Think Like A Pancreas...The Podcast!

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!

Episode 21: Navigating Type 1 Diabetes and ADHD – Tips, Tricks, and Real Talk

Welcome to another enlightening episode of Think Like a Pancreas! This week, listen in as Tavia, Anna, and Kristi dive into the intricate world of managing both type 1 diabetes and Attention Deficit Hyperactivity Disorder (ADHD). With their combined expertise in diabetes care and education, social work, and personal experiences, they offer invaluable insights and practical strategies for those navigating these dual challenges.
In This Episode, You'll Learn:
Introduction and Background: Meet our hosts—Tavia, Anna, and Kristi—as they introduce themselves and their roles as diabetes educators and social workers. They explain the increasing prevalence of individuals living with both type 1 diabetes and ADHD and emphasize the importance of raising awareness and providing validation.
Common Symptoms and Challenges: The hosts discuss common symptoms and challenges faced by individuals with ADHD, such as difficulties with executive functioning, decision-making, and task completion. They share personal anecdotes about observing these challenges in their children and clients, highlighting the impact on diabetes management tasks like checking blood sugar and changing pump sites.
Strategies and Support: Discover effective strategies for supporting individuals with ADHD and diabetes. The hosts emphasize the importance of structure, routines, and environmental modifications. They provide examples of using visual aids, breaking tasks into smaller steps, and involving family members for reminders and support. They also discuss the value of positive reinforcement, validation, and the necessity of avoiding internalization of struggles.
Closing Thoughts: The hosts share their closing thoughts on the ongoing challenges of managing their own diabetes, stressing that perfection is not the goal. They encourage listeners to reach out for support and resources, promoting the idea that no one should feel isolated in their experiences. They also mention upcoming caregiver support programs and provide information on how to connect with them.
Meet the Hosts: Join hosts Tavia Vital, Anna Sabino, and Kristi Paguio as they share their expertise and personal experiences in managing type 1 diabetes and ADHD. Their compassionate and practical advice offers valuable support for anyone living with these conditions.
Conclusion and Resources: Don't miss this episode packed with expert advice and practical tips! Reach out to the hosts or the Integrated Diabetes Services team for personalized guidance on managing type 1 diabetes and ADHD. Explore additional resources and support networks to enhance your diabetes management journey.
Join Us: Subscribe now to Think Like a Pancreas for more episodes filled with expert advice and practical strategies. Share this episode with fellow diabetes and ADHD warriors, and leave a review to let us know your thoughts!

Episode 20: The Multiple Facets of Diabetes Care

Welcome to another inspiring episode of Think Like a Pancreas! Join host Gary Scheiner as he delves into a captivating conversation with Tavia Vital, the Director of Intensive Diabetes Management at Integrated Diabetes Services. Together, they explore Tavia’s multifaceted approach to diabetes care, highlighting her unique background and extensive experience.
In This Episode, You'll Learn:
Introduction and Background: Meet Tavia Vital and learn about her upbringing in a small town in Iowa. Tavia shares the benefits of small-town living and a humorous take on counting the town's few traffic lights.
Tavia's Journey into Diabetes Care: Discover Tavia's long-standing relationship with type 1 diabetes and how it inspired her to pursue a career in diabetes education. She emphasizes the importance of understanding the nuances of diabetes management and relating to patients' experiences.
Multilingual Skills and Working with Spanish-Speaking Families: Explore Tavia's multilingual background, including Spanish, Portuguese, German, and Chinese. Learn about her work as a certified medical interpreter in Spanish and her dedication to supporting Spanish-speaking families in managing diabetes.
Supporting Families and Children with Type 1 Diabetes: Gain insights into Tavia’s experience working with families and children with Type 1 diabetes, including her own son's diagnosis. She highlights the importance of early screening and the emotional support provided through the 'Time Out for Caregivers' group.
Pregnancy Management and Collaboration: Understand Tavia's expertise in helping women plan for and navigate pregnancy while living with type 1 diabetes. Learn about her collaboration with Jenny Smith to provide comprehensive support throughout the pregnancy journey.
Personal Life and Hobbies: Get a glimpse into Tavia’s personal life, including living in a two-family home with her extended family to care for her parents. Discover her love for outdoor activities like kayaking and her past involvement in playing percussion instruments like steel drums and marimba.
Meet the Hosts and Guest: Join host Gary Scheiner and guest Tavia Vital as they share their expertise and personal experiences in diabetes management and education. Tavia’s journey and insights provide valuable lessons for anyone living with diabetes.
Conclusion and Resources: Don't miss this episode filled with expert advice and practical strategies! Reach out to Tavia or the Integrated Diabetes Services team for personalized guidance on diabetes management. 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 tips. Share this episode with fellow diabetes warriors, and leave a review to let us know your thoughts!

Episode 19: Mastering Diabetes with Exercise and DIY Technology

Gary Scheiner, the host and owner of Integrated Diabetes Services, and Kathryn Gentile-Alvarez, the Head of Exercise Physiology at IDS, discuss Kathryn's journey from being an intern to becoming a valued member of the team, her experience with various diabetes technologies like insulin pumps and DIY closed-loop systems like Loop and Trio, and her expertise in exercise physiology. They touch upon topics like managing blood sugar levels during different types of workouts, the support available for open-source DIY systems, and the adaptability of such systems. The conversation is lighthearted and includes personal anecdotes, such as Kathryn's wedding and her dog, Gravy.
Chapters
00:00:05 Introduction and Personal Anecdotes
Gary Scheiner introduces Kathryn Gentile Alvarez, the head of exercise physiology at Integrated Diabetes Services. They reminisce about Kathryn's wedding, which Gary attended, and her new pet dog, Gravy. Kathryn shares how she initially reached out to Gary as an undergrad, inspired by his book 'Think Like a Pancreas,' but accidentally emailed the wrong person with the same name.
00:01:52 Kathryn's Journey with Diabetes Technology
Kathryn discusses her journey with diabetes technology, starting from using injections and a CGM to transitioning to an insulin pump after joining Integrated Diabetes Services. She shares her experience with various pumps, including the Omnipod 5, and her preference for the customization and flexibility offered by DIY closed-loop systems like Loop and Trio.
00:09:49 DIY Closed-Loop Systems: Support and Adaptability
Gary and Kathryn discuss the support available for DIY closed-loop systems, highlighting the active online communities and the responsiveness in adapting to new technologies like ultra-fast insulins and CGMs. They compare the user experience and customization options between commercial systems like Omnipod 5 and open-source systems like Loop and Trio.
00:15:05 Exercise and Diabetes Management
As the exercise physiologist at Integrated Diabetes Services, Kathryn shares her expertise in managing diabetes during various types of workouts, such as pickleball, tennis, and biking. They discuss the impact of different exercises on blood sugar levels and the importance of making insulin adjustments accordingly. Gary and Kathryn also touch upon their personal workout routines and the challenges of maintaining optimal blood sugar levels during exercise.
Join Us: Subscribe now to Think Like a Pancreas for more episodes packed with expert advice and practical tips. Share this episode with fellow diabetes warriors, and leave a review to let us know your thoughts!