Think Like A Pancreas...The Podcast!

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 info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
 
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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

In 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 info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 

In episode three of our ongoing nutrition series, Jennifer Smith and Dana Roseman dive into the unique challenges of holiday eating for people living with diabetes. They share practical strategies for insulin management, discuss the benefits of technology in diabetes care, and highlight the importance of accepting blood sugar fluctuations during festive meals. Before heading into another holiday season, tune in to hear Jenny and Dana’s expert tips and personal insights for managing diabetes and enjoying the festivities.
MEET YOUR HOSTS:
Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.
 
Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
WHAT YOU’LL LEARN:
✔️The importance of knowing how your insulin delivery system works.
✔️ Ways to spend more time socializing and less time monitoring blood sugar levels over the holidays.
✔️ Large meals require longer insulin delivery.
✔️ How fasting holidays can help your diabetes management.
CHAPTERS:
00:13  Welcome and introduction
02:59  Knowing your insulin delivery system
06:54  And then comes a GLP-1
07:47   Out of the box thinking helps with holiday eating
09:59  Making Peace with Blood Sugar Fluctuations
11:40  Strategies for Enjoying Holiday Treats
15:03  Jenny’s insulin strategy for her Thanksgiving meal
18:09  Adding physical activities to the holidays
19:38  What to do when the holiday requires fasting
22:52  Sitting, Drinking, and being Stressed! Final tips to get you through the holidays
RESOURCES MENTIONED:
 IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application
https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w
Trio: An Open Source Overview
https://integrateddiabetes.com/diy-services-support/
 
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW:
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 

In Episode 58 of Think Like a Pancreas—The Podcast, we pull back the curtain on the final three clinicians!
Enjoy a candid conversation with Kathryn Gentile-Alvarez, Jennifer Smith, and Dana Roseman.
THE CLINICIANS
Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.
Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.
 
WHAT YOU’LL LEARN:
✔️ Who wanted to be Gary Scheiner when they grew up.
✔️ How they found their way to using open-sourced insulin delivery systems.
✔️ Who has never been on ice skates.
✔️ Which team members wanted to be veterinarians when they were small.
✔️ How diabetes devices could be dangerous in a Zombie apocalypse.
 
CHAPTERS
00:14  Welcome and introductions
00:54  Kathryn, Jenny, and Dana's Personal Journeys to Diabetes Education
05:26  Very different paths to surviving the college years with diabetes
09:50  The Aha moment in their diabetes care
12:30  How they found their way to use DIY Looping technology
16:06  Where in the world are the Integrated Diabetes Team clinicians?
16:30  Sports and Physical Activities they enjoy
18:41  When muscle memory failed Kathryn and Dana
20:53  The love...and hate for running
24:38  Gravy, the part-time Diabetes Alert Dog
25:08  The power of the Trynamic Trio
28:55  Everyone experiences diabetes mistakes
31:57  Noises that will get you killed in an apocalypse
RESOURCES MENTIONED
 IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application
https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w
Trio: An Open Source Overview
https://integrateddiabetes.com/diy-services-support/
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

With the increasing number of individuals living more than fifty years with type 1 diabetes, Episode 57 of Think Like a Pancreas—The Podcast features Kathryn Alvarez, Director of Exercise Physiology and Teen/Young Adult Specialist at Integrated Diabetes Services, in conversation with blogger and advocate Joanne Milo.
Together, they discuss strategies for effectively navigating the later stages of life with type 1 diabetes like the importance of community support, emergency preparedness, and advocacy for better healthcare for aging individuals with Type 1 Diabetes.
 
This episode is sponsored by Tempramed, makers of Vivi Cap
https://tempramed.com/pages/vivi-cap-boxd
MEET YOUR HOST AND HER GUEST
Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.
Joanne Milo  has lived with Type 1 diabetes for 60 years and just launched a brand new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life.
Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community.
WHAT YOU’LL LEARN:
✔️ More adults are being diagnosed with type 1 diabetes much later in life.
✔️ Community support is crucial for those living with diabetes.
✔️ Aging with Type 1 Diabetes presents unique challenges that need to be addressed.
✔️ Emergency preparedness is essential for managing diabetes as we age.
✔️ Advocacy is necessary to ensure proper care for aging individuals with diabetes.
✔️ Healthcare providers need to be educated about the needs of aging T1D patients.
CHAPTERS
00:14  Welcome and introductions
01:36  The inspiration behind T1D to 100
06:52 Navigating a medical system that wasn’t prepared for seniors living with type 1 diabetes
11:34  Addressing the Challenges of Aging with Type 1 Diabetes
14:44  A new potential role for parents of adult children with type 1 diabetes
16:36  The role of the diabetes community to bring about change in aging care
21:30  The importance of community engagement for seniors with type 1 diabetes
28:51  Creating a Go Bag for Emergencies
32:25  Why you need a personal medical resume
36:03  End-of-life considerations for people with diabetes
37:14  The key to successful aging with type 1 diabetes
49:17 Advocacy and Awareness for Aging with Diabetes
RESOURCES MENTIONED
 https://t1dto100.com/
 https://www.facebook.com/groups/t1dto100
 https://www.instagram.com/t1dto100
https://www.linkedin.com/company/t1dto100
Blog | The Savvy Diabetic
Secrets of the Longest Living People with Type one Diabetes by Sheri Colberg
https://www.amazon.ca/Secrets-Longest-Living-People-Diabetes/dp/1600940188
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
MORE GREAT EPISODES LIKE THIS
The Burden of Diabetes and Self-Advocacy
Diabetes, Nutrition, and Wellness with Jenny and Dana
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 56 of Think Like a Pancreas—The Podcast, Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services, is joined by Gary Scheiner for a conversation on preventing type 1 diabetes.
With improved access to screening tools, they explore the implications for people living with diabetes and their families.
Gary shares the latest research and treatment options, highlighting how these advances can lead to better outcomes for those at risk of developing, or those diagnosed with, type 1 diabetes.
 
MEET YOUR HOST AND HER GUEST
Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
Gary Scheiner is an award-winning CDCES Fellow, Masters-level Exercise Physiologist who received his diabetes training with the world-renowned Joslin Diabetes Center. He serves on the faculty of Children With Diabetes and is an active volunteer for the American Diabetes Association, Juvenile Diabetes Research Foundation, Diabetes Sisters and Setebaid Diabetes Camps. Gary serves on the clinical advisory boards for several diabetes device manufacturers and pharmaceutical companies, while bringing together an incredible team of experts with his company, Integrated Diabetes Services.
 
WHAT YOU’LL LEARN:
✔️ Who should be screened for type 1 diabetes.
✔️ How you or your loved ones can be screened.
✔️ Beta cell bubble-wrap strategies.
✔️ Next steps after screening.
 
CHAPTERS:
00:14  Welcome and introductions
02:00  Understanding the stages of developing type 1 diabetes
10:05  Who should be screened for type 1 diabetes?
14:15  The best age to consider screening
15:56  You’ve been screened for type 1 diabetes. What’s next?
21:33  Monitoring and insulin production preservation strategies
26:54  Medical intervention options to prevent stage 3, type 1 diabetes
35:43  To screen or not to screen is a personal decision
 
RESOURCES MENTIONED
Integrated Diabetes Services offers consulting services to individuals and families who test positive for antibodies. Call 610-642-6055 for details.
Most commercial labs such as Labcorp and Quest Diagnostics are equipped to perform antibody testing. Just ask your physician for a prescription the next time you have annual lab work.
At-home test kits can be obtained from TrialNet. Free screening kits are available at TrialNet sites or through the mail for first-degree relatives of people with T1D ages 2–45, or second-degree relatives ages 2–20. Call 800-425-8361 for details. https://www.trialnet.org/
ASK is a free T1D antibody screening service for children, available through the Barbara Davis Center for Diabetes:  www.askhealth.org
For a variety of resources on the T1D screening process, visit www.type1tested.com
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
MORE GREAT EPISODES LIKE THIS
The Quest for a Cure: A Diamyd In the Rough
 
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 55 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Mental Health Clinician, Anna Sabino speaks with James van der Meulen about diabetes burnout.
Together they share their stories of living with diabetes since childhood. They explained how they have learned to recognize and work through the mental challenges that come with this journey.
 
MEET YOUR HOST AND HER GUEST
Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.   She is a graduate of Syracuse University with a dual degree in psychology and child and family studies.  She earned her Masters in Social Work from Washington University in St. Louis.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.
Anna’s greatest passion is helping individuals and families build a sense of confidence and comfort with their diabetes management.  
James van der Meulen has been living with type 1 diabetes since he was four years old. He has successfully managed his diabetes through university and law school. He is now a successful corporate lawyer in South Africa.
 
WHAT YOU’LL LEARN:
✔️ Diabetes is not one size fits all
✔️How to deal with diabetes interfering with daily demands.
✔️ Give yourself grace. You cannot expect perfection every day.
✔️ Burnout is part of being human
 
CHAPTERS
00:12  Welcome and introductions
03:04  The immense mental challenge of living with type 1 diabetes
04:13  How James deals with burnout
10:07  The Role of Technology in Diabetes Management
12:40   Understanding both your own role and that of technology significantly enhances your mental wellbeing.
14:21  Your diabetes burnout will vary
17:13  Burnout is the gatekeeper to other mental health issues
18:46  Parents must recognize burnout in their children
19:51  The mental challenge of managing your own diabetes care
24:23  How to avoid burnout as a parent of a child with diabetes
28:50 Grief for parents is a normal part of the process.
32:33 Learning to master self-doubt
RESOURCES MENTIONED
IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application
Watch the full-length episode Coping with Burnout in Diabetes Management: Strategies for Success
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
MORE GREAT EPISODES LIKE THIS
Coping with Burnout in Diabetes Management: Strategies for Success
 
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
 

In Episode 54 of Think Like a Pancreas—The Podcast, the Trynamic Trio of Dana Roseman, Tavia Vital, Jennifer Smith, and Kathryn Alvarez share their thoughts on the Trio Open-sourced Insulin Delivery System.
Hear the challenges that they faced as users and how they learned from their experiences to better help their clients at Integrated Diabetes Services.
MEET YOUR HOSTS
Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.
Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. She strives to be an expert resource on intensive diabetes management options.
Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.
 
WHAT YOU’LL LEARN:
✔️ The value of learning the Trio language.
✔️Valuable information found onscreen.
✔️ Trio requires more extreme experimentation than Loop.
✔️The value of Trio for teens and athletes.  
CHAPTERS
00:11  Welcome and disclaimer
00:36  Meet the Try-namic Trio
02:26  Starting Trio in a refreshed state
03:41  Favourite Trio Features
08:53  Trio + Steroids = Great blood sugar control
10:18  The Freedom of Unannounced Meal Bolus
16:58  Tighter Standard Deviation with Trio
18:23  How to basal test with Trio
22:05 Who should use Trio?
25:14 Recap
RESOURCES MENTIONED
IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application
https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w
Trio: An Open Source Overview
https://integrateddiabetes.com/diy-services-support/
https://integrateddiabetes.com/what-is-a-hybrid-closed-loop-system/hybrid-closed-loop-comparisons-options/
https://integrateddiabetes.com/some-technology-updates-from-the-diabetes-world/
https://integrateddiabetes.com/6-top-tips-for-open-source-diy-diabetes-management/
 
CONNECT WITH US
🔵Website: integrateddiabetes.com
🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook
🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ ,  or email info@integrateddiabetes.com
SUBSCRIBE AND REVIEW
If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.
Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.