiabetes.com/what-is-a-hybrid-closed-loop-system/hybrid-closed-loop-comparisons-options/ https://integrateddiabetes.com/some-technology-updates-from-the-diabetes-world/ https://integrateddiabetes.com/6-top-tips-for-open-source-diy-diabetes-management/ Email info@integrateddiabetes.com https://triodocs.org/ https://loopkit.github.io/loopdocs/ https://www.loopnlearn.org/ Trio Discord: https://discord.com/channels/1020905149037813862/1328113286662717490 Facebook: Trio: DIY Diabetes App Support, Loop and Learn, Looped    Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!  

In Episode 41 of Think Like a Pancreas—The Podcast, Ginger Vieira joins host Jennifer Smith to discuss the updated edition of their book, *Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management*. The episode highlights their personal experiences of managing type 1 diabetes during pregnancy, insights from the book’s second edition, and the importance of self-advocacy in healthcare. This insightful duo also delves into how advancements in technology and medications are transforming diabetes care for pregnant women. Meet Your Hostess and Her Guest Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Ginger Vieira is a freelance writer, diabetes content specialist, and owner of The Diabetic Nerd. She is passionate about helping people with diabetes and other chronic illnesses live full lives who has lived with type 1 diabetes for 25 years and counting.   What you’ll learn: What to expect when you are expecting and living with type 1 diabetes. Real life experiences of pregnancy and navigating the healthcare system. The importance of being your own health advocate. The highlights of the second edition of “Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management” How new diabetes technologies can be used in pregnancy. Which new medications can and cannot be used while you are pregnant. Chapters: 00:15  Welcome and disclaimer 00:40  Meet Jennifer Smith 01:01  Meet Ginger Vieira 02:20  Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management 2nd Edition 06:25  What to expect when you are expecting with diabetes 11:14  The importance of being your own health advocate 17:57  The role of advancing diabetes technology in pregnancy 22:36  Can Afrezza or GLP-1s be used in pregnancy? 31:57  Your birthing plan should include natural delivery 35:59  Celebrating your child’s health birth 39:54  What defines a "big baby" when you have diabetes? 43:49  Managing your diabetes care with a child 46:35  Will your child get diabetes?   Resources Mentioned Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management   Connect with Us Website: integrateddiabetes.com Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this The Quest for a Cure--A Diamyd in the rough The How and Why of MDI   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 40 of Think Like a Pancreas—The Podcast, Riva Greenberg joins host Gary Scheiner to discuss, what she feels is the illusion of glucose control. Together, they explore the biological limitations of controlling blood sugar, the psychological impacts of diabetes terminology, and the importance of influencing rather than controlling glucose levels. Riva, author and person living with type 1 diabetes for over 50 years, shares her personal experiences and strategies for managing diabetes, emphasizing the significance of self-compassion and the acceptance of life's unpredictability in diabetes management. Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Educator, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Riva Greenberg is a multi-time author, columnist, and blogger. She has lived with type 1 diabetes for over 50 years and has presented her “Flourishing Approach” to healthcare professionals and people with diabetes all over the world. What you’ll learn: Why Riva feels that diabetes cannot be controlled. How the term 'control' can create unrealistic expectations and guilt. Why some feel that words used by healthcare providers can impact patients' mental health. The importance of self-compassion in managing diabetes. The importance of quality of life when it comes to diabetes. Chapters 00:16 Introduction and disclaimer 01:38 Meet Riva Greenberg 04:21 Why diabetes and blood sugars cannot be controlled 07:46 What influences blood glucose levels 09:34 Why do doctors so often use the terms like "control" with their patients with diabetes? 11:17 How words impact the psychological aspect of diabetes care 14:51 The pitfall of perfection in diabetes management 20:23 How is technology influencing the perception of diabetes management? 25:07 The value of relaxation in your care 26:40 Why Gary feels quality of life is so important in his diabetes care 27:25 The pressure that comes from thinking that diabetes shouldn't stop you   Resources Mentioned https://diabetesstories.com https://www.amazon.com/stores/Riva-Greenberg/author/B001TNK2BE?ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Bright Spots and Landmines by Adam Brown The Discovery of Insulin by Michael Bliss Connect with Us 🔵Website: integrateddiabetes.com 🔵 To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook   Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Listen to more great episodes like this The How and Why of MDI Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Episode Summary In Episode 39 of Think Like a Pancreas—The Podcast, host Kathyrn Alvarez speaks with Austin Sympson who shares his journey of living with type 1diabetes while pursuing a PhD and working in the pharmaceutical industry.  He discusses the challenges of managing diabetes alongside his busy life, his goals for family planning, and his transition to using open-source Android APS for insulin delivery. Through this conversation, listeners will uncover how Austin balances academic pursuits, a professional career, and an active lifestyle, all while managing diabetes with cutting-edge technology. Discover actionable tips, personal anecdotes, and valuable insights into diabetes management, family planning, and embracing open-source innovation for better glucose control. Meet the Host and her guest: Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.   Austin Sympson is an NSF Graduate Research Fellow, Ph.D. Student at ISU, and Engineering Specialist at Merck Animal Health. He is also an advid cyclist, a husband, and thriving with type 1 diabetes.  What you’ll learn: Why Austin switched from the Tandem t-SlimX2 insulin pump to Android APS and the game-changing features of this open-source technology. How Austin manages his busy schedule as a PhD student, researcher, cyclist, and husband while keeping his glucose levels in check. The flexibility and customization options offered by Android APS, including micro boluses and temporary targets. How Austin’s journey to lower his A1C impacts family planning and his approach to long-term health. How to navigate cultural differences in food, and staying active abroad. How the Android APS community empowers users to build confidence and overcome challenges in adopting new systems. Chapters 00:18 Welcome and Disclaimer 00:58 Meet Austin Sympson-- PhD student, cyclist, pharmaceutical researcher, and person with diabetes 05:12 Why Austin chose to work with Integrated Diabetes Services 10:14 What made Austin decide to use Android APS over his traditional insulin pump 15:19 Why Austin does NOT use a GLP-1 to help manage his diabetes 19:45 Understanding the AAPS Objectives 27:35 Did you ever have "buyers regret" about moving to an open source system? 30:04 Continuous Glucose Monitors and Open Source Systems 33:36 The Insurance benefits of AAPS 36:35 Kathryn's early thoughts on the Twist insulin pump 39:44 Navigating carb counts in foreign countries 42:41 The AAPS community is a helpful, global community   Links: https://www.type1university.com/diy-open-source-automated-insulin-delivery-aid-systems/ https://loopkit.github.io/loopdocs/ https://www.loopnlearn.org/ http://integrateddiabetes.com/diy-services-support/   Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. Don't forget! ✔️You can start working with the Integrated Diabetes Services Team  by visiting https://integrateddiabetes.com/how-to-start-the-process/ ✔️AND...Don’t let the complexity of open-source systems deter you from experiencing their benefits. Reach out to Integrated Diabetes Services for expert coaching and start your journey toward better diabetes management today!  

Episode Summary In Episode 38 of Think Like a Pancreas—The Podcast, host Gary Scheiner celebrates fathers who have diabetes and those with children diagnosed with the condition. He is joined by Tom Karlya, Vice President of the Diabetes Research Institute and well-known in the diabetes space as the 'Diabetes Dad.' In this episode, Tom and Gary explore their personal journeys, the unique challenges fathers face, and effective communication strategies for families dealing with diabetes. They highlight the importance of being present, supportive, and educated about diabetes, offering valuable insights and resources for all dads navigating this journey. Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Educator, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Tom Karlya is a passionate diabetes advocate, actor, and Vice President at the Diabetes Research Institute Foundation (DRIF). Known in the diabetes community as "Diabetes Dad," Tom is the father of two children living with type 1 diabetes and has dedicated decades to improving the lives of families navigating this condition. His personal mission and professional efforts have made him a powerful voice in diabetes care, research funding, and family support.  Key Takeaways Dads have unique experiences in diabetes care. Communication is key in co-parenting with diabetes. It's important for dads to engage in their child's care. Finding a community is crucial for support. Every experience with diabetes can lead to personal growth. Living with diabetes is a daily challenge that requires resilience. Parents of children with Type 1 diabetes face unique emotional burdens. Resources like diabetesdad.org provide valuable support for parents. Screening for Type 1 diabetes should be a regular practice for families. Empowerment through education is key for parents and children alike. Maintaining a sense of humor can help families cope with diabetes. Understanding the emotional impact of diabetes can improve family dynamics. Being present in a child's life significantly affects their well-being. Advocacy and awareness are essential in the fight against diabetes. Chapters 00:18 Welcome and Disclaimer 01:11 Meet Tom Karyla--Diabetes Dad 06:53 Why should we talk about the role of dads in diabetes care? 09:35 How can dads play a bigger role in their child with diabetes' care? 14:00 Are there silverlings to have a child with diabetes? 15:30 Having diabetes is living life with an Asterix 19:15 Understanding the Parent's Perspective 20:47 Resources for Dads with Type 1 Kids 22:22 How do you explain your diabetes to your children? 27:10 How to explain dealing with high or low blood sugars to your children 28:48 The perks of being a dad with diabetes 29:51 Screening and Prevention of Type 1 Diabetes 32:52 Advice for Dads of Children with Type 1 Diabetes   Resources Mentioned https://diabetesresearch.org/ https://diabetesdad.org/ https://bleedingfinger.com/ https://www.facebook.com/groups/167718676628352/ Integrated Diabetes Services  or email info@integrateddiabetes.com   Connect with Us Website: integrateddiabetes.com Follow on Social Media: @integrated_diabetes_services and @integrateddiabetesservices on Facebook To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More great episodes like this 🎧And then there were two! When you child is also diagnosed with type 1 diabetes. 🎧Three Moms and a diabetes diagnosis. From Oh no! to Nailed it!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.  

Episode Summary In Episode 36 of Think Like a Pancreas-The Podcast host Gary Scheiner and his guests Naomi Garlick and Justin Eastzer discuss the intersection of entrepreneurism and diabetes management. They all share how personal experiences with diabetes have driven them to create innovative products and content aimed at improving the quality of life for those living with the condition. Learn about the challenges of product development, the importance of community support, and the resilience required to balance personal and professional lives in the diabetes space! Key Takeaways Entrepreneurism often stems from personal experiences with diabetes. Creating products that address real-world usability is crucial. Building a community around shared experiences enhances support. Quality of life should be a primary focus in diabetes management. Balancing personal and professional life is essential for mental health. Resilience developed from managing diabetes translates to business success. Mistakes should be viewed as learning opportunities. Utilizing available resources can aid in business development. Community support is vital in the diabetes space. Starting a business as a side project can reduce pressure. Chapters 00:18 -- Introduction and welcome. 01:33 -- Naomi Garlick, Founder of Glow Gummies 04:58 -- Jason Eastzer, Founder of DiabeTech 07:42 -- Why did you create a business in the diabetes space? 11:28 -- How do you avoid getting overwhelmed by diabetes? 17:44 -- How has having type 1 diabetes helped your business? 20:30 -- What flavours you won't see in Glow Gummies 22:34 -- What have been the biggest challenges for you in developing your business? 26:13 -- What advice do you have for new entrepreneurs who also have diabetes? 30:43 -- Final Thoughts Links Integrated Diabetes Services  or email info@integrateddiabetes.com https://bit.ly/m/diabetech https://glowgummies.com/   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.   If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app. If you would like to book a consultation with an Integrated Diabetes Services Team member go to: https://integrateddiabetes.com/how-to-start-the-process/

Episode Summary In Episode 34 of Think Like a Pancreas-The Podcast host Alicia Downs and her guest Elizabeth Spencer discuss the complexities of navigating insurance for diabetes management. They emphasize the importance of patient advocacy, self-advocacy, and effective communication with insurance companies. The conversation highlights the challenges faced by individuals with diabetes, particularly regarding Medicare and coverage issues, and offers strategies for overcoming these obstacles. Learn how to take control of your healthcare journey and advocate for your needs. Key Topics Discussed No is always the first answer; persistence is key. Set aside dedicated time for health insurance tasks. Organize your health insurance information effectively. Understand the importance of ICD-10 codes in insurance. Document your interactions and burdens with insurance. Leverage out-of-network care when necessary. Utilize community resources and support systems. Advocate for your needs with healthcare providers. Keep track of your insurance coverage and benefits. Be proactive in seeking help and guidance. Chapters 00:13 --Turning No into Yes: The Journey Begins 04:58 -- Meet insurance advocate Elizabeth Spenser 09:30—Always question a No when it comes to dealing with your health insurance 10:43 – What is involved in a prior authorization 12:30— Self-Advocacy in Healthcare 21:36—What to remember when dealing with insurance companies 29:07—Key point to get your insurance to say Yes! 32:12—How to keep your insurance company accountable 36:16— BONUS!! Recap and extra tips from Alicia Links ICD10 Codes How to get past the insurance gatekeepers Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.   If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app.   If you would like to book a consultation with an Integrated Diabetes Services Team member go to: https://integrateddiabetes.com/how-to-start-the-process/  

Episode Summary In Episode 33 of Think Like a Pancreas-The Podcast, host Tavia Vital, along with guests Jessica and Jamie, share their personal experiences with parenting children diagnosed with type 1 diabetes. They discuss the emotional turmoil surrounding the diagnosis, the overwhelming nature of managing diabetes, and the journey towards acceptance and finding a new normal. Their conversation highlights the importance of community support, coping strategies, and the shared experiences of parents navigating the complexities of diabetes management. Listen to their heartfelt stories, challenges, and triumphs as they share invaluable insights and tips for managing life with T1D. Key Topics Discussed Early Diagnosis Stories: Listen to how each mother discovered their child's condition and the immediate steps they took. Coping Mechanisms: Acceptance takes time and involves perspective shifts. Listen to the emotional journey and the coping mechanisms that helped these mothers stay strong for their children. Support Systems: The role of community and professional support in managing T1D effectively. Daily Life with T1D: Tips on integrating diabetes care into daily routines and ensuring a balanced life for their children. Managing diabetes is an ongoing learning process, requiring adjustments and proactive planning. Celebrating small wins helps manage expectations. Future Outlook: Insights into how these families are preparing for the future, including managing T1D in older children and young adults. Chapters: 00:13 -- Welcome: Introduction to the episode and today's guests. 01:40 -- Early Diagnosis: Stories from Jess and Jamie about first discovering their child had diabetes 10:36 -- Life after diagnosis. Now what? 19:21 -- Advice for the newly diagnosed 30:37 -- Learning to let your child be a child 35:50 -- The Value of working with Integrated Diabetes Services 42:56 – Final Thoughts   Links: Sugar Pixel Welcome to Holland by Emily Perl Kingsley Integrated Diabetes Services Featured Guests Jessica from Colorado, mother of Grace, who was diagnosed with T1D at four and a half years old. Jamie from Canada, whose daughter Ellie was diagnosed at 21 months old. Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.   If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app. If you would like to book a consultation with an Integrated Diabetes Services Team member go to: https://integrateddiabetes.com/how-to-start-the-process/

Episode Summary In the 32nd episode of 'Think Like a Pancreas--The Podcast' host Anna Sabino and her guest, James Vander Mullen delve into the concept of diabetes burnout, particularly as it affects those living with Type 1 Diabetes (T1D). They offer insights from their personal experiences, emphasizing the critical role of mental health in managing T1D. The conversation highlights the importance of returning to basics, especially when feeling overwhelmed by modern diabetes management technologies. They also talk about the parent-child dynamic in diabetes care and offer advice for both parents and individuals on coping with burnout and building resilience. Key Topics Discussed Focus on foundational management practices Maintain open communication Celebrate small victories. Chapters 00:13 -- Welcome and Introduction 01:20 -- Meet Anna and James 05:10 -- How do you avoid burnout? 07:03 -- What do you do when you experience burnout? 14:37 -- Does technology add to diabetes burnout? 16:09 -- Burnout presents itself differently for every person. 21:16 -- How to recognize burnout and cope with the experience. 23:04 -- How to help children with diabetes deal with burnout. 27:43 -- What advice would you give parents who deal with burnout? 37:54 -- Tips for dealing with technology in a way that won't lead to mental burnout. 44:06 – Final words Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.   If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app. If you would like to book a consultation with an Integrated Diabetes Services Team member go to: https://integrateddiabetes.com/how-to-start-the-process/

Episode Summary In Episode 31 of Think Like a Pancreas-The Podcast, host Gary Scheiner and guest Ginger Vieira discuss the innovative approaches being taken by sponsor, Diamyd Medical in the quest for a cure for type 1 diabetes. They explore the significance of using precision medicine, and the role of GAD65 therapy to modulate the immune response in the early stages of type one diabetes. Gary and Ginger share the potential of benefits of Diamyd Medical’s Diagnode-3’s clinical trial, the screening process for participants, and the hope it brings to newly diagnosed individuals.   Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Educator, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Ginger Vieira is a freelance writer, diabetes content specialist, and owner of The Diabetic Nerd. She is passionate about helping people with diabetes and other chronic illnesses live full lives who has lived with type 1 diabetes for 25 years and counting. What you’ll learn: Recent Vertex results The autoimmune process The importance of precision medicine in treating type 1 diabetes. How GAD65 therapy targets specific antibodies without widespread immune suppression. The process and benefits of participating in clinical trials What is different about Diamyd's Diagnode-3 trial. Who qualifies for the Diagnode-3 trial? What is involved in being a part of Diamyd's clinical trial? How are outcomes measured? What is in it for participants? Chapters 00:14 – Welcome and Disclaimer 01:00 - Introducing Ginger Vieira 03:09 – Why Ginger is talking about Diamyd 04:00 – Lessons to be learned from Veretex 06:11 - How do you define a cure for type 1 diabetes? 07:33- What is unique about Diamyd's therapy? 08:45 - What is unique about Diamyd's therapy? 11:27 – The importance of pre-diabetes screening 17:19 - The problem of widespread immunosuppression 20:45 - Why should you participate in the Diagnode-3 Clinical Trial? 25:36 - How does Diamyd's clinical trial differ from other trials? 26:56 - Final Thoughts and Future Directions 31:41 - Gary's thoughts on Diamyd Medical's clinical trial Resources Mentioned: diabetesnerd.com https://diagnode-3.com/ Diabetes Research Institute TrialNet   Connect with Us Website: integrateddiabetes.com Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.