Think Like A Pancreas...The Podcast!

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 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 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!