Think Like A Pancreas...The Podcast!

In episode 110 of Think Like a Pancreas—The Podcast, Anna Sabino and Dana Roseman help families navigate one of the biggest back-to-school questions for children with type 1 diabetes: how much independence is realistic at each age and stage? For many families, a new school year feels like a fresh start—a chance to reset routines, build confidence, and help kids gradually develop the self-advocacy skills they will need both in and out of the classroom. In this conversation, Anna and Dana break down what children can reasonably manage from kindergarten through college, and how parents can support independence without constant texting, overcorrecting, or chasing perfect numbers. They also share practical guidance for getting through the messy first six weeks of school, avoiding big diabetes-management changes too soon, and letting kids learn from mistakes in a safe, supportive way. If you are parenting a child with type 1 diabetes, this episode offers reassurance, perspective, and realistic strategies for helping your child grow into greater independence—one school year at a time. SPONSORED BY: SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 MEET YOUR HOSTS: Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Type “You” Diabetes—Everyone will manage diabetes differently. Moms will deal with things differently than Dads. Dads will manage differently than the child. No one is necessarily “wrong”, it is just different. ✔️ Do NOT make major changes to your child’s diabetes care during the first six weeks of school. This is a time of learning and re-establishing routines. CHAPTERS: 00:00 The Fresh Energy of a New School Year 03:04 Age and Stage Expectations: What Children Can Realistically Handle. 09:27 The Shifting of Diabetes Care is Child Specific 13:59 Guiding Problem-solving 15:59 Managing the First 6 Weeks of Back-to-School 21:34 Your Child Will Manage Their Diabetes Their Way 23:36 They Will Make Mistakes 25:00 Empowering Your Child with Type 1 Diabetes 30:07 Final Tips RESOURCES: https://integrateddiabetes.com/its-back-to-school-for-parents-too/ Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 109 of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss the final chapter of his book Think Like a Pancreas. From technology to social supports, learn the members of Gary’s diabetes dream team (a dietician, physician, exercise physiologist, and mental health specialist) much more. Discover new trusted communities, financial assistance options, how to spot unreliable advice from uncredentialed online coaches, and where to access free tools like the Diabetes Bites newsletter. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ In-person groups like Grown Up T1Ds, volunteer organizations, and peer networks reduce stress and keep people engaged. ✔️ Stick with credentialed professionals and established, tested organizations; treat advice from uncredentialed online "coaches" with caution. CHAPTERS: 00:00 Introduction and Welcome 02:00 Gary’s Diabetes Dream Team 03:50 Technological Devices to Consider 06:29 Social Supports 08:46 Financial Support 09:15 How the Resource Landscape Has Changed 11:54 Steering Clear of Bad Advice 13:50 Other Valuable Resources RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition Grown up T1D: A Festivus for the Rest of Us https://Integrateddiabetesservices.podbean.com/e/grownup-t1ds-a-festivus-for-the-rest-of-us/ Breakthrough T1D https://www.breakthrought1d.org American Diabetes Association https://diabetes.org Sign up for Diabetes Bites https://integrateddiabetes.com/think-like-a-pancreas-the-podcast-august-2026-schedule-2/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 108 of Think Like a Pancreas—The Podcast, host Tavia Vital, RN, CDCES, sits down with author Gary Scheiner to discuss Chapter 9 of Think Like a Pancreas. Together, they take an honest look at the highs and lows that affect everyone living with diabetes and offer practical guidance for handling them safely. Throughout the conversation, Gary and Tavia emphasize that perfection is not the goal. Mild, infrequent highs and lows are a normal part of life with diabetes but understanding how to respond can make those moments less overwhelming. Listen to learn why dextrose is often the preferred treatment for hypoglycemia, what to expect after using glucagon, why extreme highs and lows should be rare, and when frequent episodes may be a sign that it is time to reassess your diabetes management plan. MEET YOUR HOST AND HER GUEST: Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Speed matters when you are low. Consider foods that spike your blood sugar levels. ✔️ Highs and lows are normal, but if you are experiencing continuous high or low blood glucose levels, it is time to speak to someone about making changes in your diabetes management. CHAPTERS: 00:00 Welcome and Introduction 03:57 Even the “Experts” Have Highs and Lows 06:00 How NOT to Treat “Hypos from Hell” 08:47 Why Dextrose 11:50 The Real Dangers of Low Blood Glucose 14:23 What to Expect After Glucagon 16:26 Explaining a High Blood Sugar 18:11 But My Blood Glucose Level is Supposed to Rise 21:40 Diabetic Ketoacidosis (DKA) and Final Takeaways RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ Coping with Burnout in Diabetes Management: Strategies for Success https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In this episode of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss chapter eight of his book Think Like a Pancreas. This chapter looks at the daily challenges of living with diabetes and the many things that can influence blood glucose levels. From coffee to aging, mental exertion to weight changes, Paula and Gary share how some diabetes detective" work can effectively improve self-management. Listen to learn more from this insightful chapter from Think Like a Pancreas. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Managing type 1 diabetes is about the nearly impossible task of maintaining the equivalent of one teaspoon of sugar in your blood despite the many variables working against you. ✔️ Treat glucose management like detective work, looking beyond food and insulin to identify patterns across all these variables so adjustments can be made proactively. CHAPTERS: 00:00 Introduction and Welcome 03:24 Why Identical Days Produce Different Glucose Results 05:17 A Never-ending List of Variables 07:50 Surprising Things That Impact on Glucose Levels 12:23 Body Rhythms and Their Impact on Blood Sugars 18:53 Medications that Raise Glucose Levels 23:06 If you can predict it, you can prevent it RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 106 of Think Like a Pancreas—The Podcast, Jennifer Smith, RD, CDCES, sits down with author Gary Scheiner to unpack the key to a successful bolus. Together, they break down the six key factors discussed in Chapter 7 of Think Like a Pancreas that go into every dosing decision. Learn how insulin-to-carb ratio, correction dose, glucose trend and direction, insulin on board, physical activity, and timing all work together to help create a well-timed bolus. Together, these factors form a practical, real-world approach to the math—and the mindset—behind dosing insulin well. 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. 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, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Eating for a person with type 1 diabetes requires mathematical gymnastics. ✔️The perfect bolus won’t give perfect results every time, but it will put you in a position to succeed. CHAPTERS: 00:00 Introduction and Welcome 01:52 The Steps to Figuring out a Bolus Dose 03:36 Insulin to Carb Ratio 7:24 Bolusing for All of the Components of Your Plate 08:53 The Correction Dose 10:41 Adjusting Your Bolus Based on the Direction of Your Blood Sugar 12:00 Insulin On Board 15:26 Physical Activity 19:20 Mastering the Timing of Your Insulin 22:41 The Value of Experimentation 25:24 Recap RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Basal insulin may not get the attention that bolus doses do, but it's the foundation every diabetes management plan is built on. In this bonus episode of Think Like a Pancreas—The Podcast, Jennifer Smith talks with author, Gary Scheiner and breaks down what basal insulin does, why needs vary throughout the day (and from person to person), and how to tell if your dose is right. You'll learn how to evaluate basal insulin using fasting blood sugar patterns, the difference between testing basal on injections versus insulin pumps, and why most people's basal needs make up 40–50% of their total daily insulin and much more. Whether you're on multiple daily injections or a pump, this episode will help you understand the "why" behind basal insulin dosing so you can build a stronger foundation for the rest of your diabetes management. 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. 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, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Basal insulin needs are not flat or the same across all times of day. ✔️ If your basal is set properly, your blood glucose values should be stable throughout the night. CHAPTERS: 00:00 Introduction and Welcome 01:46 Your Basal is Your Foundation 04:10 How to Establish Your Correct Basal Dose of Insulin 05:31Basal Insulin on MDI vs an Insulin Pump 09:46 When Short Term Basal Rate Changes are Required 13:23 Finetuning Your Basal Rates 15:56 Recap RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In this episode of Think Like a Pancreas—the Podcast, Jennifer Smith sits down with author, Gary Scheiner to discuss chapter five of his book Think Like a Pancreas. They break down the difference between basal and bolus insulin and then share why they are important and how they each work. Listen to learn more insights into this fundamental chapter from Think Like a Pancreas. 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. 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, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Before anything else, ensure that you have your basal insulin set properly. It is the foundation on which all of your settings are built. ✔️ There can be a lot of value in using the right bolus insulin for the right situation. CHAPTERS: 00:00 Introduction and Welcome 03:11 The Restrictive Approaches of Insulins Past 04:46 Understanding Foundation Insulin 06:16 Is Your Basal Dose Correct? 07:48 The Differences in Basal Insulin Options 09:36 The Limitations of Injected Basal Insulin 11:53 The Basal/Bolus Approach RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In this bonus episode of Think Like a Pancreas—The Podcast, Katlyn Agosta talks to author Gary Scheiner about the Three Keys to Diabetes Management. Listen to know what you need in your diabetes toolbox to successfully manage your diabetes. Understand the skills that will serve you well over the years, and hear just how important attitude is in maintaining your over all health. MEET YOUR HOST AND HER GUEST: Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Patterns require changes to your diabetes care, occurrences do not. ✔️Attitude, the right tools, and skills all work together to create optimal diabetes management. CHAPTERS: 00:00 Welcome and Introductions 01:39 The Goal of Diabetes Management 02:42 The Three Keys to Diabetes Management 06:05 The Tools For Optimal Diabetes Care 12:14 The Skills Required 16:53 The Importance of a Positive Attitude 21:13 Gary’s Favourite Diabetes Tool 23:02 The Value of a Good Clinician RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Understanding insulin is the foundation everything else in diabetes management builds on. In this episode of Think Like a Pancreas--the Podcast, Tavia Vital is joined by author, Gary Scheiner to break down the basics. They talk about how insulin actually works in the body (Gary's "key and lock" analogy), the difference between type 1 and type 2 diabetes, and why some people can have features of both at once. You'll learn the real purpose of basal insulin versus bolus insulin, why "waking up with a good number" doesn't necessarily mean your basal dose is right, and how the major factors — food, stress hormones, physical activity, and insulin — work together to raise or lower blood sugar. Whether you're newly diagnosed or just want a refresher on the fundamentals, this episode lays the groundwork for everything else covered in Think Like a Pancreas. MEET YOUR HOST AND HER GUEST: Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️There are many types and sub-types of diabetes. ✔️ There are at least 11 different classes of medications for lowering glucose levels. ✔️ Basal insulin should keep blood glucose levels flat, while bolus insulin is used to cover food that is eaten. CHAPTERS: 00:00 Welcome and Introduction 02:43 The Types of Diabetes 10:12 What Kind of Diabetes Do I Have? 11:48 Things That Impact Blood Glucose 17:26 The Role of Basal Insulin 19:12 Bolus Insulin 20:13 The Job of Insulin in the Body 22:16 Adjusting Insulin 24:38 The Most Important Chapter in Think Like a Pancreas RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Chapter two of Think Like a Pancreas examines the motivation behind good glucose control. In this special episode, Dr. Paula Diab talks to author Gary Scheiner about the value of good glucose management now. Listen to learn why short-term benefits like better mood, energy, and focus are much more motivating than the fear of complications 20 years away, and why perfectionism has no place in diabetes management. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ The threat of complications that may occur in 20 years does not motivate improved glucose control. ✔️ Glucose control that is too tight can take a toll on your physical and emotional health. ✔️ About half of complication risk relates to blood sugar; the rest relates to genetics, lifestyle, environment, and unknown factors. Glucose management is the one piece within your control. CHAPTERS: 00:00 Introduction and Welcome 02:23 The Positive Aspects of Diabetes Management 06:59 Why Short-Term Benefits Motivate More than Long-Term Complication Fears 12:49 The Impact of Poor Glucose Management 15:40 The Benefit of Proper Glucose Management 16:59 Learning from the Data 19:15 Closing Thoughts RESOURCES: Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Welcome to the 100th episode of Think Like a Pancreas—The Podcast! To mark this momentous occasion, we are launching a special series inspired by the book that started it all. Join us twice a week for the next five weeks, as we share insights from each chapter of this incredible book. In this episode, Katlyn Agosta, MSN, APRN, FNP-C, CDCES, sits down with author Gary Scheiner, MS, CDCES, FADCES, to talk about his diagnosis story, how it shaped his life, and how it changed his career path. During their conversation, Gary reflects on his 1985 type 1 diagnosis and how management has evolved from "guillotine" finger-poke devices, exchange diets, and NPH insulin. Katlyn also shares her diagnosis story as well, and together they highlight the progress in diabetes care and discuss irreplaceable value of human insight in diabetes management. MEET YOUR HOST AND HER GUEST: Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Every insulin user has a backstory worth hearing. Gary shares his story for readers to better understand that he truly does understand what he is talking about. ✔️ Both Gary and Katlyn emphasize that despite advances in technology (including AI), diabetes management remains deeply personal, and one-on-one care is central to how IDS works with patients. CHAPTERS: 00:00 Introduction and Welcome 01:19 Meet Gary Scheiner 03:47 Registered Nurse vs Nurse Practitioner. What is the Difference? 06:39 Gary’s Diagnosis and Care Changes Over Time 11:18 The Exchange Diet vs Carb Counting 14:52 “Fast” Acting Insulin 16:18 Discovering Diabetes Self-Management 18:27 The Value of a Clinician Over AI 20:06 Katlyn’s Diagnosis Story 23:33 Closing Thoughts RESOURCES: Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

This is the final episode in the series, Type 1 Diabetes and Pregnancy: A Complete Guide for Women — Preconception to Postpartum. In part three, Jennifer Smith and Tavia Vital talk about Labor, Delivery, and the Postpartum Journey for women with type 1 diabetes. They cover building a written labor and delivery plan to share with your care team, deciding whether to self-manage insulin during delivery or hand it over to the hospital protocol, and preparing a partner as a backup safety net. They break down how IV insulin differs from pump or injection insulin, and how induction, spontaneous labor, and C-sections each affect blood sugar differently. The conversation moves into newborn blood sugar basics, the importance of switching to a new postpartum insulin plan within about an hour of delivering the placenta, and how breastfeeding — especially in the first two weeks — can cause significant glucose drops. Jenny and Tavia also highlight two often-overlooked postpartum risks--thyroid dysfunction (which affects roughly 1 in 4 women with type 1 diabetes) and the difference between normal "baby blues" and postpartum depression, encouraging women not to navigate any of it alone. MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ It is important to have a plan created for labour and delivery that includes the role of your birthing partner. It is equally important to remember that you can change that plan once you are experiencing labour. ✔️ Cutting carbs in the final 2–4 weeks of pregnancy can help "train" baby's pancreas not to overproduce insulin, reducing the risk of newborn hypoglycemia after delivery. ✔️ About 1 in 4 women with type 1 diabetes develop postpartum hyperthyroidism, sometimes with no prior thyroid history — watch for hair loss, jitteriness, elevated resting heart rate, and frequent bowel movements. CHAPTERS: 00:00 Introduction and Welcome 02:41 Building Your Labor and Delivery Plan with Your Care Team 09:05 Sharing Your Glucose During Delivery 10:33 Planning Your Insulin Protocol for Delivery 14:41 Educating Your Birthing Partner on Your Diabetes Management 20:17 Understanding IV Insulin vs Infused/Injected Insulin 23:27 Planning for Spontaneous Birth vs Induction vs C-Section 26:37 Post Delivery Insulin Needs for Baby 32:24 Post-Partum Insulin Plan 36:21 Curveballs: Preeclampsia and Steroids During Delivery 38:17 Glucose Needs While Breastfeeding 45:08 The Return of the Menstrual Cycle 46:36 Increased Risk of Thyroid Problems Post-Partum 52:51 Post-Partum Depression vs Baby Blues 57:31 Carrying Your Learning Forward RESOURCES: Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy https://youtu.be/o9LM3veYmiY Type 1 Diabetes and Pregnancy: Changes through the Trimesters https://youtu.be/_5sWX-lJ8s4 Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In part two of our three-part series, Type 1 Diabetes and Pregnancy: Changes Through the Trimesters, Jennifer Smith and Tavia Vital share what to expect after conception. They debunk common misconceptions and offer an honest look at what to expect now that you are expecting. From the value of continuous glucose monitor (CGM) data to changing insulin needs, nausea, hypoglycemia, and DKA, Jenny and Tavia share their clinical and personal experiences with the adjustments needed for diabetes management throughout pregnancy. MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Early pregnancy often brings a temporary insulin resistance spike, followed by a drop to as low as 1/3 of pre-pregnancy doses by roughly week 6–8. ✔️Hypoglycemia unawareness becomes more common in pregnancy — glucagon (including micro-dosing) and ketone strips should be on hand, not just "somewhere in a drawer." ✔️By third trimester, insulin needs can triple compared to pre-pregnancy doses. ✔️Ketone testing is advised any time insulin has been suspended for a while, after a suspected site/pump failure, or when glucose won't come down as expected — DKA can occur at lower glucose levels than the traditional teaching suggests. CHAPTERS: 00:00 The Role of Technology in Diabetes Management 08:07 Finding the Right Tech Fit 14:44 Navigating the First Trimester 22:32 Dealing with Nausea 24:50 Hypoglycemia Unawareness 29:02 18-21Week Insulin Adjustments…Again. 31:47 The role of Protein in Pregnancy 35:01 The Third Trimester 39:12 Adjunct Pregnancy Therapies 40:38 DKA Risk During Pregnancy 44:11 The Conversations to Have With Your Healthcare Team During Your Pregnancy RESOURCES: Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy https://youtu.be/o9LM3veYmiY Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl https://www.youtube.com/watch?v=p7eimb20zcI https://www.youtube.com/watch?v=fDPHdTAaT4o CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In part one of the three-part series, Type 1 Diabetes and Pregnancy: A Complete Guide for Women — Preconception to Postpartum, Jennifer Smith and Tavia Vital focus on preconception. They consider this to be the "missing trimester" that most women aren't coached through. They cover building a care team, adjusting meds/supplements, tightening glucose targets safely, nutrition, screenings, as well as some of the biggest fears that women bring to this conversation. MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Recommended timeline: start preconception conversations with your care team at least 6 months before trying to conceive. ✔️ Glucose target tightening should be gradual and stepwise, not a sudden jump to pregnancy-range targets. ✔️Folic acid: pregnancy with diabetes often calls for double the folic acid found in a standard prenatal. Please confirm with your healthcare provider. ✔️Having type 1 diabetes does not automatically mean a big baby or an induced/C-section delivery. CHAPTERS: 00:00 Welcome and Introduction to Part 1 of Type 1 Diabetes and Pregnancy 03:45 Setting the Stage for a Healthy Pregnancy 05:34 Tavia’s Preconception Experience 07:18 Planning for Pregnancy Months in Advance 12:50 Gradually Shifting Glucose Targets Before Pregnancy 17:32 Shifting Gears for an Unplanned Pregnancy 22:35 What to Know About Nutrition Before and After Conception 33:52 Pre-conception Screenings 38:37 De-Bunking Common Myths and Misconceptions 42:53 Recommended Resources 46:15 Coming up in Part 2 of the Type 1 Diabetes and Pregnancy Series RESOURCES: Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management The 100 Healthiest Foods to Eat During Pregnancy Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl What to expect with IVF. Why Standard Diabetes Care Isn't Enough for Fertility https://youtu.be/gfceQ_1Q70Y Pregnancy Myths Every Woman With Type 1 Diabetes Should Stop Believing CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Integrated Diabetes Services supports clients’ physical and mental health with clinicians trained to help you understand your data, fuel your body, and quiet your mind. In this episode of Think Like a Pancreas—The Podcast, Tavia Vital, BSN, BA, RN, CDCES, sits down with Melanie Bacine of Mel B Wellness to discuss how calming the mind can improve diabetes management. You’ll learn how a quiet morning coffee ritual can help you start the day feeling more relaxed, how journaling at night may support better sleep, and how Tavia uses aromatherapy in her own diabetes care. MEET YOUR HOST AND HER GUEST Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Melanie Bacine is a certified life and wellness coach as well as a medicinal aromatherapist. She has spent twenty-eight years living with three autoimmune diseases, including type 1 diabetes. During that time she came to understand that the mind-body is something to be worked on every day. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Mindfulness and meditation are two different practices. Mindfulness can occur at any moment in time. ✔️Small changes can create large benefits in our body and do not have to take large chunks of time. ✔️Creating a sustainable wellness routine involves taking deliberate action to look beyond just what we see and explore how the other senses can improve our whole being. CHAPTERS: 00:00 Meet Melanie Bacine 03:41 Defining Mindfulness 06:55 Practical Mindfulness Tips for Busy Lives 11:48 Grounding Exercises 20:13 Aromatherapy—Separating Facts from Myths 32:50 Sound Therapy & Relaxation 39:45 Creating a Sustainable Wellness Routine RESOURCES: https://melbwellness.com/ https://www.instagram.com/melb.wellness/ https://www.facebook.com/melbacine https://integrateddiabetesservices.podbean.com/e/fear-of-low-blood-sugars-in-type-1-diabetes/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

What constitutes a "low-carb" diet? In episode 95 of Think Like a Pancreas, our hosts Jennifer Smith (RD, CDCES) and Dana Roseman (MPH, CDCES, RDN, LDN) sit down to unpack the broad, and often misunderstood, world of low-carb eating and type 1 diabetes management. From strict 30-gram-a-day ketogenic plans to the flexible 80/20 lifestyle of a Mediterranean approach, Jenny and Dana explain why a one-size-fits-all diet doesn't exist. They dive into the traps of marketing labels, how metabolic age shifts your results, and why mastering your insulin strategy is ultimately more freeing than completely eliminating your favorite foods. MEET YOUR HOSTS Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Age alters your metabolism, that is why it is much more important to find a sustainable diet over the latest fab diet. ✔️The healthiest way to shop is to spend the bulk of your time in the periphery and find only occasional treats in the middle aisles. ✔️Carbohydrates are not evil. Dietary success lies in eating for health 80% of the time, allowing for flexibility (like a vacation or special treat) 20% of the time, and learning the precise insulin timing strategies to navigate those choices smoothly. CHAPTERS: 00:00 Welcome and Defining Low Carb Diets 05:10 Lower Carb, Lower Processed Foods Benefits 06:53 Age, Metabolism, and Managing Expectations 08:39 How Many Carbs Are Too Many? 12:28 GLP-1 Medications and Protein Priorities 14:25 The Benefits to Diabetes Management 17:50 The 80/20 Rule of Diabetes Management RESOURCES: The Low Carb Lifestyle https://www.type1university.com/the-low-carb-lifestyle/ Beyond Carbs: The effects of fiber, protein, fat & more https://www.type1university.com/beyond-carbs-the-effects-of-fat-protein-more/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Living with Type 1 Diabetes often makes us focus on what we might lose—but what if we focused on what we can add? In this episode of Think Like a Pancreas, host Gary Scheiner sits down with longtime colleague, professional motivational speaker, and type 1 athlete Chris Rudin. Together they unpack the physiological and mental benefits of resistance training, debunk the myths around workout failure, and provide actionable strategies for managing blood sugars during training at any age. MEET YOUR HOST Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Chris Ruden is a transformational keynote speaker, change management expert, and disability inclusion advocate who engages audiences across the USA and worldwide. He was diagnosed with type 1 diabetes at aged 19, is an amputee, world-record powerlifter, and NBC’s Titan Games competitor. Chris leverages his story of overcoming adversity to help organizations build trust and resilience. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Never “should” all over yourself! ✔️Muscle growth promotes general health and metabolism, but it also has mental health benefits that many people don’t realize. ✔️ Total daily intake of protein matters more than the timing of your protein when building muscle or losing fat. CHAPTERS: 00:00 Welcome and Introduction 04:44 Meeting Challenges and Making Adaptations 08:44 The Role of Muscle in Healthy Living 12:55 Program Design for Muscle Building 21:26 The Importance of Muscle Damage in Muscle Building 23:12 Why You Need to be In Range to Build Muscle 24:24 The Ideal Amount of Protein 30:19 Managing Glucose Levels While Building Muscle 36:10 Should You Change Up Your Workouts to Avoid Injury 38:50 Don’t Be Upset at The Skills That You Don’t Have from The Work That You Didn’t Do. 40:21 GLP-1s and Protein 41:13 Chris’s Inspiration RESOURCES: New Nutrition Guidelines Explained: What They Mean for Type 1 Diabetes https://Integrateddiabetesservices.podbean.com/e/2026-nutrition-guidelines/ The ADA Scientific Sessions Round Up With Gary Scheiner https://Integrateddiabetesservices.podbean.com/e/the-ada-scientific-sessions-round-up-with-gary-scheiner/ Chris Ruden – Change Management Keynote Speaker CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

The 2026 ADA Scientific Sessions was marred by a standoff between ADA staff and some highly reputable scientists who were trying to distribute copies of an editorial that was published in an ADA journal without “express written consent”. There were also rumors swirling about the hostile takeover of one of Breakthrough T1D’s major fundraising entities and its own parent company. Despite the political skirmishes, this year’s meeting was nothing short of fantastic. Clinical Director and Founder Gary Scheiner learned about the latest in research, technology, and product releases and shares them with you in this special episode. MEET YOUR HOST Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Insulin absorption is slower as pregnancy proceeds. ✔️Tegoprubart offers exciting cure possibilities. ✔️ Continuous ketone monitoring is coming with more benefits than you may think. CHAPTERS: 00:00 Introduction 01:38 AID Optimization 03:04 Pumps & Pregnancy 08:19 New Product Development 12:05 “Other” Medications 20:00 Ketone (Sensing) Is Coming! 24:05 Exercise Discoveries 30:20 Slowing T1D Progression 33:28 Sleep Matters 35:30 Last But Not Least RESOURCES: Key Findings From The ADA Scientific Sessions 2026 CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

There are lots of “doubles” in the world. Double Mint, Double Plays and Double Jeopardy, but did you know that you can also be diagnosed with double diabetes? In Episode 92 of Think Like a Pancreas—The Podcast, host Gary Scheiner talks to Dr. Nick Argento about the odds of becoming insulin resistant as a person with type 1 diabetes. They discuss how it can happen, what treatment options are available, and why it is becoming more common than in previous years. MEET YOUR HOST AND HIS GUEST: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Nicholas B. Argento MD FACE is an endocrinologist at Maryland Endocrine in Columbia. He lives with type 1 diabetes himself and has extensive experience in utilizing insulin pumps and continuous glucose monitoring (CGM) to help patients safely achieve better blood glucose control. He has presented clinical research at the American Diabetes Association Scientific Sessions and other medical meetings, and has spoken to local, national, and international audiences on insulin pumps and the clinical application of CGM technology. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️20% of people with type 1 diabetes will develop double diabetes or insulin resistance. ✔️If you require more than .4 units of insulin per kilogram per day, daily management will be a much greater challenge than those who are not insulin resistant. ✔️ Limit, not eliminate carbohydrates if you have a family history of type 2 diabetes. ✔️Having double diabetes is treatable with the right tools and support CHAPTERS: 00:00 Welcome and Introduction. 02:47 Is it Possible for People with T1 to Also Have T2? 05:17 What Causes Insulin Resistance? 09:33 Triggers and Hidden Risks for Double Diabetes. 21:57 Type 2 Medications (GLP-1s) for Type 1 Patients. 33:14 Overcoming the Guilt of Developing Insulin Resistance. CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Fear of low blood sugar is one of the most common — and least talked about — challenges of living with type 1 diabetes. In episode 91 of Think Like a Pancreas — The Podcast, mental health clinician Anna Sabino sits down with renowned diabetes psychologist Dr. Bill Polonsky, founder of the Behavioral Diabetes Institute, to unpack the anxiety that comes with type 1 diabetes and low blood sugars. Together they explore the difference between healthy caution and pronounced fear of hypoglycemia, and why so many people quietly run their blood sugars high to feel "safe." Bill also shares practical, hopeful strategies for regaining confidence in your body, rebuilding trust, and getting your life back — because “if you live with diabetes-related anxiety, you're not weak, you're not alone, and there's a lot you can do about it.” MEET YOUR HOST AND HER GUEST: Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Bill (William) Polonsky, PhD, CDCES is President and Founder of the Behavioral Diabetes Institute, the world's first organization wholly dedicated to studying and addressing the unmet psychological needs of people with diabetes. He is also Associate Clinical Professor in Psychiatry at the University of California, San Diego, a licensed clinical psychologist and certified diabetes care and education specialist, and an active researcher in the field of behavioral diabetes. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️There can be a genetic risk of profound fear of low blood sugars. ✔️This fear is rooted in people losing confidence in their bodies. ✔️ The use of “be safe” and “feel safe strategies” help to alleviate fears. CHAPTERS: 00:00 Welcome and Introductions 03:39 Everyone Should be Concerned About Lows 07:02 When Your Fear of Lows Impacts Your Daily Life 13:54 Rebuilding Confidence in Your Body and Your Tools 30:11 Is Severe Hypoglycemia a Valid Fear? 33:57 Key Tips to Break Your Own Cycle of Fear 36:23 Where to Find Help 39:00 Final Thoughts from Dr. Polonsky RESOURCES: Breaking down the fear of blood sugar lows Behavioral Diabetes Institute ADA mental health registry The Hypoglycemic Fear Syndrome: Understanding and Addressing This Common Clinical Problem in Adults With Diabetes Is Your Diabetes Tech Helping or Hurting? Mental Health and T1D Innovation CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.