Think Like A Pancreas...The Podcast!

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 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 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 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 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 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
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 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:
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 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
🔷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 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 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 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
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 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!

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 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:
✔️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 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!