Think Like A Pancreas...The Podcast!

Raising a child with type 1 diabetes changes everything — and nobody quite prepares you for what the early days really feel like. In this special episode, we bring together voices from multiple conversations to create one honest, wide-ranging look at the journey of T1D parents. You'll hear from Jessica, whose daughter Grace was diagnosed at four and a half after a flyer on a pediatrician's wall caught her eye at just the right moment. From Jamie, whose daughter Ellie arrived at her diagnosis after three emergency room visits in 36 hours. From Ali, a mom who navigated two toddler T1D diagnoses a year apart. And from Laura, who despite having T1D herself, found herself having to relearn things when her two-year-old was diagnosed. Together with host Tavia Vital a who is also person with diabetes,  registered nurse, certified diabetes educator, and T1D mom herself, these stories serve as a reminder that you are not alone amidst the overwhelm, the isolation, the exhaustion, of slowly finding of your footing as a parent of a child with type 1 diabetes. You will make it through.   MEET YOUR HOST AND HER GUESTS: 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. Jessica is mother from Colorado who’s daughter Grace was diagnosed with type 1 diabetes at four and a half years old. Jess first appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!” Jamie is from Ontario, Canada. Her daughter Ellie was diagnosed with type 1 diabetes at 21 months old. Jamie also originally appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!” Laura Harkin has type 1 diabetes and has a son with type 1 as well. Her story was first shared on Think Like a Pancreas—The Podcast episode 35, And then there were two! When your child is also diagnosed with diabetes. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES was diagnosed with type 1 diabetes at age twelve. Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Ali Adler is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her  oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Type 1 diabetes can happen at any age. ✔️While you can still live a normal life after a T1D diagnosis, “normal” will look different. ✔️ You will spend a lot of time looking for reasons…and not finding them. That’s okay. ✔️ Find your village. It may look differently from what you had originally planned.   CHAPTERS: 00:00 The Diagnosis 10:45 When Your Whole World Changes 16:09 What Nobody Warns You About 20:16  Finding Your Village 22:48 Navigating Changing Relationships 25:02 From Here to There RESOURCES: Time out for Caregivers   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  

Can AI help you better manage your diabetes care? In this episode of Think Like a Pancreas—The Podcast, clinicians Alicia Downs and Jennifer Smith dig into the pervasive world of Artificial Intelligence and discuss its role in diabetes care. AI is integrated into everything from targeted ads to "smart" insulin pumps, but what is the difference between generative AI (like ChatGPT) and the "AI in a box" found in clinical algorithms. Alicia and Jenny discuss the biases that most systems have, the tasks where AI shines and note where it is lacking.   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. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated, compassionate, informed and equitable care to all people.   KEY TAKEAWAYS AND HIGHLIGHTS: ✔️No the source of your AI. It isn’t all created equally. ✔️The prompts you use dictate the results you receive. ✔️ Know the source of your AI ✔️AI does not have a lot of sources to draw from to get information on diabetes.   CHAPTERS: 00:00 Welcome & Introductions 01:58 AI is Everywhere We Login 04:35 Understanding Your AI’s Bias 10:34 The Problem of the Missing Human Component 18:44 AI for Carb Counting. Does it work? 22:09 What Can You Use AI For? 26:03 An Educator Moves You Beyond the Obvious 34:21 AI Doesn’t Know Your Algorithm 37:33 AI. What’s It Really Good For? 39:35 Verify Where Your AI References   RESOURCES: SNAQ: The App That Brings “Star Trek” to 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.

Adding movement to your day is easier than you think no matter what your activity level--AND it has more benefits than many realize! In episode 85 of the Think Like a Pancreas podcast, exercise physiologist Gary Scheiner and physician Paula Diab explain the difference between activity and exercise. They explore how integrating more physical activity into daily routines can improve health, manage diabetes, and enhance overall well-being. Learn how these clinicians add more movement in their own busy life by doing little things like parking farther away from the coffee shop. MEET YOUR HOSTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Exercise can take place at any time. ✔️There is a cumulative effect by adding movement to your day. ✔️ Being active is an attitude. ✔️There are many practical ways to incorporate movement into daily life. CHAPTERS: 00:00 Welcome & Introductions 02:29 Gary Scheiner—Laziness Cop 03:26 The Difference Between Activity and Exercise 06:47 The Cumulative Benefit of Daily Activity 09:02 Trackers Can Be Motivational 10:17 Effects of Movement on Blood Sugar 13:38 Daily Activities as Exercise 18:22 The Benefits of Stretching 19:50 How Paula and Gary incorporate More Activity into their days 25:06 Mindset Shift Towards Activity 27:54 Final Thoughts and Takeaways RESOURCES: Book with Dr. Paula Everyday Activities list Diabetes-related complications can drop considerably with MOVEMENT 7,000 Steps, No Regrets! If you are able to move, then move 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 84 of the Think Like a Pancreas podcast, mental health clinician Anna Sabino and registered nurse Tavia Vital, dive into the "Teenage Tightrope" of managing Type 1 Diabetes (T1D). They reveal why the transition from a cooperative child to a seemingly "unreliable" teenager is a normal, albeit exhausting, part of brain development. Listen as Anna and Tavia share the raw, real-life moments that every T1D family understands. Their tips and guidance will help parents improve communication with their teen and foster strong plan towards independence. 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. 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Physical growth and emotional growth happen at different times. ✔️The importance of positive praise in a world of stress and negativity. ✔️ Independence is a process than goes beyond age 18. ✔️Communication is key and may require the help of a third party. CHAPTERS: 00:00 Welcome & Introductions 04:28 Why Adolescence is a Unique Challenge When It Comes to T1D 10:48 What Can You Expect from Your Teen 15:07 Figuring Out What is the Least Irritating for Your Teen…and YOU. 20:06 Understanding and Implementing the Plan to Independence 25:12 Tips for Improving Communication with your T1D Teen 31:21 The Role of Peer Support for Teens and Parents 40:00 Final Thoughts RESOURCES: Breakthrough T1D Children with Diabetes Time out for Caregivers   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.  

What if you could see a life-altering diagnosis coming years before the first symptom appeared? In Episode 83 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Steve Zortman, Sanofi Screening Ambassador and Jessica Dunne, PhD, Type 1 Diabetes Medical Director at Sanofi to examine both the emotional and scientific sides of type 1 diabetes (T1D) autoantibody screening. From the harrowing ER visit that left Steve’s family "blindsided" to the empowering, managed diagnosis of a sibling, this episode explores how science is shifting T1D from a medical emergency to a manageable journey. Whether you have a family history or are just curious about the future of autoimmune health, this conversation is your roadmap to advocating for yourself and your loved ones.   MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Steve Zortman is a Sanofi Screening Ambassador, husband and father of three. Steve and two of his children all live with type 1 diabetes. Upon the diagnosis of his first child, Steve began the journey to become a diabetes nurse educator. Jessica Dunne, PhD is a trained scientist with over two decades of experience in translational research, clinical development, and advocacy. As a Medical Director for autoimmune type 1 diabetes at Sanofi, her role includes translating the science behind diabetes so that more people understand how screening can impact their T1D journey and advocate for it in their own lives.   WHAT YOU’LL LEARN: ✔️Why up to 62% of people don’t know that they have Type 1 Diabetes until they are in a life-threatening state of Diabetic Ketoacidosis. ✔️How proactive diabetes-related autoantibody screening can improve mental and physical outcomes. ✔️The role of antibody testing in ensuring a proper diabetes diagnosis the first time.   CHAPTERS: 00:00 The unpredictability of a type 1 diabetes diagnosis. 01:38 Meet the guests. 05:42 Riley’s diagnosis story. 07:50 To screen or not to screen? Addressing the fear. 11:15 Challenges faced by mis-diagnosed adults. 15:46 Understanding the science behind type 1 diabetes screening. 20:15 Who should be screened for diabetes antibodies? 24:46 The power of positive and negative test results.   RESOURCES To Screen or Not To Screen Your Family Members for Type 1 Diabetes – Integrated Diabetes Services   Getting Screened for Type 1 or Type 2 Diabetes – Integrated Diabetes Services   Risk Assessment and Resources from Screen For Type 1 – Sanofi   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 [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.   This episode is sponsored by Sanofi.

Mastering insulin your insulin during IVF is not for the faint of heart! It requires a strong team cheering you on who understands the complexities of insulin management with constantly changing hormones. This episode of Think Like a Pancreas—The Podcast shares insights and tips for dealing with the intersection of IVF and insulin requirements. CDCES Tavia Vital and Jennifer Smith share stories from their own pregnancy experiences, as well as knowledge from helping many, many women navigate this path. As you listen, you will learn that you aren’t alone and with a good plan and strong support, your journey will be much easier to navigate. 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. 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. 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.   KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ The value of support as you go on this journey cannot be understated. ✔️Adaptive systems cannot keep up with the rapidly changing hormones of IVF. ✔️ Each stage of IVF comes with different insulin requirements. Planning makes this easier to anticipate.     CHAPTERS: 00:00 Normalizing the road of IVF for Insulin Dependent Women 04:35 The Emotional and Mental Load of Fertility Treatments 09:04 How IVF Hormones Mechanically Impact Insulin Needs 11:09 The role of your diabetes team in IVF 16:04 The Importance of Pre-conception Planning 20:01 Overcoming Guilt: Navigating Unexpected Glucose Variability 25:03 Stage by Stage Insulin Adjustments 28:36 Key Things to Remember RESOURCES: Pregnancy with Type 1 Diabetes--The book and the authors. https://youtu.be/g2arb-bHSPg Learn more at Pregnancy & T1D Care – Type 1 University 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.

Fresh from the 2026 ATTD Conference in Barcelona, Gary Scheiner shares a comprehensive recap of the latest breakthroughs in diabetes technology, clinical research, and practical management strategies. Learn about upcoming changes from companies like Tandem, new products from Abbott, and what research is saying skin care for people with diabetes. MEET YOUR HOST: 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: ✔️ Multiple new infusion set options are coming for insulin pumpers. ✔️Omnipod DASH pump will be available at least until 2027. ✔️ The importance of time in range. ✔️ The benefit of whey protein before exercise. CHAPTERS: 00:00 Introduction to the ATTD Conference 03:12 Innovative Product Developments in Diabetes Care 09:00 The Truth Behind the Steel Needle Infusion Set Shortage 10:22 The Use of Technology in the Elderly 12:05 Updates from Dexcom 13:31 Using Whey Protein to Prevent Exercise-Induced Lows 15:01 Scientific Research on Hormones and Time In Range 16:57 Not All Ultra-Rapid Insulins are Created the Same 17:33 Air Travel’s Impact on Blood Sugar Levels 18:32 Skincare and Diabetes Management 23:25 The Role of Alternative Meds in Type 1 Care 26:33 The Use of Advanced Insulin Pump Features   RESOURCES: 2025 ATTD Discoveries with Melissa Holloway   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 [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.

There’s plenty of buzz about inflammation these days—but what does it really mean to manage inflammation and insulin resistance when you live with type 1 diabetes? In episode 80 of Think Like a Pancreas—The Podcast, clinicians Dana Roseman, Jennifer Smith, and Dr. Paula Diab dive into the relationship between inflammation, blood sugar variability, and effective diabetes management. They reveal how the “wellness triad” of food, exercise, and sleep can help tame inflammation. From the power of Omega-3s and Vitamin D to the emerging role of GLP-1 medications and why gut health matters, learn how to lower insulin resistance and support your body’s natural healing. MEET YOUR HOSTS: 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. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dr Paula Diab MD, 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ It is important to work with a clinician who looks beyond the numbers ✔️Despite getting a lot of sunshine, people living with an autoimmune condition may be low in Vitamin D. ✔️Gut Health is often overlooked.   CHAPTERS: 00:00 Meet Dana, Jenny, and Paula 02:28 Understanding Inflammation and Diabetes 06:13 The role of supplements to reduce inflammation and insulin resistance 07:15 The Triad of Health and Wellness 13:19 Medicinal options to fight inflammation. 17:57 The importance of a healthcare provider who can analyze your overall lifestyle 20:02 The Understated Value of Exercise  21:28 Reducing Inflammation Naturally 23:41Bringing it all together   RESOURCES: Can turmeric help people with diabetes manage their weight and blood sugar? – Integrated Diabetes Services   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [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.

Is your diabetes tech helping or hindering your mental health? IN EPISODE 79 of Think Like a Pancreas—The Podcast , Integrated Diabetes Services clinicians Alicia Downs and Anna Sabino explore how diabetes technology can impact your mental wellbeing—both positively and negatively. Having each lived with type 1 diabetes for over 20 years, Alicia and Anna share why it’s sometimes important to pause and listen to your body rather than focus solely on device data. Tune in as they provide practical strategies to help you make the most of your diabetes tools—and recognize when technology may be contributing to burnout. MEET YOUR HOSTS: Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated compassionate informed and equitable care to all people. Anna Sabino MSW, CDCES 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Tech or no tech, it is important to listen to your body. ✔️ The importance of understanding the goal of using technology. ✔️ How to learn from failure. ✔️ We drive the behavior of our devices. ✔️ How you and your tech can become a winning team.   CHAPTERS: 00:00  Intro: Meet Anna Sabino and Alicia Downs 04:30 The Challenge of Waiting: CGM Lag and Rage Bolusing 06:15 Overcoming Information Overload and Paralysis 08:50 Balancing Overwhelm and Trust 14:32 Trusting Your Tech Does Not Mean Blind Trust 18:25 Navigating Discomfort 22:22 Tools for Setting Realistic Operating Expectations 25:24 The Need for Constant Diabetes Education 28:54 Identifying Your Goals for Using Technology 32:57 Adjusting Your Perspective 37:58 How to Identify and Deal Tech Burnout 43:45 Learning Integration 48:08 Understanding the fundamentals 51:09 How and when to react RESOURCES: How to Manage Diabetes Alarm Fatigue for Better Sleep 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 [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 78 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Owner and Clinical Director, Gary Scheiner takes a humourous, but hard-hitting look at the type one diabetes hurdles that make you want to scream! From the fact that the body doesn’t have an insulin back-up system to battles with health care providers, Gary shares the things that truly frustrate him. Listen to this episode and hear Gary separate the science from the stupid. MEET YOUR HOST: 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. WHAT YOU’LL LEARN: ✔️Insulin isn’t the only hormone lacking in people with type 1 diabetes. ✔️Even clinicians have insurance issues ✔️Not all medical professionals are experts in your diabetes tools. CHAPTERS: 00:00 Welcome and introduction 02:01 Biological beefs 12:18 Technology and support tribulations 17:30 The truth about expiry dates 20:24 Health insurance headaches 24:19 The hypocrisy of big pharma 27:12 Red tape and bureaucracy 29:57 Prescriber knowledge gaps 31:24 Medical Research 32:59 mmol? Mg/dL? Or??? 33:56 Pronunciation and diabetes word frustrations 36:36 DUH research 37:56 Stop selling people with diabetes short   RESOURCES: TRIO Open Sourced Insulin delivery                https://youtu.be/mn-2aH2hns8 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 [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.

Are the latest food guidelines leaving you confused? You're not alone! In episode 77 of Think Like a Pancreas—The Podcast, registered dietitians and certified diabetes care and education specialists Dana Roseman and Jennifer Smith break down the recently updated USA Nutritional Guidelines. They put on their dietitian hats to explore exactly what these changes mean for people living with Type 1 Diabetes. From turning the food pyramid on its head to navigating the wild world of "protein-added" snacks, Dana and Jenny offer insights into what this means for people living with diabetes. MEET YOUR HOSTS: 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. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️The value of the “Plate Method” of healthy eating ✔️Fat is important in our diet. ✔️Sometimes you are getting a lot of extra sugar in order to get that extra boost of protein. ✔️The 2026 Food Guidelines are not new. They are updated. ⭐ Comment with your most memorable school cafeteria food! CHAPTERS: 00:00 Welcome and introduction 02:57 The end of the Food Pyramid 05:07 Emphasis on Protein in Diet 08:43 Understanding Processed vs Whole Foods 11:36 Protein enriched can also mean “more sugar added” 12:44 The role of saturated fats and how to use them 16:06 Nutrition isn’t one size fits all 17:33 The role of nutritional guidelines in grade school. 20:20 Making better food choices RESOURCES: Focus on Protein for Stability with Diabetes Type 1 Diabetes: What Nutrition Macros Should I Follow?   Turning the food pyramid on its head…The Simpsons    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 [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.  

When the going gets tough, 13-year-old Drew Mendelow gets inventing a diabetes app! In episode 76 of Think Like a Pancreas--The Podcast, host Gary Scheiner, owner and clinical director of Integrated Diabetes Services, sits down with Drew Mendelow, the inspiring teen developer of the T1D1 app. Diagnosed with Type 1 diabetes at the age of 13, Drew channeled his coding skills into creating a free, simple insulin calculator. Together they discuss Drew’s diagnosis journey, the challenges of getting FDA clearance for a medical app, and how taking action helped him cope with his diabetes diagnosis. 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. Drew Mendelow is a freshman at Georgia Tech and the creator of the T1D1 app. Aside from his passion for coding and app development, he is a lifelong soccer player and a member of the Yellow Jacket space program. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️How creating the T1D1 app empowered a 13-year-old newly diagnosed child with type 1 diabetes. ✔️The goal of the app is to keep things simple for you and your diabetes management. ✔️T1D1app isn’t just for those on MDI CHAPTERS: 00:00 Meet Drew Mendelow, developer of the T1D1 app 04:33 Newly diagnosed 13-year-old fills a need 06:48 Could diabetes management be gamified? 07:32 How the T1D1 app works 09:06 The journey to building the T1D1 app 10:51 Creating the app helped Drew to cope with his diagnosis. 12:52 Features that make this app unique 14:42 Getting FDA approval 22:19 How pump users can use the T1D1 app 23:39 What’s next for the app 26:15 Unmet needs in the diabetes community 28:30 What the future holds for Drew Mendelow 30:10 Drew’s favourite apps 31:35 Gary’s final thoughts RESOURCES  https://www.t1d1.org/ Level One - A Game to Master Type 1 Diabetes   https://playlevelone.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 [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.

Twiist ™ utilizes the highly-regarded open-source/DIY Loop app concept without the user having to build and maintain the app on their own, but what do real world users think? IN EPISODE 75 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner sits down with DiabeTech host Justin Eastzer to discuss their experiences using Sequel Med Tech’s Twiist™ insulin pump. They take a deep dive into the unique "Loop" algorithm that powers the pump, the unique 6-hour predictive capabilities, and how it compares to other automated insulin delivery (AID) systems. Gary and Justin also share their thoughts on alarms, time in range, and the return of the Cleo luer lock infusion set. 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. Justin Eastzer is the founder & content creator of Diabetech, a multi-platform media company dedicated to producing educational and entertaining diabetes content that focuses on tech and diabetes management. WHAT YOU’LL LEARN: ✔️ The interface gives you a lot of information right on the home screen. ✔️ The Twiist ™ algorithm is balancing active insulin against active carbs to make a long term prediction unlike other systems that only look one hour ahead. ✔️You can “back enter” or “forward enter” the carbs that you are eating with this insulin pump.  ✔️Infusion set options are limited. CHAPTERS 00:00 Intro: Meet Justin Eastzer of Diabetech  05:23 Justin’s tech experiences 06:34 The unique features of the Twiist ™ insulin pump 20:17 CGM compatibility pros and cons 25:09 Thoughts on the Cleo infusion set 29:24 The occlusion alert 30:05 The hidden use of the blue “bolus” button 32:15 The "Fire Alarm" Sound: Disruptive Alerts 34:10 Complexity of the 32 Steps & 8 Parts to Change insulin cartridge and infusion set 37:41 Who should use the Twiist ™ insulin pump? RESOURCES Review of the twiist Automated Insulin Delivery System Diabetech - Diabetes Tech, News, and Research | Diabetech The Diabetech Podcast | Diabetech | Diabetech 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 [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.

Grown Up T1Ds! A Festivus for the Rest of Us! At last, there’s an organization dedicated to adults living with diabetes, providing a relaxed environment where meaningful connections and instant friendships can flourish! IN EPISODE 74 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner welcomes Kelly Dawes from T1DGrownups.org for an inspiring conversation about a service designed for an often-overlooked group: adults with type 1 diabetes. Both Gary and Kelly have lived with type 1 diabetes for over 40 years and openly discuss the emotional challenges that come with it. Kelly shares her motivation for founding T1D Grownups and explains what attendees can look forward to at one of the group’s free chapter events! 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. Kelly Dawes was diagnosed with Type 1 Diabetes (T1D) in 1981. She is the founder of grownupt1ds.org and possesses a unique blend of expertise and social charisma. Her career began in dialysis, which broadened her understanding of health, eventually leading her to become a nationally certified personal trainer with a specialization in diabetes, and senior fitness. WHAT YOU’LL LEARN: ✔️The cathartic benefit of being in a room with people who get it. ✔️ Diabetes talk is organic with no agenda at a Grownup T1D event. ✔️ Grownup T1Ds is a free, non-profit organization that hosts in person events for adults. CHAPTERS 00:00 Welcome and introduction 06:20 What inspired you to create Grownup T1Ds? 07:42 The unique aspects of T1DGrownups 10:32 What to expect at a T1D event 13:01 Things that Kelly and Gary get away with BECAUSE of diabetes 16:23 How to get involved as a participant or volunteer 19:46 The challenges in building Grownup T1Ds 21:27 The value of in person connections 23:43 The surprise benefit of GrownupT1Ds.org events 25:35 The age range of attendees 26:44 What the future holds for Kelly Dawes   RESOURCES ✔GrownupT1Ds https://grownupt1ds.org/ ✔For information on the Philadelphia chapter contact [email protected] ✔The February 28th meet up will take place at Dave & Buster’s—Plymouth Meeting Mall, 500 West Germantown Pike, Plymouth Meeting, PA RSVP to event at https://grownupt1ds.org/rsvp-form/ ✔To learn more about volunteering or activities in your area, contact [email protected] Other similar episodes: ✔Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes https://youtu.be/oyUQfSBgF1M ✔Is it Menopause, life or diabetes? Real Talk from Female Clinicians Who Live It. https://youtu.be/SbPnbu-S29M   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 [email protected]   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.

What if the symptoms you’ve been told are caused by diabetes… actually aren’t? In this episode 73 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Tavia Vital and Alicia Downs examine a frustrating and all-too-common issue in diabetes care… when medical symptoms are incorrectly blamed on diabetes—and the real diagnosis is missed! From neuropathy and kidney disease to fatigue, pain, and hormonal issues, Tavia and Alicia explain why people with diabetes are frequently told “it’s your diabetes” even when other conditions would also fit. They reveal how systemic healthcare constraints, insurance coding, and time pressure can lead to misdiagnosis, delayed treatment, and unnecessary guilt for patients. MEET YOUR HOSTS: 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. Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated compassionate informed and equitable care to all people. WHAT YOU’LL LEARN: ✔️Blaming your diabetes rather than finding the true cause can create unnecessary emotional and physical stress. ✔️How non-diabetes conditions get mislabeled as diabetes complications ✔️The problem is often systemic. To investigate your potential diagnosis, your doctor needs to first provide a diagnosis. ✔️Your “neuropathy” is often treatable before it is debilitating. ✔️The importance of creating a team “us” with your medical professionals. CHAPTERS 00:00 Welcome and introduction 03:01 Understanding the endocrine system 04:39 When it’s really NOT diabetes 07:32 Where the fault lies 12:16 The facts about diabetes related neuropathy 19:54 Rare conditions are not rare in the diabetes population 24:55 Reference ranges, diagnostic ranges, and prevention 29:20 When it wasn’t Tavia or Alicia’s diabetes 35:17 The questions to ask 39:53 One bad lab result doesn’t mean you have another disease RESOURCES Autonomic Neuropathy Screening Update for People with 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/how-to-start-the-process/ ,  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 72 of Think Like a Pancreas—The Podcast, the clinicians of Integrated Diabetes Services—Jennifer Smith, Dana Roseman, Tavia Vital, and Dr. Paula Diab—tackle a topic that is rarely discussed but deeply impactful: navigating perimenopause and menopause with type 1 diabetes. Drawing from both clinical expertise and lived experience, these women unpack what many people are never told in the exam room about hormonal shifts, blood sugar volatility, insulin sensitivity changes, and the emotional toll of this life stage. They candidly share the frustrations of managing their own diabetes through perimenopause and menopause, while also offering practical insights, validation, and strategies that have helped them—and their patients—along the way. This conversation brings clarity, compassion, and real-world guidance to a phase of life that too often leaves people with type 1 diabetes feeling confused, dismissed, or alone.   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. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Dr Paula Diab 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. WHAT YOU’LL LEARN: ✔️Menopause will make you think that you are doing something wrong after years of getting it right…but you aren’t! ✔️The inconsistency of hormonal fluctuations in perimenopause make it hard to nail down changes that may be required. ✔️ The value of finding other women to share your concerns with. ✔️Women with type 1 diabetes must take extra precautions to avoid bone issues found in aging. ✔️Self-care is not optional. CHAPTERS 0:56 Welcome and Introduction 05:06 Menopause today is not what it was in your grandmother’s day 07:33 It isn’t your fault 09:00 The illusive nature of the onset of perimenopause and the havoc it creates. 12:21 How changing hormone levels impact your body 14:28 The domino effect of symptoms 18:41 Who do you turn to for medical help? 22:01 Menopause support 23:27 Understanding hormone replacement therapy 25:30 Mitigating your risk factors 28:12 Physical fitness after 50 is no longer optional 31:59 Tips for weight management in menopause and perimenopause 39:53 The impact of “menopause day” on diabetes management 41:59 Final thoughts RESOURCES It’s a New Year – forget resolutions or big giant goals. The Power of Protein Only About 5% of US Women Now Use Menopausal Hormone Therapy The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services Weight management for people living with 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/how-to-start-the-process/ ,  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 71 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner speaks to innovator and entrepreneur, Aurelian Briner about the SNAQ app that he created for his wife, Loredana. The conversation explores the app's development journey, its key features for carb counting and diabetes management, and the challenges faced in the digital health space. The Briner’s share how user insights and lived experiences have allowed them to continue to build the app to help a growing number of people living with type 1 diabetes. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.   Aurelian Briner is the CEO & Co-Founder of SNAQ. SNAQ is an AI-powered diabetes management platform that helps people make smarter mealtime decisions using its patented photo-based food analysis WHAT YOU’LL LEARN: ✔️SNAQ was created by people living with type 1 diabetes for people living with type 1 diabetes…and they care. ✔️ The value of the SNAQ app during T1 pregnancy. ✔️The depth of the SNAQ app over uploading images to random AI programs. ✔️SNAQ app provides data only. They don’t show ads or share your data.   CHAPTERS 00:15 Welcome and introduction 06:23 Inspiration for SNAQ 08:11 The value of having a test subject as your wife 09:22 The key features of the SNAQ app 15:50 Features that will be getting an upgrade over time 21:00 The biggest challenges in marketing the SNAQ app 24:21 SNAQ app pricing 26:07 SNAQ vs Gary Scheiner 28:44 SNAQ tips for accurate results 29:53 Advice for diabetes entrepreneurs   RESOURCES https://snaq.go.link/3B8Rc The Ultimate Guide To Accurate Carb Counting Food, Technology, and Insulin. Secrets of Successful Glucose Management IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Automation Entrepreneurism in the diabetes space   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.      

In episode 70 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians. Mental health professional, Kristi Paguio and registered dietitian, Dana Roseman unpack the complex relationship of food, insulin, and cultural pressures that can exacerbate disordered eating patterns. They share their own experiences as women living with type 1 diabetes and provide strategies for improving your relationship with food, your body, and your insulin. MEET YOUR HOSTS: Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has had the privilege of working with people across the lifespan who are impacted by diabetes. She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. WHAT YOU’LL LEARN:  ✔️Disordered eating is a broad term that encompasses various unhealthy food relationships. ✔️ Cultural pressures can lead to unhealthy eating behaviors and perceptions of food. ✔️ Food should be viewed as a source of joy and connection, not just a means to manage diabetes. ✔️Normalize healthy eating for the entire family.   CHAPTERS: 00:40 Welcome and introduction 03:12 What constitutes disordered eating? 06:25 Cultural influences vs the needs of a healthy body 09:24 The “Food Police” 11:46 All foods fit in your diet 13:51 Helping someone experiencing disordered eating 18:05 Restriction vs Indulgence. Finding the middle ground when it comes to food. 20:33 The impact of judgement when you have diabetes 23:06 Why disordered eating is more common when living with diabetes 24:00 Seeking help for disordered eating with diabetes RESOURCES If you are seeking a team to assist you with issues surrounding disordered eating and your diabetes, Integrated Diabetes Services has a full team of professionals who are Certified Diabetes Care and Education Specialists who live with type 1 diabetes. They can help with all aspects of your self-care. Call 1 (610) 642-6055 or email [email protected] to schedule an appointment. Articles: Eating disorders are on the rise. SUBSCRIBE AND REVIEW If this episode helped you or you have a question, take a moment to leave a short note. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.  

In episode 69 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder, Gary Scheiner sits down with his personal endocrinologist to discuss what it takes to build a successful patient/provider relationship. Listen to Gary’s conversation with Dr. Koch and learn how to build a successful partnership with your doctor, how to get the most out of your time with your endocrinologist and learn about the areas of care that even Gary could improve on. MEET YOUR HOST AND HIS GUEST: Gary Scheiner, MS, CDCES is the founder and Clinical Director of Integrated Diabetes Services. An award-winning Certified Diabetes Care & Education Specialist, Master’s-level Exercise Physiologist, and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. He was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. Gary earned a Bachelor of Arts in Psychology from Washington University in St. Louis and a Master of Science in Exercise Physiology from Benedictine University. He received his diabetes training with the world-renowned Joslin Diabetes Center. Gary serves on the faculty of several prominent organizations and the clinical advisory boards for a number of diabetes device manufacturers and pharmaceutical companies. Cheryl Koch, MD is a diabetes & metabolism endocrinologist in Bryn Mawr, PA and has over 35 years of experience in the medical field. Dr. Koch has extensive experience in Thyroid Disorders, Diabetes & Glucose Monitoring, and Osteoporosis & Screening. She graduated from Penn State University College of Medicine in 1989. She is affiliated with medical facilities such as Hospital of the University of Pennsylvania and Lankenau Medical Center. .   WHAT YOU’LL LEARN: ✔️Every diabetes patient is different. ✔️Your doctor is human too. ✔️The value of making small changes. ✔️Your doctor’s job is to help. You don’t have to be perfect. ✔️Find an endo that is interested in you and matches your needs.   CHAPTERS: 00:50 Welcome and Introduction 07:56 The appeal of endocrinology 10:04 Staying up-to-date with diabetes advances 12:46 Getting  the most out of your endo visits 15:31 When it’s okay to break up with your endo 17:40 The value of CDCES in diabetes education 18:54 Areas that Gary Scheiner struggles with in his diabetes care 23:57 Dr. Koch’s parting advice for building trust with your endo   RESOURCES: How To Find a Health Care Team You Love – Integrated Diabetes Services The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW: If this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In this episode of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians, Gary Scheiner and Dana Roseman explore the impact of protein on people living with diabetes. the role and impact of protein in the lives of people with diabetes. Listen as they share science-backed answers to common questions about protein’s role in blood sugar management, ideal protein sources, dietary balance, and long-term health. MEET YOUR HOSTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. WHAT YOU’LL LEARN: ✔️Protein requires you to use the entire alphabet of amino acids. ✔️The value of having a consistent amount of daily protein. ✔️Protein becomes more important as you age. CHAPTERS: 00:51 Welcome and Introduction 02:51 The role of protein in a healthy body 04:18 Better sources of protein 07:50 How much protein is enough for YOU? 11:28 What you should know about protein supplements 13:24 Bolusing for protein 18:51 Are you getting enough protein? 21:56 Can you ever have too much protein? 24:57 What you need to remember about protein and type 1 diabetes RESOURCES MENTIONED: Protein List from Integrated Diabetes Services CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.  

In this year-end special, host Gary Scheiner shares top moments from your three favourite episodes! Number 3…Clinicians offer practical advice on glucose management in “Food, Technology, and Insulin.” Number 2… Riva Greenberg discusses the illusion of perfect glucose control, challenging conventional thinking. And the fan-favourite for 2025 was the episode when Gary and Dana Roseman compare leading CGMs in “Libre 3 vs Dexcom G7.” This beloved podcast helping listeners make informed choices. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Riva Greenberg is a multi-time author, columnist, and blogger. She has lived with type 1 diabetes for over 50 years and has presented her “Flourishing Approach” to healthcare professionals and people with diabetes all over the world.   WHAT YOU’LL LEARN: ✔️80% of your management is what you do over and over. ✔️Why it is impossible to “control” your blood sugars, but how you can positively influence them. ✔️The value of data when managing your diabetes care.   CHAPTERS 00:15 Welcome and introduction 02:28 Understanding your insulin 8:08 The value of understanding your typical meals 10:13 Meet Riva Greenberg 12:18 Why can’t diabetes and blood sugar levels be controlled? 15:25 Glucometer commercials should picture readings of 283 mg/dl 19:24 The evolution of CGMs 22:11 Dexcom G7 vs Libre 3+ CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

The Integrated Diabetes Services clinical team has explored a number of topics and spoken with many guests over the course of 2025. In this special episode, we share highlights from their three favourite episodes. Number 3… When Type 1 Diabetes and Mental Health Collide. From Darkness to Resilience Number 2… IDS Diabetes Experts, The Trinamic Trio Share Personal Experiences with Open-Source Application Number 1…. Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Joanne Milo has lived with Type 1 diabetes for 60 years and just launched a brand-new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life. Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN: ✔️You are not alone. Diabetes impacts more than just your physical health. ✔️Optimizing your diabetes outcomes can take a level of faith. ✔️ Healthcare wasn’t prepared for people living with type 1 diabetes to live longer, but after spending their lives advocating for improvements, they aren’t stopping now. CHAPTERS 00:37 Introduction 03:10 Amy’s Mental Health Crisis 07:34 The Turning Point: A Cry for Help 10:38 Thoughts on Open-Sourced insulin delivery systems 12:43 Learning to trusting the technology 20:24 Joanne Milo highlights the worries of seniors with type 1 diabetes 26:59 How can we best serve the aging T1D population? RESOURCES MENTIONED The Savvy Diabetic T1D to 100    

In Episode 65 of Think Like a Pancreas—The Podcast, the Integrated Diabetes Services clinical team share why they became Diabetes Care and Education Specialists. Some were inspired by life-changing healthcare professionals. Some were inspired by Gary Scheiner, but every clinician on the IDS team continues to be motivated by a desire to improve the lives of people living with diabetes. MEET THE CLINICIANS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Gary Scheiner, MS, CDCES is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  He is the owner of Integrated Diabetes Services and is actively involved with many diabetes related organizations as a volunteer and clinical advisor. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. Diagnosed with type 1 diabetes at age twelve, Kathryn’s work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated compassionate informed and equitable care to all people. Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Dr Paula Diab PhD, CDCES is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. WHAT YOU’LL LEARN: ✔️What influenced each team member’s decision to become a Certified Diabetes Care and Education Specialist. ✔️ How Gary’s team of specialists came together to create the Integrated Diabetes Services team that you know today. CHAPTERS: 00:22 Welcome and introduction 01:05 Kristi’s why 02:46 Who changed Gary’s career path 03:46 When Tavia had to sit through a diabetes class 07:01 Paula’s Google search 09:03 From Fangirl to team member 12:15 The value of experiential knowledge 19:52 How life made Dana pivot her career 21:24 Jenny wanted to be a vet 24:36 I want to be Gary Scheiner! CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 64 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinician Kristi Paguio sits down with Amy Sczepanski to discuss her remarkable mental health journey. Amy candidly reflects on her experiences moving beyond suicide attempts to building a fulfilling life, highlighting pivotal moments that reshaped her path. The conversation delves into the transformative power of therapy, emphasizing the importance of addressing both mental and physical aspects of healing. Together, Kristi and Amy explore how unconditional love, effective medication, and actively seeking support from the medical community play essential roles in overcoming despair and fostering well-being. Listeners gain insight into the significance of self-acceptance, the value of supportive relationships, and practical strategies for nurturing mental health while living with type 1 diabetes. Important Notice: This episode contains frank discussions about mental health crises, including suicide, as well as strong language. MEET YOUR HOST AND HER GUEST: Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. WHAT YOU’LL LEARN: ✔️How people hide their emotional pain behind their diabetes. ✔️Mental health struggles are hard to discuss with others. ✔️ When your mental health isn’t doing well, your diabetes won’t be doing well either. ✔️Professional therapy is more valuable than you think. ✔️There is no shame in taking medication for your brain health.   CHAPTERS 00:15 Welcome and introductions 03:10 Introduction to Amy's Journey 07:35 The Turning Point: A Cry for Help 13:26 Finding the helpers 15:22 Amy’s path of self abuse 18:42 The baby steps to Amy's healing journey 23:06 The Power of Shared Stories 25:33 Diabetes is the burden, not you! 27:57 Finding the right tools with your healthcare team 31:51 Tips for improved mental and physical well-being 35:13 The IDS team gets it 39:01 Final thoughts RESOURCES: Jenny Smith, Integrated Diabetes Services CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US: If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!    

Episode 63 of Think Like a Pancreas-The Podcast is part two of a two-part series with clinician, Kathryn Gentile-Alvarez and Ali Adler. Ali shares how her family can remain sane despite having two young children with type 1 diabetes. Her oldest son was diagnosed with type 1 diabetes at 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the support systems that they have put in place that improves the health and well-being of the entire family.   MEET YOUR HOST AND HER GUEST: Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Ali Adler is a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when her oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN: ✔️Diabetes always goes wrong right before an appointment with a specialist. ✔️A bad diabetes day is often just a day. ✔️ Mistakes can happen to the best of us.   ✔️ Don’t skimp on your sleep. CHAPTERS 00:16 Welcome and introductions 01:34 Tom and Joe’s diabetes diagnosis 05:23  The struggles around finding diabetes care 08:20 Investing in an Au Pair 11:58 Other childcare options 13:18 There is no way to speed up the grief process 15:38 The silver lining of a type 1 diabetes diagnosis 17:27 And then there was celiac disease 21:51 Diabetes always goes wrong when you need it to go right. 22:56 Re-evaluating a negativity bias 25:33 The need to be “on” all of the time 26:14 How IDS helped them to sleep safely at night 30:20 The most important tool in their diabetes management system RESOURCES: TrialNet      https://www.trialnet.org/ https://integrateddiabetes.com/how-to-start-the-process/ Three moms and a diabetes diagnosis.  Joanne Milo, Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US: If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.  

Episode 62 of Think Like a Pancreas-The Podcast is part one of a two-part series. Clinician, Kathryn Gentile-Alvarez speaks with Ali Adler about raising two toddlers with type 1 diabetes.  Ali shares how she diagnosed her oldest son when he was 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the emotional impact that it has had on this young family, as well as the steps that they have taken towards finding technology improves the health and well-being of the entire family.   MEET YOUR HOST AND HER GUEST: Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Ali Adler is a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when her oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN: ✔️You can do everything right and things can still go wrong. ✔️It is okay to embrace technology at your own speed. ✔️The grief of a diabetes diagnosis lingers. ✔️Even seasoned type 1 clinicians find the toddler years a special challenge.   CHAPTERS 00:16 Welcome and Introductions 02:00 Tom and Joe's diabetes diagnosis stories 06:03 The impact of diabetes diagnosis on the family’s emotional health. 07:04 The decision to test for antibodies…or not 08:12 One diabetes is not like the other. 09:53 The unique diabetes challenges of toddlers and small children 12:21 Kathyrn’s diabetes journey 16:06 The technology journey is a marathon 24:56 Taking a diabetes technology break   RESOURCES: TrialNet      https://www.trialnet.org/   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 61 of Think Like a Pancreas—The Podcast, clinicians, Jennifer Smith, Tavia Vital, and Dana Roseman share proven strategies for effective glucose management starting with the essentials of insulin timing. They offer practical advice to help you optimize your insulin delivery system, making it work for your unique needs. Just as strong relationships rely on clear communication, so does successful diabetes management. Jenny, Tavia, and Dana explain how to use what you know to confidently handle unfamiliar foods and navigate holiday gatherings. They further share the importance of using pre-boluses and recognizing post-meal glucose patterns to make your diabetes care less stressful and more predictable MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. She strives to be an expert resource on intensive diabetes management options.   WHAT YOU’LL LEARN: ✔️ The basics on how insulin works. ✔️ Your blood sugar level must go up before it goes down after eating. ✔️ How to use what you know mixed with of the box thinking to create bg success. ✔️ How to best put clothes on your breakfast carbohydrates ✔️Your AID system doesn’t always know best. ✔️ BG levels won’t always be perfect no matter how hard you try. CHAPTERS 00:13 Welcome and Introduction 04:29 Understanding insulin get the optimal glucose excursion after a meal. 09:12 Using preferenced meals to guide you when eating something new. 11:13 The same meal. The same time. Different results. What now?? 15:44 Slowing the rise of standard breakfast foods. 18:57 Mastering the “suspension” of insulin before meals in AID systems. 23:22 When you don’t have time to wait for targeted bg levels to bolus. 24:30 The secret to great blood sugar levels during the holidays. 28:21 Pre-bolus guidelines. 30:55 Benefits of Loop or Trio for insulin, bolus timing, and food coverage. 36:53 The super-bolus. 40:24 Your diabetes may vary.   RESOURCES MENTIONED Glucose Goddess—Jessie Inchauspe https://www.amazon.ca/stores/Jessie-Inchauspe/author/B093K86K1Z John Walsh—Pumping Insulin https://www.amazon.ca/stores/John-Walsh/author/B009KTDCKM   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In the 60th episode of Think Like a Pancreas—The Podcast, Dr. Paula Diab sits down with Mr. South Africa contestant Darryn Webster and online influencer Kirsten De Klerk to discuss how they leverage their public profiles to promote diabetes awareness. Together, Darryn and Kirsten are dedicated to educating others about the signs and symptoms of diabetes and empowering people to thrive while living with the condition. Darryn raises awareness through his celebrity platform as a Mr. South Africa contestant, while Kirsten inspires and connects with the diabetes community through her Instagram initiative, "Everyday is Diabetes Day," where she shares resources and leads charitable efforts. WHAT YOU’LL LEARN: ✔️ The importance of connection in diabetes management. ✔️ We are stronger when united with one voice. ✔️ The value of sharing your story in high profile places. MEET YOUR HOST AND HER GUESTS: Dr. Paula Diab PhD, CDCES is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. She earned her undergraduate medical degree from the University of Cape Town in 2000 and then returned to her home province of KwaZulu-Natal to establish her career and continue her post-graduate studies. She is certified as a Diabetes Care and Education Specialist in the US. Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies). Darryn Webster works in medical sales and is currently competing in the Mr. South Africa competition. His campaign focus is diabetes awareness. With so many South Africans currently diagnosed with the disease, Darryn has seen firsthand through his work just how widespread and misunderstood diabetes is. He plans to use the Mr. South Africa platform to spread education, awareness, and support to those living with it. Kirsten De Klerk began her Instagram account, Everyday is diabetes day as a way to keep herself accountable in managing her type 1 diabetes. As her following grew, Kirsten became a diabetes advocate. She is the co-founder of SA Diabetes Advocacy, an IDF Young Leader in Diabetes, and a Campaign Manager at Treeshake. CHAPTERS: 00:13 Welcome and Introduction 02:01 Meet Darryn Webster, Mr. South Africa Contestant 02:56 Meet Kirsten De Klerk, diabetes advocate 06:14 Every day is diabetes day 10:28 How a bid to be Mr. South Africa is helping the diabetes community 14:25 With diabetes awareness comes improved health outcomes 17:33 The value of a lived experience in diabetes awareness and education 21:55 When Darryn wins Mr. South Africa 26:27 How to partner with Kristen’s diabetes efforts 28:52 Everyone has a role to play in diabetes advocacy RESOURCES MENTIONED https://www.instagram.com/everydayisdiabetesday/ South Africa Diabetes Advocacy  https://www.diabetesadvocacy.org.za/ Treeshake https://treeshake.com/ Sweet Life https://sweetlife.org.za/ Mr. South Africa https://www.mrsa.co.za/event-list The Burden of Diabetes and Self-Advocacy https://www.podbean.com/eas/pb-efpit-196bb75   CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! MORE GREAT EPISODES LIKE THIS Coping with Burnout in Diabetes Management: Strategies for Success   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 52 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Jennifer Smith and Dana Roseman discuss the critical relationship between nutrition, exercise, and diabetes management. They explore how to effectively manage blood sugar levels during physical activity, the importance of individualized approaches to insulin and exercise, and the role of hydration and nutrition in optimizing performance. The conversation emphasizes the need for planning and understanding one's body to achieve successful outcomes in exercise and diabetes management. MEET YOUR HOSTS Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.   Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. WHAT YOU’LL LEARN: ✔️How to overcome the fear of new exercise routines. ✔️The importance of healthy blood sugar targets for exercise performance. ✔️ To use insulin rather than constantly feeding your insulin. ✔️The value of hydration and post-exercise nutrition. ✔️ Whole foods should be prioritized over supplements for nutrition.. CHAPTERS 00:11  Welcome and Introduction 00:59  Fueling for exercise with Jennifer and Dana 03:57  Blood glucose levels impact performance levels 05:34  Fasted Exercise: Strategies and Benefits 07:26  Insulin and Fueling Strategies for exercise 09:51  Understanding your needs for food, insulin, and exercise 13:27  The impact of the type of exercise on your blood sugar levels 17:21  Hydration and Its Impact on Performance 18:44   Fueling tips for endurance athletes 22:51   Low blood volume vs low blood sugar 24:00  Post exercise tips 28:38  The Role of Whole Foods vs Supplements 31:00 Final thoughts on exercise and diabetes management   RESOURCES MENTIONED Diabetes, Nutrition, and Wellness with Dana Roseman and Jennifer Smith https://www.podbean.com/eas/pb-njy66-190feba CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] 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 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 [email protected] 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 [email protected] 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 Happy GLP1 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/ Sponsored by: ByramHealthcare.com/podcast or call 866-692-8024 and select option 3 Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] 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 [email protected] 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.

In Episode 47 of Think Like a Pancreas—The Podcast, we once again pull back the curtain and share the fabulous personalities of the Integrated Diabetes Services clinicians. In part two of our three-part series, meet: 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. 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.   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). What you will learn: ✔️ How Alicia, Anna, and Paula came to be members of the Integrated Diabetes Services team. ✔️ How patient care is enhanced by blending clinical expertise and lived experience. ✔️ The value of having certified diabetes care and education specialists in multiple disciplines. ✔️ Which IDS team clinician would win in an arm-wrestling contest and who uses the most emojis in their correspondence! Chapters: 00:15 Welcome and Introduction 00:40 Say hello to Alicia, Anna, and Paula 01:27 How Dr. Paula Diab came to be a part of the IDS team 02:31 How Anna Sabino became a part of the Integrated Diabetes Services team 03:46 Fangirl turned IDS clinician 08:02 Why helping other people with diabetes is so important to Anna, Paula, and Alicia 14:40 How Integrated Diabetes Services gives back to the diabetes community 19:42 Managing whole-person care. 35:40 What you didn't know about the Integrated Diabetes Services team Resources Mentioned: Think Like a Pancreas—The book The Diabetic Athlete’s Handbook Pumping Insulin by John Walsh Accepting and Normalizing Anxiety While Living With Diabetes Diabetes Barbie   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 [email protected] 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 Fourth Edition Coping with Burnout in Diabetes Management: Strategies for Success Pregnancy with Type 1  diabetes   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 [email protected] 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 [email protected] 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/ Sponsored by: ByramHealthcare.com/podcast or call 866-692-8024 and select option 3 Connect with Us 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team, visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 🔵 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 [email protected] Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. Don't forget! ✔️You can start working with the Integrated Diabetes Services Team  by visiting https://integrateddiabetes.com/how-to-start-the-process/ ✔️AND...Don’t let the complexity of open-source systems deter you from experiencing their benefits. Reach out to Integrated Diabetes Services for expert coaching and start your journey toward better diabetes management today!  

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