Think Like A Pancreas...The Podcast!

The Quest for a Cure: A Diamyd In the Rough

Episode Summary
In Episode 31 of Think Like a Pancreas-The Podcast, host Gary Scheiner and guest Ginger Vieira discuss the innovative approaches being taken by Diamyd Medical in the quest for a cure for type 1 diabetes.
They explore the significance of using precision medicine, and the role of GAD65 therapy to modulate the immune response in the early stages of type one diabetes.
Gary and Ginger share the potential of benefits of Diamyd Medical’s Diagnode-3’s clinical trial, the screening process for participants, and the hope it brings to newly diagnosed individuals.
Key Topics Discussed
Recent Vertex results
The autoimmune process
The importance of precision medicine in treating type 1 diabetes.
How GAD65 therapy targets specific antibodies without widespread immune suppression.
The process and benefits of participating in clinical trials
What is different about Diamyd's Diagnode-3 trial.
Who qualifies for the Diagnode-3 trial?
What is involved in being a part of Diamyd's clinical trial?
How are outcomes measured?
What is in it for participants?
Chapters
00:14 – Welcome and Disclaimer
01:00 - Introducing Ginger Vieira
03:09 – Why Ginger is talking about Diamyd
04:00 – Lessons to be learned from Veretex
06:11 - How do you define a cure for type 1 diabetes?
07:33- What is unique about Diamyd's therapy?
08:45 - What is unique about Diamyd's therapy?
11:27 – The importance of pre-diabetes screening
17:19 - The problem of widespread immunosuppression
20:45 - Why should you participate in the Diagnode-3 Clinical Trial?
25:36 - How does Diamyd's clinical trial differ from other trials?
26:56 - Final Thoughts and Future Directions
31:41 - Gary's thoughts on Diamyd Medical's clinical trial
 
Links:
diabetesnerd.com
https://diagnode-3.com/
Diabetes Research Institute
TrialNet

The How and Why of MDI

Episode Summary
In Episode 30 of Think Like a Pancreas-The Podcast, we dive into the latest advancements in Continuous Glucose Monitors (CGMs). Host Gary Scheiner and guests Egils Bogdanovics, MD and Ginger Vieira explore the various methods of insulin delivery for diabetes management.
The trio focuses specifically on the differences between Multiple Daily Injections (MDI) and pump therapy.
Dr. Egils Bogdanovics and Ginger Vieira share why they prefer using Multiple Daily Injections over using an insulin pump.
The participants discuss the advantages and disadvantages of each method, including convenience, cost, and personal preferences. They also address the social stigma associated with insulin injections and the importance of adjusting insulin doses based on individual needs. 
Key Topics Discussed
MDI offers simplicity and flexibility for many users.
Personal experiences with insulin pumps can vary widely.
Choosing the right basal insulin is crucial for effective management.
Inhaled insulin can provide rapid correction for highs.
Connected pens can help track insulin doses and improve adherence.
Understanding insulin pharmacokinetics is key to effective therapy.
MDI can be as effective as pump therapy with proper management.
Carb counting may not be necessary with inhaled insulin.
The benefits of using MDI include freedom from a mechanical insulin delivery device and the issues that come with it, lower cost, and greater peace of mind.  
Links
diabetesnerd.com
Exercise with Type 1 diabetes
Pregnancy with Type 1 diabetes
Jennifer Smith, RD, LD, CDCES 
 
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Powering Through Passover with Type 1 Diabetes: Episode 29

In episode 29 of Think Like a Pancreas--The Podcast, host, Gary Scheiner and his guest, Rabbi Hirsch Meisels, of Jewish Friends With Diabetes International explore Powering Through Passover with Type 1 Diabetes. 
Listen as they delve into the challenges of extended meal times during the Seder and discuss effective glucose management strategies.
Learn about the importance of timing insulin dosages, especially in relation to the Seder's unique structure, and gain insights into carb counting techniques for matzah and other Passover foods to ensure a balanced and healthy observance.
Key Takeaways
Rabbi Hirsh Meisels explains the significance of Passover for non-Jewish listeners.
Adjusting Observances for Health: Rabbi Meisels discusses how Jewish law prioritizes health and allows for adjustments.
The Rabbi shares his tried and true method of carb counting for Matzah. 
Hypoglycemia Management: Recommended products for treating low blood sugar during Passover.
Maintaining Quality of Life: Gary and Rabbi Meisels emphasize the importance of enjoying Passover while managing diabetes effectively.
Chapter Markers
00:00 Introduction and Disclaimers
00:43 Meet Rabbi Hirsch Meisels
02:38 Living with Diabetes During Passover
03:42 Understanding Passover Traditions
07:12 Managing Blood Sugar During the Seder
11:00 Carb Counting and Insulin Tips for Passover Foods
18:27 Wine and Blood Sugar Management
23:56 Diabetes and Jewish Law
26:06 Hypoglycemia Management During Passover
27:59 Final Thoughts and Resources
Links
friendswithdiabetes.org
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 
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ATTD Discoveries with Melissa Holloway

In episode 28 of Think Like a Pancreas--The Podcast, host, Gary Scheiner and his guest, Melissa Holloway discuss the highlights from the Advanced Technologies and Treatments for Diabetes (ATTD) Conference held in Amsterdam.
They delve into emerging technologies for diabetes management, innovative medications, and new application software that can enhance the daily lives of those living with diabetes.
Key Takeaways
Melissa feels that the Dexcom 15-day sensor and its improved accuracy is a game-changer.
There is value in continuous ketone monitoring.
Updates on the latest insulin delivery systems and extended wear infusion sets.
Information about dual hormone infusion systems and their potential benefits.
Advancements in CGM, insulin pumps, and AID algorithms.
Introduction to innovative apps like 'Diabetes Cockpit' and their practical applications.
Chapters
00:00 - Introduction and Welcome
01:43 - Hello to Melissa Holloway
05:43 - Game Changing Technology
09:43 - Finger Stick Monitoring Developments
10:30 - Continuous Ketone Monitoring Thoughts
13:23 - GLP-1 Use in Type 1 Diabetes
17:43 - Advances in Screening For Prevention of Type 1 Diabetes
20:00 - Innovations in Insulin Delivery Systems
25:11 - Advances in Infusion Set Technology.
27:16 - Dual Hormone Infusion Systems
29:30 - Medtronic's Simplera Sensor
30:18 - Diabetes Apps of Interest
34:19 - Smart Start Software
39:34 - Conference Highlights and Reflections
Links
Advanced Technologies and Treatments for Diabetes (ATTD) Conference in Amsterdam.
The use of AID around physical activity and exercise in type 1 diabetes.
https://syntactiq.ai
Diatech Diabetes
Smart Start Health
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 
If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app.

Libre3 vs Dexcom G7--Battle of the CGM Titans

Episode Summary
In Episode 27 of Think Like a Pancreas-The Podcast, we dive into the latest advancements in Continuous Glucose Monitors (CGMs).
Dana Roseman, the Director of Technology and Research at Integrated Diabetes Services, shares her expert insights on the notable improvements in CGM devices, emphasizing key developments and future trends.
Finally, Dana and Gary provide a detailed comparison of the features and performance of the Libre3 and Dexcom G7.
Key Topics Discussed
Advancements in Continuous Glucose Monitors (CGMs): Dana Roseman shares her insights on the notable improvements in CGM technology.
Comparative Analysis: Dana and Gary review and compare the features and performance of the Libre3 and Dexcom G7.
Expert Insights: Dana provides her expert perspective based on extensive research and professional experience.
Future Trends: Discussion on key developments and future trends in CGM technology.
Links
Integrated Diabetes Services  or email info@integrateddiabetes.com
Byram Healthcare  or call 
Libre 3+ vs Dexcom G7 Continuous Glucose Monitoring (CGM) systems – a Detailed Comparison of Features
 
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 
If you enjoyed today's episode, don't forget to like, follow or subscribe on your favorite podcast app.

Episode 26: Tandem Mobi, Yay or Nay?

In this episode, Gary Scheiner and Alicia Downs discuss the Tandem Mobi insulin pump, sharing their experiences and insights on its features, usability, and the technology behind it.
They explore the pump's form factor, user interface, algorithm, and how it compares to other systems in managing diabetes.
The conversation also touches on the challenges users may face, including the limitations of the app and the importance of user engagement in diabetes management.
Key Takeaways
The Mobi pump has a user-friendly form factor that enhances wearability.
Control IQ algorithm provides immediate functionality without a learning curve.
Users can customize profiles for different insulin needs based on lifestyle changes.
The app requires multiple confirmations for actions, which can be cumbersome.
The Mobi pump's charging method can be inconvenient during use.
Exercise and sleep modes allow for tailored insulin delivery adjustments.
Tandem's transparency about their algorithm empowers users and clinicians alike.
The Mobi pump currently supports Dexcom G6 and G7, with plans for Abbott Libre compatibility.
User feedback is crucial for improving diabetes technology.
The conversation emphasizes the importance of proactive diabetes management.
Integrated Diabetes Services website: https://integrateddiabetes.com/

Episode 25: Time Out for Caregivers

Tavia Vital and Anna Sabino, the clinicians behind Time Out For Caregivers, discuss the emotional and practical challenges faced by parents and caregivers of children with Type 1 diabetes. They explore the grief process, the importance of caregiver support, transitioning responsibilities, building communication and independence, finding community resources, and the role of mental health support in managing the complexities of diabetes care.
For more information on and to sign up for Time Out for Caregivers: https://forms.gle/noa3F7fWzEpTuWoc9

Episode 24: Inhaled Insulin - Is it worth the hype?

In this delightfully candid podcast, a motley crew of diabetes experts engaged in a spirited discussion about the wonders and woes of inhaled insulin. With a delightful blend of wit and wisdom, they explored the rapid-fire effects of this ultra-fast insulin, likening it to a plane landing (or crashing, depending on who you ask). From hijacking insulin pens to feeling like a drug dealer, these "Diabetes Nerds" left no stone unturned in their quest to demystify this innovative treatment option. Amidst the banter, they offered sage advice on navigating the insurance labyrinth and striking the perfect balance between micromanagement and 'set it and forget it' diabetes care. A must-listen for anyone seeking a refreshingly humorous take on the ever-evolving world of diabetes management.
You can find more Inhaled Insulin content from Ginger Vieira on her YouTube channel  @DiabetesNerd  and her articles on Inhaled Insulin at https://beyondtype1.org/inhaled-insulin/
For one-on-one education on the use of inhaled insulin from qualified CDCESs, contact Integrated Diabetes Services.

Episode 23: What the Stigma?!

Jenny Smith, RD, LD, CDCES, chats with Corinna Santa Ana about overcoming the ever-prevalent stigma in both diabetes and women's health. Corinna recently participated in the International Consensus to #EndDiabetesStigma. You can learn more about the diaTribe Foundation's ongoing collaborative efforts to end diabetes stigma online at https://dstigmatize.org. You can find Corinna on social media as @Type2Musings and scattered across multiple publications as the author of articles about stigma, diabetes, and women's health.
Summary
This conversation explores the complexities of diabetes management, particularly in women, and the importance of understanding reproductive health, monitoring, and community support. Jenny Smith, RD, LD, CDCES and Corinna Santa Ana discuss the need for better education, personalized care, and the impact of societal roles on health outcomes. They emphasize the importance of listening to patients and fostering open conversations about health, as well as the challenges posed by the healthcare system. They also highlight the significance of technology in diabetes care and the necessity for cultural sensitivity in dietary recommendations
Keywords
diabetes, women's health, type 1 diabetes, type 2 diabetes, gestational diabetes, healthcare, monitoring, community support, reproductive health, personalized care
 
 

Episode 22: The Origin Story of Gary Scheiner

Welcome to another engaging episode of Think Like a Pancreas! This week, Jenny Smith steals the podcast host role to shine the spotlight on the usual host, Gary Scheiner, the Director of Lifestyle and Nutrition at Integrated Diabetes Services. Gary shares his journey from an aspiring medical student to a leading figure in diabetes care, discussing his passion for exercise physiology, sports, and personalized diabetes management.
In This Episode, You'll Learn:
Introduction and Background:Meet Gary Scheiner, our guest for this episode. Gary reflects on his initial aspirations to pursue a career in medicine and how his experiences with his pre-med peers led him to explore other interests, eventually finding his true calling in diabetes management and exercise physiology.
Discovery of Exercise Physiology and Diabetes Management:Gary discusses his journey to discovering exercise physiology's role in diabetes management. After an unfulfilling stint at an advertising agency, a diabetes meeting at a local hospital reignited his passion for sports and managing diabetes actively, leading him to pursue a master's degree in exercise physiology.
Founding Integrated Diabetes Services:Learn how Gary founded Integrated Diabetes Services to fill the gap he observed while working at the Joslin Diabetes Center. He emphasizes the importance of having a team of clinicians who personally understand diabetes and can provide detailed, empathetic care free from institutional constraints.
Passion for Sports and Diabetes Management:Gary shares his love for sports, particularly basketball, and how he manages his diabetes while staying active. He discusses his experiences with various insulin pumps and continuous glucose monitoring (CGM) systems, and the challenges of bolusing for his favorite snack, popcorn.
Family Life and Diabetes Management:Explore how Gary’s family supports him in managing his diabetes. He shares amusing stories about his children helping him find misplaced CGM receivers and his wife's supportive yet concerned role. Gary highlights the balance of accountability and privacy in sharing CGM data with loved ones.
Writing and Future Aspirations:Discover Gary's motivation for writing his book, "Think Like a Pancreas," to extend his reach and impact beyond his practice. He shares his future aspirations if diabetes were cured, including his vision of becoming a "facilitator of physical activity" to combat laziness and promote active living.
Conclusion and Resources: Don't miss this episode, which is filled with expert advice and personal anecdotes! Reach out to Jenny, Gary, or the Integrated Diabetes Services team for personalized guidance on managing diabetes. Explore additional resources and support networks to enhance your diabetes management journey.
Join Us: Subscribe now to Think Like a Pancreas for more episodes packed with expert advice and practical strategies. Share this episode with fellow diabetes warriors, and leave a review to let us know your thoughts!