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Think Like A Pancreas...The Podcast!
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Think Like A Pancreas...The Podcast!

Author: Integrated Diabetes Services

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Living It.

Teaching It.

Transforming Diabetes Care Together!


Think Like a Pancreas—The Podcast is where diabetes expertise meets real-life experience.


Hosted by a compassionate team of Certified Diabetes Care and Education Specialists who live with type 1 diabetes, this show delivers practical guidance, the latest diabetes management strategies, and emotional support for those affected by diabetes.


Our goal is simple: keep you informed, inspired, and yes, a little entertained as you navigate life with diabetes.


In every episode, our clinicians provide listeners with actionable tips, honest conversations, and relatable stories.


Subscribe today and join a community where diabetes care is personal because we live it too!


125 Episodes
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A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. SAB Biotherapeutics is running the SAFEGUARD clinical study testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. In this episode of Think Like a Pancreas—The Podcast, host Gary Scheiner sits down with SAB Biotherapeutics CEO, Sam Reich to discuss what this study means for people with stage 3 type 1 diabetes, who can enroll, and why studies like these are so important. MEET YOUR HOST AND HIS GUEST: 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.   Sam Reich is the Chief Executive Officer of SAB Biotherapeutics. Mr. Reich holds a Bachelor of Arts degree with High Honors in Biochemistry from Clark University, cum laude, Phi Beta Kappa, where he received the Margaret Comer award, presented to the top graduating student in the Biological Sciences. He later attended the University of Pennsylvania where he was a Doctoral Candidate in the lab of Jean Bennett. He left prior to defending his thesis to found Acuity Pharmaceuticals, Inc., receiving a Master of Science. He is listed as an inventor on 14 U.S. patents and more than 50 worldwide patents related to the first uses of siRNA as therapeutics. SPONSORED BY: SAB Bio is a clinical-stage biopharmaceutical company focused on advancing research for people living with type 1 diabetes. Its mission is to dramatically redefine what it means to be diagnosed with type 1 diabetes by developing a medicine to change the course of disease, not just treat symptoms.  A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. The SAFEGUARD clinical study is testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. People between 5 and 17 years old may qualify to participate. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Preserving beta cell functioning can make diabetes management much easier for people living with type 1 diabetes. ✔️Taking part in clinical studies not only helps research move forward but also allows you to take your place in history.   CHAPTERS: 00:00 Welcome 01:44 Meet Sam Reich 03:11 SAB = Saving All Beta Cells? 03:54 Plainly Speaking, What is SAB-142? 06:28 How does SAB-142 Differ from other drugs on the market? 08:30 The SafeGuard Study 13:52 Eligible Candidates for the SafeGuard Study 15:05 What’s it in for you to Participate? 17:03 Prise Study 19:08 Debunking the Cure Conspiracy 22:12 When Can We Start Using SAB 142?   RESOURCES: SafeguardStudy.com or call 1-844-763-1890 From Crisis to Control. How T1D Screening Saves Lives   https://Integrateddiabetesservices.podbean.com/e/how-t1d-screening-saves-lives/ https://www.breakthrought1d.org/for-the-media/press-releases/breakthrough-t1d-awards-grant-to-support-prise-hatg-study-of-sab-142-in-stage-3-type-1-diabetes/ 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/appointments/   or email [email protected] SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. 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 111 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Marketing Director Barb Wagstaff sits in the host seat to introduce the newest IDS clinician, Katlyn Agosta, MSN, APRN, FNP-C, CDCES. Diagnosed with type 1 diabetes at 15 with a blood sugar of 538 mg/dL, Katlyn brings 24 years of lived experience to the team. From rolling NPH and regular insulin into one syringe to pumping with Tandem’s Control-IQ, Katlyn shares her diagnosis story, how it led to an incredible career, and the philosophy that guides her care: life first, diabetes second. MEET YOUR HOST AND HER GUEST: Barb Wagstaff has been a member of the diabetes community since March 17, 2000, when her two-year-old son was diagnosed with type 1 diabetes. Her guiding philosophy of “I am not a medical professional, I just play one in real life”  was a way of life. She educated herself to keep her son safe, devoured research, asked hard questions, and shared everything she learned with a community that needed it just as much as she did. Now, as IDS’s first Director of Marketing, her mission is to share the extraordinary expertise inside Integrated Diabetes Services with every person who needs it. Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Katlyn embraced an attitude of “how do I do it and let’s get it done” which has helped her stay healthy for 24 years. ✔️ What worked for you when you were 16 may no longer be right for you at 36 and what was working at 36 may not work at 66. CHAPTERS: 00:00 Introduction and Welcome  02:30 Meet Katlyn Agosta 06:14 Insulin Delivery Choices and Gary Scheiner’s Influence 07:54 Diabetes is NOT Katlyn’s First Priority 08:42 Why Katlyn Loves Being a Clinician 10:49 Is Katlyn the Right Clinician for You? 12:48 Your Diabetes Changes with Time 13:55 Little Known Facts About Katlyn SPONSORED BY: SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 RESOURCES: Meet the IDS Team    https://youtu.be/pQ2fjbDAWcs Meet the IDS Team—Part 2    https://youtu.be/qPQ9HwvowEU Meet the IDS Team—Part 3    https://youtu.be/gVmx3h1mnjg A First Book for Understanding Diabetes—16th Edition   https://www.childrensdiabetesfoundation.org/t1d-resources/pink-panther-books Think Like A Pancreas - 4th edition   https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/   or email [email protected] SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. 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 110 of Think Like a Pancreas—The Podcast, Anna Sabino and Dana Roseman help families navigate one of the biggest back-to-school questions for children with type 1 diabetes: how much independence is realistic at each age and stage? For many families, a new school year feels like a fresh start—a chance to reset routines, build confidence, and help kids gradually develop the self-advocacy skills they will need both in and out of the classroom. In this conversation, Anna and Dana break down what children can reasonably manage from kindergarten through college, and how parents can support independence without constant texting, overcorrecting, or chasing perfect numbers. They also share practical guidance for getting through the messy first six weeks of school, avoiding big diabetes-management changes too soon, and letting kids learn from mistakes in a safe, supportive way. If you are parenting a child with type 1 diabetes, this episode offers reassurance, perspective, and realistic strategies for helping your child grow into greater independence—one school year at a time. SPONSORED BY: SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 MEET YOUR HOSTS: Anna Sabino MSW, CDCES is a Mental Health Specialist who 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. 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Type “You” Diabetes—Everyone will manage diabetes differently. Moms will deal with things differently than Dads. Dads will manage differently than the child. No one is necessarily  “wrong”, it is just different. ✔️ Do NOT make major changes to your child’s diabetes care during the first six weeks of school. This is a time of learning and re-establishing routines. CHAPTERS: 00:00 The Fresh Energy of a New School Year 03:04 Age and Stage Expectations: What Children Can Realistically Handle. 09:27 The Shifting of Diabetes Care is Child Specific 13:59 Guiding Problem-solving 15:59 Managing the First 6 Weeks of Back-to-School 21:34 Your Child Will Manage Their Diabetes Their Way 23:36 They Will Make Mistakes 25:00 Empowering Your Child with Type 1 Diabetes 30:07 Final Tips RESOURCES: https://integrateddiabetes.com/its-back-to-school-for-parents-too/ Think Like A Pancreas - 4th edition   https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/   or email [email protected] SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. 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 109 of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss the final chapter of his book Think Like a Pancreas. From technology to social supports, learn the members of Gary’s diabetes dream team (a dietician, physician, exercise physiologist, and mental health specialist) much more. Discover new trusted communities, financial assistance options, how to spot unreliable advice from uncredentialed online coaches, and where to access free tools like the Diabetes Bites newsletter. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She 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. 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ In-person groups like Grown Up T1Ds, volunteer organizations, and peer networks reduce stress and keep people engaged. ✔️ Stick with credentialed professionals and established, tested organizations; treat advice from uncredentialed online "coaches" with caution. CHAPTERS: 00:00 Introduction and Welcome 02:00 Gary’s Diabetes Dream Team 03:50 Technological Devices to Consider 06:29 Social Supports 08:46 Financial Support 09:15 How the Resource Landscape Has Changed 11:54 Steering Clear of Bad Advice 13:50 Other Valuable Resources RESOURCES: Think Like A Pancreas - 4th edition   https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition Grown up T1D:  A Festivus for the Rest of Us   https://Integrateddiabetesservices.podbean.com/e/grownup-t1ds-a-festivus-for-the-rest-of-us/ Breakthrough T1D   https://www.breakthrought1d.org American Diabetes Association   https://diabetes.org Sign up for Diabetes Bites   https://integrateddiabetes.com/think-like-a-pancreas-the-podcast-august-2026-schedule-2/ 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/appointments/   or email [email protected] SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. 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 108 of Think Like a Pancreas—The Podcast, host Tavia Vital, RN, CDCES, sits down with author Gary Scheiner to discuss Chapter 9 of Think Like a Pancreas. Together, they take an honest look at the highs and lows that affect everyone living with diabetes and offer practical guidance for handling them safely. Throughout the conversation, Gary and Tavia emphasize that perfection is not the goal. Mild, infrequent highs and lows are a normal part of life with diabetes but understanding how to respond can make those moments less overwhelming. Listen to learn why dextrose is often the preferred treatment for hypoglycemia, what to expect after using glucagon, why extreme highs and lows should be rare, and when frequent episodes may be a sign that it is time to reassess your diabetes management plan. MEET YOUR HOST AND HER GUEST: 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 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Speed matters when you are low. Consider foods that spike your blood sugar levels. ✔️ Highs and lows are normal, but if you are experiencing continuous high or low blood glucose levels, it is time to speak to someone about making changes in your diabetes management. CHAPTERS: 00:00 Welcome and Introduction 03:57  Even the “Experts”  Have Highs and Lows 06:00 How NOT to Treat “Hypos from Hell” 08:47 Why Dextrose 11:50 The Real Dangers of Low Blood Glucose 14:23 What to Expect After Glucagon 16:26 Explaining a High Blood Sugar 18:11 But My Blood Glucose Level is Supposed to Rise 21:40 Diabetic Ketoacidosis (DKA) and Final Takeaways RESOURCES: Think Like A Pancreas - 4th edition   https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ Coping with Burnout in Diabetes Management: Strategies for Success   https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-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/appointments/   or email [email protected] SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. 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.
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