Think Like A Pancreas...The Podcast!

In episode 71 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner speaks to innovator and entrepreneur, Aurelian Briner about the SNAQ app that he created for his wife, Loredana. The conversation explores the app's development journey, its key features for carb counting and diabetes management, and the challenges faced in the digital health space. The Briner’s share how user insights and lived experiences have allowed them to continue to build the app to help a growing number of people living with type 1 diabetes. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.   Aurelian Briner is the CEO & Co-Founder of SNAQ. SNAQ is an AI-powered diabetes management platform that helps people make smarter mealtime decisions using its patented photo-based food analysis WHAT YOU’LL LEARN: ✔️SNAQ was created by people living with type 1 diabetes for people living with type 1 diabetes…and they care. ✔️ The value of the SNAQ app during T1 pregnancy. ✔️The depth of the SNAQ app over uploading images to random AI programs. ✔️SNAQ app provides data only. They don’t show ads or share your data.   CHAPTERS 00:15 Welcome and introduction 06:23 Inspiration for SNAQ 08:11 The value of having a test subject as your wife 09:22 The key features of the SNAQ app 15:50 Features that will be getting an upgrade over time 21:00 The biggest challenges in marketing the SNAQ app 24:21 SNAQ app pricing 26:07 SNAQ vs Gary Scheiner 28:44 SNAQ tips for accurate results 29:53 Advice for diabetes entrepreneurs   RESOURCES https://snaq.go.link/3B8Rc The Ultimate Guide To Accurate Carb Counting Food, Technology, and Insulin. Secrets of Successful Glucose Management IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Automation Entrepreneurism in the diabetes space   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 70 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians. Mental health professional, Kristi Paguio and registered dietitian, Dana Roseman unpack the complex relationship of food, insulin, and cultural pressures that can exacerbate disordered eating patterns. They share their own experiences as women living with type 1 diabetes and provide strategies for improving your relationship with food, your body, and your insulin. MEET YOUR HOSTS: Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi 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. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. 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. WHAT YOU’LL LEARN:  ✔️Disordered eating is a broad term that encompasses various unhealthy food relationships. ✔️ Cultural pressures can lead to unhealthy eating behaviors and perceptions of food. ✔️ Food should be viewed as a source of joy and connection, not just a means to manage diabetes. ✔️Normalize healthy eating for the entire family.   CHAPTERS: 00:40 Welcome and introduction 03:12 What constitutes disordered eating? 06:25 Cultural influences vs the needs of a healthy body 09:24 The “Food Police” 11:46 All foods fit in your diet 13:51 Helping someone experiencing disordered eating 18:05 Restriction vs Indulgence. Finding the middle ground when it comes to food. 20:33 The impact of judgement when you have diabetes 23:06 Why disordered eating is more common when living with diabetes 24:00 Seeking help for disordered eating with diabetes RESOURCES If you are seeking a team to assist you with issues surrounding disordered eating and your diabetes, Integrated Diabetes Services has a full team of professionals who are Certified Diabetes Care and Education Specialists who live with type 1 diabetes. They can help with all aspects of your self-care. Call 1 (610) 642-6055 or email info@integratedservices.com to schedule an appointment. Articles: Eating disorders are on the rise. SUBSCRIBE AND REVIEW If this episode helped you or you have a question, take a moment to leave a short note. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! 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 69 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder, Gary Scheiner sits down with his personal endocrinologist to discuss what it takes to build a successful patient/provider relationship. Listen to Gary’s conversation with Dr. Koch and learn how to build a successful partnership with your doctor, how to get the most out of your time with your endocrinologist and learn about the areas of care that even Gary could improve on. MEET YOUR HOST AND HIS GUEST: Gary Scheiner, MS, CDCES is the founder and Clinical Director of Integrated Diabetes Services. An award-winning Certified Diabetes Care & Education Specialist, Master’s-level Exercise Physiologist, and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. He was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. Gary earned a Bachelor of Arts in Psychology from Washington University in St. Louis and a Master of Science in Exercise Physiology from Benedictine University. He received his diabetes training with the world-renowned Joslin Diabetes Center. Gary serves on the faculty of several prominent organizations and the clinical advisory boards for a number of diabetes device manufacturers and pharmaceutical companies. Cheryl Koch, MD is a diabetes & metabolism endocrinologist in Bryn Mawr, PA and has over 35 years of experience in the medical field. Dr. Koch has extensive experience in Thyroid Disorders, Diabetes & Glucose Monitoring, and Osteoporosis & Screening. She graduated from Penn State University College of Medicine in 1989. She is affiliated with medical facilities such as Hospital of the University of Pennsylvania and Lankenau Medical Center. .   WHAT YOU’LL LEARN: ✔️Every diabetes patient is different. ✔️Your doctor is human too. ✔️The value of making small changes. ✔️Your doctor’s job is to help. You don’t have to be perfect. ✔️Find an endo that is interested in you and matches your needs.   CHAPTERS: 00:50 Welcome and Introduction 07:56 The appeal of endocrinology 10:04 Staying up-to-date with diabetes advances 12:46 Getting  the most out of your endo visits 15:31 When it’s okay to break up with your endo 17:40 The value of CDCES in diabetes education 18:54 Areas that Gary Scheiner struggles with in his diabetes care 23:57 Dr. Koch’s parting advice for building trust with your endo   RESOURCES: How To Find a Health Care Team You Love – Integrated Diabetes Services The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services   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 this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!   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 this episode of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians, Gary Scheiner and Dana Roseman explore the impact of protein on people living with diabetes. the role and impact of protein in the lives of people with diabetes. Listen as they share science-backed answers to common questions about protein’s role in blood sugar management, ideal protein sources, dietary balance, and long-term health. MEET YOUR HOSTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. 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. WHAT YOU’LL LEARN: ✔️Protein requires you to use the entire alphabet of amino acids. ✔️The value of having a consistent amount of daily protein. ✔️Protein becomes more important as you age. CHAPTERS: 00:51 Welcome and Introduction 02:51 The role of protein in a healthy body 04:18 Better sources of protein 07:50 How much protein is enough for YOU? 11:28 What you should know about protein supplements 13:24 Bolusing for protein 18:51 Are you getting enough protein? 21:56 Can you ever have too much protein? 24:57 What you need to remember about protein and type 1 diabetes RESOURCES MENTIONED: Protein List from Integrated Diabetes Services 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 this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! 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 this year-end special, host Gary Scheiner shares top moments from your three favourite episodes! Number 3…Clinicians offer practical advice on glucose management in “Food, Technology, and Insulin.” Number 2… Riva Greenberg discusses the illusion of perfect glucose control, challenging conventional thinking. And the fan-favourite for 2025 was the episode when Gary and Dana Roseman compare leading CGMs in “Libre 3 vs Dexcom G7.” This beloved podcast helping listeners make informed choices. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. 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. 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. 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. 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. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. 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: ✔️80% of your management is what you do over and over. ✔️Why it is impossible to “control” your blood sugars, but how you can positively influence them. ✔️The value of data when managing your diabetes care.   CHAPTERS 00:15 Welcome and introduction 02:28 Understanding your insulin 8:08 The value of understanding your typical meals 10:13 Meet Riva Greenberg 12:18 Why can’t diabetes and blood sugar levels be controlled? 15:25 Glucometer commercials should picture readings of 283 mg/dl 19:24 The evolution of CGMs 22:11 Dexcom G7 vs Libre 3+ 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.

The Integrated Diabetes Services clinical team has explored a number of topics and spoken with many guests over the course of 2025. In this special episode, we share highlights from their three favourite episodes. Number 3… When Type 1 Diabetes and Mental Health Collide. From Darkness to Resilience Number 2… IDS Diabetes Experts, The Trinamic Trio Share Personal Experiences with Open-Source Application Number 1…. Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. 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.  Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. 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. 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. 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. 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. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. 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. Joanne Milo has lived with Type 1 diabetes for 60 years and just launched a brand-new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life. Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN: ✔️You are not alone. Diabetes impacts more than just your physical health. ✔️Optimizing your diabetes outcomes can take a level of faith. ✔️ Healthcare wasn’t prepared for people living with type 1 diabetes to live longer, but after spending their lives advocating for improvements, they aren’t stopping now. CHAPTERS 00:37 Introduction 03:10 Amy’s Mental Health Crisis 07:34 The Turning Point: A Cry for Help 10:38 Thoughts on Open-Sourced insulin delivery systems 12:43 Learning to trusting the technology 20:24 Joanne Milo highlights the worries of seniors with type 1 diabetes 26:59 How can we best serve the aging T1D population? RESOURCES MENTIONED The Savvy Diabetic T1D to 100    

In Episode 65 of Think Like a Pancreas—The Podcast, the Integrated Diabetes Services clinical team share why they became Diabetes Care and Education Specialists. Some were inspired by life-changing healthcare professionals. Some were inspired by Gary Scheiner, but every clinician on the IDS team continues to be motivated by a desire to improve the lives of people living with diabetes. MEET THE CLINICIANS: 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. 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. 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. 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. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Gary Scheiner, MS, CDCES is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  He is the owner of Integrated Diabetes Services and is actively involved with many diabetes related organizations as a volunteer and clinical advisor. 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.  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. Diagnosed with type 1 diabetes at age twelve, Kathryn’s work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. 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. Alicia is passionate about providing educated compassionate informed and equitable care to all people. Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. 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. WHAT YOU’LL LEARN: ✔️What influenced each team member’s decision to become a Certified Diabetes Care and Education Specialist. ✔️ How Gary’s team of specialists came together to create the Integrated Diabetes Services team that you know today. CHAPTERS: 00:22 Welcome and introduction 01:05 Kristi’s why 02:46 Who changed Gary’s career path 03:46 When Tavia had to sit through a diabetes class 07:01 Paula’s Google search 09:03 From Fangirl to team member 12:15 The value of experiential knowledge 19:52 How life made Dana pivot her career 21:24 Jenny wanted to be a vet 24:36 I want to be Gary Scheiner! 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 64 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinician Kristi Paguio sits down with Amy Sczepanski to discuss her remarkable mental health journey. Amy candidly reflects on her experiences moving beyond suicide attempts to building a fulfilling life, highlighting pivotal moments that reshaped her path. The conversation delves into the transformative power of therapy, emphasizing the importance of addressing both mental and physical aspects of healing. Together, Kristi and Amy explore how unconditional love, effective medication, and actively seeking support from the medical community play essential roles in overcoming despair and fostering well-being. Listeners gain insight into the significance of self-acceptance, the value of supportive relationships, and practical strategies for nurturing mental health while living with type 1 diabetes. Important Notice: This episode contains frank discussions about mental health crises, including suicide, as well as strong language. MEET YOUR HOST AND HER GUEST: 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.  Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. WHAT YOU’LL LEARN: ✔️How people hide their emotional pain behind their diabetes. ✔️Mental health struggles are hard to discuss with others. ✔️ When your mental health isn’t doing well, your diabetes won’t be doing well either. ✔️Professional therapy is more valuable than you think. ✔️There is no shame in taking medication for your brain health.   CHAPTERS 00:15 Welcome and introductions 03:10 Introduction to Amy's Journey 07:35 The Turning Point: A Cry for Help 13:26 Finding the helpers 15:22 Amy’s path of self abuse 18:42 The baby steps to Amy's healing journey 23:06 The Power of Shared Stories 25:33 Diabetes is the burden, not you! 27:57 Finding the right tools with your healthcare team 31:51 Tips for improved mental and physical well-being 35:13 The IDS team gets it 39:01 Final thoughts RESOURCES: Jenny Smith, Integrated Diabetes Services CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US: If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ 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!    

Episode 63 of Think Like a Pancreas-The Podcast is part two of a two-part series with clinician, Kathryn Gentile-Alvarez and Ali Adler. Ali shares how her family can remain sane despite having two young children with type 1 diabetes. Her oldest son was diagnosed with type 1 diabetes at 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the support systems that they have put in place that improves the health and well-being of the entire family.   MEET YOUR 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. Ali Adler is a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when her oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN: ✔️Diabetes always goes wrong right before an appointment with a specialist. ✔️A bad diabetes day is often just a day. ✔️ Mistakes can happen to the best of us.   ✔️ Don’t skimp on your sleep. CHAPTERS 00:16 Welcome and introductions 01:34 Tom and Joe’s diabetes diagnosis 05:23  The struggles around finding diabetes care 08:20 Investing in an Au Pair 11:58 Other childcare options 13:18 There is no way to speed up the grief process 15:38 The silver lining of a type 1 diabetes diagnosis 17:27 And then there was celiac disease 21:51 Diabetes always goes wrong when you need it to go right. 22:56 Re-evaluating a negativity bias 25:33 The need to be “on” all of the time 26:14 How IDS helped them to sleep safely at night 30:20 The most important tool in their diabetes management system RESOURCES: TrialNet      https://www.trialnet.org/ https://integrateddiabetes.com/how-to-start-the-process/ Three moms and a diabetes diagnosis.  Joanne Milo, Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US: If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ 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.  

Episode 62 of Think Like a Pancreas-The Podcast is part one of a two-part series. Clinician, Kathryn Gentile-Alvarez speaks with Ali Adler about raising two toddlers with type 1 diabetes.  Ali shares how she diagnosed her oldest son when he was 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the emotional impact that it has had on this young family, as well as the steps that they have taken towards finding technology improves the health and well-being of the entire family.   MEET YOUR 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. Ali Adler is a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when her oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN: ✔️You can do everything right and things can still go wrong. ✔️It is okay to embrace technology at your own speed. ✔️The grief of a diabetes diagnosis lingers. ✔️Even seasoned type 1 clinicians find the toddler years a special challenge.   CHAPTERS 00:16 Welcome and Introductions 02:00 Tom and Joe's diabetes diagnosis stories 06:03 The impact of diabetes diagnosis on the family’s emotional health. 07:04 The decision to test for antibodies…or not 08:12 One diabetes is not like the other. 09:53 The unique diabetes challenges of toddlers and small children 12:21 Kathyrn’s diabetes journey 16:06 The technology journey is a marathon 24:56 Taking a diabetes technology break   RESOURCES: TrialNet      https://www.trialnet.org/   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 61 of Think Like a Pancreas—The Podcast, clinicians, Jennifer Smith, Tavia Vital, and Dana Roseman share proven strategies for effective glucose management starting with the essentials of insulin timing. They offer practical advice to help you optimize your insulin delivery system, making it work for your unique needs. Just as strong relationships rely on clear communication, so does successful diabetes management. Jenny, Tavia, and Dana explain how to use what you know to confidently handle unfamiliar foods and navigate holiday gatherings. They further share the importance of using pre-boluses and recognizing post-meal glucose patterns to make your diabetes care less stressful and more predictable MEET YOUR HOSTS: 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. 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.   WHAT YOU’LL LEARN: ✔️ The basics on how insulin works. ✔️ Your blood sugar level must go up before it goes down after eating. ✔️ How to use what you know mixed with of the box thinking to create bg success. ✔️ How to best put clothes on your breakfast carbohydrates ✔️Your AID system doesn’t always know best. ✔️ BG levels won’t always be perfect no matter how hard you try. CHAPTERS 00:13 Welcome and Introduction 04:29 Understanding insulin get the optimal glucose excursion after a meal. 09:12 Using preferenced meals to guide you when eating something new. 11:13 The same meal. The same time. Different results. What now?? 15:44 Slowing the rise of standard breakfast foods. 18:57 Mastering the “suspension” of insulin before meals in AID systems. 23:22 When you don’t have time to wait for targeted bg levels to bolus. 24:30 The secret to great blood sugar levels during the holidays. 28:21 Pre-bolus guidelines. 30:55 Benefits of Loop or Trio for insulin, bolus timing, and food coverage. 36:53 The super-bolus. 40:24 Your diabetes may vary.   RESOURCES MENTIONED Glucose Goddess—Jessie Inchauspe https://www.amazon.ca/stores/Jessie-Inchauspe/author/B093K86K1Z John Walsh—Pumping Insulin https://www.amazon.ca/stores/John-Walsh/author/B009KTDCKM   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 the 60th episode of Think Like a Pancreas—The Podcast, Dr. Paula Diab sits down with Mr. South Africa contestant Darryn Webster and online influencer Kirsten De Klerk to discuss how they leverage their public profiles to promote diabetes awareness. Together, Darryn and Kirsten are dedicated to educating others about the signs and symptoms of diabetes and empowering people to thrive while living with the condition. Darryn raises awareness through his celebrity platform as a Mr. South Africa contestant, while Kirsten inspires and connects with the diabetes community through her Instagram initiative, "Everyday is Diabetes Day," where she shares resources and leads charitable efforts. WHAT YOU’LL LEARN: ✔️ The importance of connection in diabetes management. ✔️ We are stronger when united with one voice. ✔️ The value of sharing your story in high profile places. MEET YOUR HOST AND HER GUESTS: 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). Darryn Webster works in medical sales and is currently competing in the Mr. South Africa competition. His campaign focus is diabetes awareness. With so many South Africans currently diagnosed with the disease, Darryn has seen firsthand through his work just how widespread and misunderstood diabetes is. He plans to use the Mr. South Africa platform to spread education, awareness, and support to those living with it. Kirsten De Klerk began her Instagram account, Everyday is diabetes day as a way to keep herself accountable in managing her type 1 diabetes. As her following grew, Kirsten became a diabetes advocate. She is the co-founder of SA Diabetes Advocacy, an IDF Young Leader in Diabetes, and a Campaign Manager at Treeshake. CHAPTERS: 00:13 Welcome and Introduction 02:01 Meet Darryn Webster, Mr. South Africa Contestant 02:56 Meet Kirsten De Klerk, diabetes advocate 06:14 Every day is diabetes day 10:28 How a bid to be Mr. South Africa is helping the diabetes community 14:25 With diabetes awareness comes improved health outcomes 17:33 The value of a lived experience in diabetes awareness and education 21:55 When Darryn wins Mr. South Africa 26:27 How to partner with Kristen’s diabetes efforts 28:52 Everyone has a role to play in diabetes advocacy RESOURCES MENTIONED https://www.instagram.com/everydayisdiabetesday/ South Africa Diabetes Advocacy  https://www.diabetesadvocacy.org.za/ Treeshake https://treeshake.com/ Sweet Life https://sweetlife.org.za/ Mr. South Africa https://www.mrsa.co.za/event-list The Burden of Diabetes and Self-Advocacy https://www.podbean.com/eas/pb-efpit-196bb75   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 three of our ongoing nutrition series, Jennifer Smith and Dana Roseman dive into the unique challenges of holiday eating for people living with diabetes. They share practical strategies for insulin management, discuss the benefits of technology in diabetes care, and highlight the importance of accepting blood sugar fluctuations during festive meals. Before heading into another holiday season, tune in to hear Jenny and Dana’s expert tips and personal insights for managing diabetes and enjoying the festivities. 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’LL LEARN: ✔️The importance of knowing how your insulin delivery system works. ✔️ Ways to spend more time socializing and less time monitoring blood sugar levels over the holidays. ✔️ Large meals require longer insulin delivery. ✔️ How fasting holidays can help your diabetes management. CHAPTERS: 00:13  Welcome and introduction 02:59  Knowing your insulin delivery system 06:54  And then comes a GLP-1 07:47   Out of the box thinking helps with holiday eating 09:59  Making Peace with Blood Sugar Fluctuations 11:40  Strategies for Enjoying Holiday Treats 15:03  Jenny’s insulin strategy for her Thanksgiving meal 18:09  Adding physical activities to the holidays 19:38  What to do when the holiday requires fasting 22:52  Sitting, Drinking, and being Stressed! Final tips to get you through the holidays 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/   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. 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 58 of Think Like a Pancreas—The Podcast, we pull back the curtain on the final three clinicians! Enjoy a candid conversation with Kathryn Gentile-Alvarez, Jennifer Smith, and Dana Roseman. THE CLINICIANS 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. 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: ✔️ Who wanted to be Gary Scheiner when they grew up. ✔️ How they found their way to using open-sourced insulin delivery systems. ✔️ Who has never been on ice skates. ✔️ Which team members wanted to be veterinarians when they were small. ✔️ How diabetes devices could be dangerous in a Zombie apocalypse.   CHAPTERS 00:14  Welcome and introductions 00:54  Kathryn, Jenny, and Dana's Personal Journeys to Diabetes Education 05:26  Very different paths to surviving the college years with diabetes 09:50  The Aha moment in their diabetes care 12:30  How they found their way to use DIY Looping technology 16:06  Where in the world are the Integrated Diabetes Team clinicians? 16:30  Sports and Physical Activities they enjoy 18:41  When muscle memory failed Kathryn and Dana 20:53  The love...and hate for running 24:38  Gravy, the part-time Diabetes Alert Dog 25:08  The power of the Trynamic Trio 28:55  Everyone experiences diabetes mistakes 31:57  Noises that will get you killed in an apocalypse 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/ 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.

With the increasing number of individuals living more than fifty years with type 1 diabetes, Episode 57 of Think Like a Pancreas—The Podcast features Kathryn Alvarez, Director of Exercise Physiology and Teen/Young Adult Specialist at Integrated Diabetes Services, in conversation with blogger and advocate Joanne Milo. Together, they discuss strategies for effectively navigating the later stages of life with type 1 diabetes like the importance of community support, emergency preparedness, and advocacy for better healthcare for aging individuals with Type 1 Diabetes.   This episode is sponsored by Tempramed, makers of Vivi Cap https://tempramed.com/pages/vivi-cap-boxd MEET YOUR 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. Joanne Milo  has lived with Type 1 diabetes for 60 years and just launched a brand new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life. Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN: ✔️ More adults are being diagnosed with type 1 diabetes much later in life. ✔️ Community support is crucial for those living with diabetes. ✔️ Aging with Type 1 Diabetes presents unique challenges that need to be addressed. ✔️ Emergency preparedness is essential for managing diabetes as we age. ✔️ Advocacy is necessary to ensure proper care for aging individuals with diabetes. ✔️ Healthcare providers need to be educated about the needs of aging T1D patients. CHAPTERS 00:14  Welcome and introductions 01:36  The inspiration behind T1D to 100 06:52 Navigating a medical system that wasn’t prepared for seniors living with type 1 diabetes 11:34  Addressing the Challenges of Aging with Type 1 Diabetes 14:44  A new potential role for parents of adult children with type 1 diabetes 16:36  The role of the diabetes community to bring about change in aging care 21:30  The importance of community engagement for seniors with type 1 diabetes 28:51  Creating a Go Bag for Emergencies 32:25  Why you need a personal medical resume 36:03  End-of-life considerations for people with diabetes 37:14  The key to successful aging with type 1 diabetes 49:17 Advocacy and Awareness for Aging with Diabetes RESOURCES MENTIONED  https://t1dto100.com/  https://www.facebook.com/groups/t1dto100  https://www.instagram.com/t1dto100 https://www.linkedin.com/company/t1dto100 Blog | The Savvy Diabetic Secrets of the Longest Living People with Type one Diabetes by Sheri Colberg https://www.amazon.ca/Secrets-Longest-Living-People-Diabetes/dp/1600940188 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 Burden of Diabetes and Self-Advocacy Diabetes, Nutrition, and Wellness with Jenny and Dana 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 56 of Think Like a Pancreas—The Podcast, Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services, is joined by Gary Scheiner for a conversation on preventing type 1 diabetes. With improved access to screening tools, they explore the implications for people living with diabetes and their families. Gary shares the latest research and treatment options, highlighting how these advances can lead to better outcomes for those at risk of developing, or those diagnosed with, type 1 diabetes.   MEET YOUR HOST 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. Gary Scheiner is an award-winning CDCES Fellow, Masters-level Exercise Physiologist who received his diabetes training with the world-renowned Joslin Diabetes Center. He serves on the faculty of Children With Diabetes and is an active volunteer for the American Diabetes Association, Juvenile Diabetes Research Foundation, Diabetes Sisters and Setebaid Diabetes Camps. Gary serves on the clinical advisory boards for several diabetes device manufacturers and pharmaceutical companies, while bringing together an incredible team of experts with his company, Integrated Diabetes Services.   WHAT YOU’LL LEARN: ✔️ Who should be screened for type 1 diabetes. ✔️ How you or your loved ones can be screened. ✔️ Beta cell bubble-wrap strategies. ✔️ Next steps after screening.   CHAPTERS: 00:14  Welcome and introductions 02:00  Understanding the stages of developing type 1 diabetes 10:05  Who should be screened for type 1 diabetes? 14:15  The best age to consider screening 15:56  You’ve been screened for type 1 diabetes. What’s next? 21:33  Monitoring and insulin production preservation strategies 26:54  Medical intervention options to prevent stage 3, type 1 diabetes 35:43  To screen or not to screen is a personal decision   RESOURCES MENTIONED Integrated Diabetes Services offers consulting services to individuals and families who test positive for antibodies. Call 610-642-6055 for details. Most commercial labs such as Labcorp and Quest Diagnostics are equipped to perform antibody testing. Just ask your physician for a prescription the next time you have annual lab work. At-home test kits can be obtained from TrialNet. Free screening kits are available at TrialNet sites or through the mail for first-degree relatives of people with T1D ages 2–45, or second-degree relatives ages 2–20. Call 800-425-8361 for details. https://www.trialnet.org/ ASK is a free T1D antibody screening service for children, available through the Barbara Davis Center for Diabetes:  www.askhealth.org For a variety of resources on the T1D screening process, visit www.type1tested.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 The Quest for a Cure: A Diamyd In the Rough   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 55 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Mental Health Clinician, Anna Sabino speaks with James van der Meulen about diabetes burnout. Together they share their stories of living with diabetes since childhood. They explained how they have learned to recognize and work through the mental challenges that come with this journey.   MEET YOUR HOST AND HER GUEST Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.   She is a graduate of Syracuse University with a dual degree in psychology and child and family studies.  She earned her Masters in Social Work from Washington University in St. Louis.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Anna’s greatest passion is helping individuals and families build a sense of confidence and comfort with their diabetes management.   James van der Meulen has been living with type 1 diabetes since he was four years old. He has successfully managed his diabetes through university and law school. He is now a successful corporate lawyer in South Africa.   WHAT YOU’LL LEARN: ✔️ Diabetes is not one size fits all ✔️How to deal with diabetes interfering with daily demands. ✔️ Give yourself grace. You cannot expect perfection every day. ✔️ Burnout is part of being human   CHAPTERS 00:12  Welcome and introductions 03:04  The immense mental challenge of living with type 1 diabetes 04:13  How James deals with burnout 10:07  The Role of Technology in Diabetes Management 12:40   Understanding both your own role and that of technology significantly enhances your mental wellbeing. 14:21  Your diabetes burnout will vary 17:13  Burnout is the gatekeeper to other mental health issues 18:46  Parents must recognize burnout in their children 19:51  The mental challenge of managing your own diabetes care 24:23  How to avoid burnout as a parent of a child with diabetes 28:50 Grief for parents is a normal part of the process. 32:33 Learning to master self-doubt RESOURCES MENTIONED IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application Watch the full-length episode Coping with Burnout in Diabetes Management: Strategies for Success 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 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 52 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Jennifer Smith and Dana Roseman discuss the critical relationship between nutrition, exercise, and diabetes management. They explore how to effectively manage blood sugar levels during physical activity, the importance of individualized approaches to insulin and exercise, and the role of hydration and nutrition in optimizing performance. The conversation emphasizes the need for planning and understanding one's body to achieve successful outcomes in exercise and 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’LL LEARN: ✔️How to overcome the fear of new exercise routines. ✔️The importance of healthy blood sugar targets for exercise performance. ✔️ To use insulin rather than constantly feeding your insulin. ✔️The value of hydration and post-exercise nutrition. ✔️ Whole foods should be prioritized over supplements for nutrition.. CHAPTERS 00:11  Welcome and Introduction 00:59  Fueling for exercise with Jennifer and Dana 03:57  Blood glucose levels impact performance levels 05:34  Fasted Exercise: Strategies and Benefits 07:26  Insulin and Fueling Strategies for exercise 09:51  Understanding your needs for food, insulin, and exercise 13:27  The impact of the type of exercise on your blood sugar levels 17:21  Hydration and Its Impact on Performance 18:44   Fueling tips for endurance athletes 22:51   Low blood volume vs low blood sugar 24:00  Post exercise tips 28:38  The Role of Whole Foods vs Supplements 31:00 Final thoughts on exercise and diabetes management   RESOURCES MENTIONED Diabetes, Nutrition, and Wellness with Dana Roseman and Jennifer Smith https://www.podbean.com/eas/pb-njy66-190feba 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.