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Episode 41 - The Diabetes "Cycle"  image

Episode 41 - The Diabetes "Cycle"

The 108 Podcast
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262 Plays1 year ago

 Amanda & Raquel catch up on diabetes life! They chat about Dexcom G7, Tandem Mobi, The Diabetes "Cycle" that can be so hard to get out of, occlusion alarms, when Amanda changes basal rates and so much more. 

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Transcript

Introduction and Purpose

00:00:00
Speaker
Hello, and welcome to the 108 podcast. I'm Amanda. And I'm Raquel. And we're the Type 1 Together girls. We are stripping down life with Type 1 diabetes from two people who live different versions of it every single day. Please remember Type 1 Together does not give medical advice. We are only sharing from personal experience. Hi, Amanda. Hey, Raquel. It's been a minute since the two of us have recorded just us. Yes. Hi. We'll keep this one. I know. It is nice.
00:00:30
Speaker
We'll keep this one short and sweet and do a catch up.

Amanda's G7 Experience and Moby Pumps

00:00:34
Speaker
And I mainly really want to hear all about your G7 experience. And I know you have been able to try the Moby. And so mainly I'm interested in G7. I'm like a little bit interested in Moby because I asked Abby. I asked Abby recently if she would want to switch pumps. And she was like,
00:00:56
Speaker
No. Of course not. The last thing I wanted to do at that age was change anything about my management.

Scar Tissue Challenges in Diabetes Management

00:01:03
Speaker
Yeah. But I'm not on the mobia anyways. I'm going to be on it. So I'll probably be sharing even more on that as the weeks go on. Hopefully I'll get trained in the next couple of weeks, but I am really excited for wearing it on different parts of my body. Cause I think I've said on here that I have, I definitely have scar tissue on my stomach.
00:01:22
Speaker
does can scar tissue go away? Like if you really give it time or not really. Remember that Neil was saying it takes like about four months total to really heal scar tissue. But I think that if it is scar tissue that is consistently broken back open and like forced to heal again and again and again, I'm sure it reaches a point of no return. I don't know the like,
00:01:49
Speaker
science or timeline behind that. But I'm scared to look it up. I'm sure I can heal at least some of it, but yeah, that's going to take a commitment for me to not use that area. And really my hips either that's, I'm using my hips and my kind of lower back, but I can't reach that far back to do true steel. Like it's just way too hard to put it on manually.
00:02:14
Speaker
Yeah, but to not use that for, I would try to probably commit to six months. If I was going to do four months, I might as well really give it a break. And to do that long on my arms and legs would be challenging, especially because my legs are not very insulin sensitive or they're not good at absorbing, I feel like. So it would take a lot more, I think, energy to manage my blood sugars when I have it on my legs. But we'll see.
00:02:42
Speaker
Wait, I have a question. Would you ever consider trying on me pod even just for a little bit, like for a month? Because as you're saying, like it's too hard to turn around and put it on my back. It's like, um, my initial thought because I'm so like trained on on the pod is no, it's not. It's a sticker, you know, just put it right. But then you're like, you know, the truth still, I'm like, Oh shit, you have to be at a 90 degree angle. Very precise. Like to get that in.
00:03:12
Speaker
which is fine, you know, it works well, but yeah, I might open some opportunity for different spots, I guess. Yeah, well, I would be open to it. One day, I'm sure I'd try something, something like that. If not, Omnipod, I feel like more and more things are just going to come out like that model. I do love the steel cannula, of course. And that's, I guess my other updates is that I was in Dallas this past weekend and I had
00:03:40
Speaker
two different pump site related issues that I typically don't experience, especially with true steel. Well, I was only using true steel for one of those two times, but I was at my friend's wedding, I traveled all the way to Dallas for and I had an occlusion, which I never get because true steels remember it can't kink. It's not a plastic cannula.
00:03:59
Speaker
But of course the actual tubing can still get an occlusion and that is just very rare. And so it happened while I was there, I didn't have extra supplies because I switched out my purse from a different one that I use and I didn't have my car where I have even extra supplies, right? I was traveling and I was like 20 minutes from home and I was like, it'll be fine. But like, you know, it was at the point of the wedding where if I left, I was not going to go back.
00:04:21
Speaker
So, um, yeah, there was no insulin coming out, which is quite a bummer, but it happens. So anyways. Okay.

Evaluating the G7 Sensor: Pros and Cons

00:04:30
Speaker
G seven. You want me to go into that now? Yeah. I'm so curious about it because I know the graph is spotty. I know it, it feels like it's a very split in the community. People who like it and people who don't, it's, it feels very like 50 50. And I just am so obsessed with the footprint of it.
00:04:48
Speaker
I think the other thing is one of my closest friends from childhood, I think I've mentioned her on here before, she got diagnosed just two months after Hattie when she turned 30 years old, which was so out of the blue, no type one in her family, just a true LADA, a lot of experience, like rough. She uses the Libre 3, which is the size of a penny.
00:05:18
Speaker
And then she just does injections still. She has really good control with injections. So she's kind of like, why fix something that's not broke? But when I see that libre three on her body, it's almost like it doesn't even exist. Yes. Which of course is what I want for Hattie because she has this big honkin omni pod on. Yeah. And it would be just so lovely to put something on her body that feels like nothing.
00:05:45
Speaker
And I know the G7 is not quite like that, but I'm so eager for it to be excellent. What you're saying is so true. This is funny, but right now I actually, I keep forgetting that I still have my G7 on and I put on a G6. Was it? It was two nights ago now. I keep forgetting to take this off. I really can't feel it. I can't feel it.
00:06:09
Speaker
I put on a G6 because if I get trained on Moby so far, it only connects to G6. I also still have sensors that I just really want to use with the G6, so that's why. But you're so right. I don't feel it. It's so tiny and it's been staying on really well. Personally, I've had no skin issues, but I know some people have reactions to it. I feel like different people have different reactions to every single tape out there. And unfortunately, that's just, you know, people are different. Skin's going to react. Yeah.
00:06:35
Speaker
I have been using the adhesive tapes that come with Dexcom because every single G7 comes with one and they tell you to put it on like almost like it's a requirement. If you have to get one replaced, they asked you if you put it on. So I'm going to try some other tapes too and just like test them out soon. But I don't know. My experience has been all over the place. My first one, I didn't have very accurate readings. And the first thing I noticed was how spotty it was, which was really frustrating.
00:07:05
Speaker
But then people were telling me online that it's only spotty because the G6 apparently had something called data smoothing, so it would kind of make it look pretty for you. So once I learned that, I actually kind of liked the G7 better because I'm like, okay, well, I want to see what my number actually is. I bet in real life our numbers aren't this perfectly like beautiful curved line.
00:07:26
Speaker
So it kind of makes sense. But then there's other times where it's jumpy and I'm like, this is just wrong. I could just tell this is wrong. So that one was, you know, it was not a great first one, but it got better throughout the days. And I have been calibrating it as soon as I noticed something's off. The second one I put on, I ended up having to put in two within a 24 hour or no, three within a 24 hour period. So I had to get two of them replaced.
00:07:51
Speaker
And I feel like I'm already forgetting exactly what happened with them. One of them I'm pretty sure failed during the warmup. It's like I put it on and then a little bit later it was like, censor off, you know, something's wrong, replace it. Do you think that was a user error, like a placement issue error? Possibly.
00:08:09
Speaker
So yes, that one I did try to put on my stomach, which technically it's only approved for your arm, but I really wanted to try it on my stomach. The one before that, it said I was LOW the middle of the night and it said it like five different times and it kept waking me up and I kept pricking and I was not low and I wanted to sleep. So I ended it myself.
00:08:31
Speaker
So that's what happened with those two. They've been really great about replacing them. No questions asked when I explained what happened. The third one I put on the back of my arm and I put the tape on. I did everything right. And it's been working pretty well. I've done a few pricks and it's actually been pretty on point. So I don't know. What is, wait, what's pretty on point? Like concrete examples? Like 89 to 95, like very close.
00:08:58
Speaker
Okay. Okay. Yeah. I think they're maybe the first day is a little bit more often. That's what many people have messaged me saying that it takes about 24 hours to get accuracy, which is BS to me because it's like you're paying so much for these. They should be on point from the beginning. Like don't have a short warmup if they can't handle it, you know? And so a lot of people are saying you can soak it, which Danielle was talking about in the last episode. So if you don't know with what I'm talking about, just go listen to the end of that episode, I think.
00:09:26
Speaker
because she explains really well how you can put it on early and avoid any warm up period. And not only that, but apparently when you soak it for a long time, it creates more accurate numbers right away. So I don't know, I'm feeling optimistic about it. I love the 30 minute warm up or no warm up if you soak it. I love how tiny it is. I like the app because it has
00:09:49
Speaker
the clarity information on the apps. You can see right there and there what your range is, which can be great or it can be not great. Like sometimes I purposely not look at clarity for my mental health, you know? I know. I was going to say, is there like a little toggle where you can like, you know, how a lot of things have a tiny little arrow and if the arrow is pointing down, then it drops the menu down. But if the arrow is pointing like up or to the side, then it pulls it back up. No, actually I can't fully say it right now because I don't have the G7 on. Oh yeah.
00:10:19
Speaker
Okay. It's not showing me clarity. That's interesting. But yeah, I'm pretty sure it's just there. You do have to scroll down a tiny bit, but it's right under your number graph. So it's not like, yeah, it's hard cause that really could affect mental health. Like when we're having really hard days and I know that our time and range has gone in the trash, I can't look at it. Like I'll look at it once just to get a general idea. And then I'll be like, I just, I need, I need a day. I need 24 hours. I can't just like,
00:10:48
Speaker
be faced with a, you know, a horrible time and range. I already feel badly that it's all over the place. The tandem app also tells you your time and range every time you open it to bolus and that's on the main screen. So I feel like I've kind of gotten used to it, but I agree. Sometimes I'm like, I don't need to see this. Yeah. That's, that's very interesting. Yeah. Funny that that and high alarms, but just like really.
00:11:16
Speaker
crying in my ears. Yeah, definitely. But overall, I actually did a poll yesterday on my type one day account about the G7 because someone asked me to. And there were more positive responses than negative. It was like the three options I gave were, do you like it better than the G6? Did you like the G6 better or are you neutral about it? And most people said it was like 50 50 between hate it and love it. And then there were a bunch of people that were neutral.
00:11:45
Speaker
So I'm like, okay, better to not have issues. And yeah, I think it just, I think it's getting better. I don't know if Dexcom is doing stuff from the backend that we don't know about, but I'm sure they're aware of the problems they got. Yeah. Oh man. It'd be so cool. I think to go into Dexcom headquarters and like be able to talk to the people behind the,

Personal Challenges in Diabetes Management

00:12:08
Speaker
why am I not thinking of the word? You know, I'm talking about the people behind the algorithm.
00:12:15
Speaker
Oh, yeah. Like the technology. Yeah. Yeah. That'd be cool. Fingers crossed. That'd be super cool. Okay. Well, and then I, for some reason I was like, you're already on the movie, but you're not. And I did know that. That's okay.
00:12:29
Speaker
Yeah, I told them I didn't want to go on when I was traveling this weekend, which honestly, diabetes has been so annoying. I've been waking up a lot for lows. I've been seeing blood sugars over 200 at least once a day, which is not actually normal for me the past couple of years.
00:12:49
Speaker
It's definitely been getting in my head, like what's going on? But I know what it is. I've been moving, I've been exhausted, I've been trying to work while doing all of this, and I've been traveling all within two weeks. And my body can't handle it. Well, it reflects in the blood sugars, I guess is what I'm trying to say. And I think that's important for everyone to remember, especially with kids because they have more variability in their life all the time. And so when you're seeing all of those crazier numbers,
00:13:16
Speaker
it's not always a reflection of what you're doing because I know myself and I know my ability to keep myself between 80 and 100% in range, like a lot, if not all of the time. And that hasn't been happening for a reason. It's not that I can't do it anymore. It's just that life is doing its thing. So yeah. Yeah. Yeah. I had a thought and then it just escaped me. I'm fine. I just, yeah. I was having a thought as you were explaining all of that. Oh, my thought was,
00:13:45
Speaker
life itself has been tiring, exhausting a lot, which contributes to challenging blood sugars. And then those challenging blood sugars compound all of your feelings of exhaustion and not feeling quite right. And I don't know about you, but when I feel like off or not quite right, the last freaking thing I want to do is eat
00:14:07
Speaker
perfectly well-balanced meal, I want something comforting and easy and fast and I just want sleep. And so, I don't know, I can like sense that that will be Hattie's challenge too because then you're trying to like get back into your typical sugars well. It's like a cycle. Like you can't get out of it. It's just hard.
00:14:29
Speaker
You just explained it really well though. I think that is part of it. Yeah, it's like one thing can't get better without the other and you're just trying to find this balance over and over again until finally things kind of settle. It feels better. Yeah. Yeah. What's interesting for us is I like try, I offer a well-balanced meal or at least options all throughout the day and for every single meal, but I just like let her choose what she wants to eat.
00:14:59
Speaker
out any pressure. And lately she's been back on her vegetable kick a little bit, which is good. But the way we typically get out of those tough cycles are she'll get to a day in the week where she's so just like full and I

Strategies for Child Diabetes Management

00:15:17
Speaker
think doesn't feel well. And then she's not very hungry all day. And diabetes is a lot easier to manage when you're not dealing with food.
00:15:27
Speaker
Yeah, you know, it's like, okay, just adjust the basils and then you're coasting. And so that's how we like get out of that. And then I feel like good blood sugars, like solid, good blood sugars for 12 hours or 24 hours, then gets her like normal appetite back, you know,
00:15:49
Speaker
I don't know. I'm just putting that out there for any other like little kid parents or parents with teenagers who are, you know, eating crazy or whatever, but that could be what's happening. And it is what it is.
00:16:03
Speaker
Yeah the food thing makes a big difference and I left that out I guess when I was thinking about why everything's been so hard like we just now have pans like we still don't have pots like there's things that we're like okay let's just go out to eat again let's just like it's just we're so tired at the end of the day like we still to unpack boxes whatever and so I haven't really been
00:16:21
Speaker
Cooking like I was before I also haven't been walking my poor dog Cody was staring at me a few minutes ago Just like waiting for you to take him on a walk and I'm just feeling so out of it right now And I'm like honestly there's like a long list of things I want to do before taking him on obviously he's already been walked today. Don't worry I'm not like abusing my dog You know I used to walk him a lot and I will get back to that in fact I'm so excited to walk in this beautiful area that I now live in but I
00:16:45
Speaker
Yeah. It's just the routine, you know, you set basal rates to match your life and your routine. And then when those things are off, the rates seem wrong. And it's like, do you go ahead and adjust them or are you going to get back to that very soon? And that is a really, really hard balance. And that's what I see when I, you know, one week can go to two workout classes and I see such different insulin sensitivity. And then the next week I do nothing because I'm so busy working and I'm like, hold on. I mean, that's where multiple basal profiles, at least for tandem can be really helpful.
00:17:15
Speaker
But yeah, like matching those two things together. I don't know. Totally. And that's like, that's such an important topic to highlight for those of us with kids because like you can, you can put your kids on a stricter routine, but kids are going to kid the way diabetes is going to diabetes. So like, yeah.
00:17:37
Speaker
cool, they're on a routine. But today is the day that they're screaming and crying, throwing a fit and having a meltdown in the parking lot and not happily racing into gymnastics and enjoying themselves. And so they're actually sitting out at gymnastics. And now those extra carbs that you didn't actually dose for because you're anticipating activity or taking them spike. And it's like, that's frustrating. But if you
00:18:00
Speaker
At least for me, as long as I recognize what's actually happening, it's a lot easier to move on from the situation. If I don't dig to the root of why sugars are going askew and I just focus on sugars or shit, I'm pissed way faster than if I am super aware of like the contributing factors. Yeah. Like this is just situational. Yeah. And then, and then I really honor myself.
00:18:30
Speaker
in that moment of what do I have control over? What can I change in this moment? What can I change within a few hours to help these sugars? And then what do I have the capacity for in this moment, in these few hours, in this day? And then I am constantly, obviously subconsciously, but constantly balancing this to honor myself
00:18:58
Speaker
my level of tired, my abilities, my mental health and her wellbeing, her health. Because the reality unfortunately is if I let myself become a martyr of a mom, there is a possibility and potential for me to grow resentful without knowing it and to just like
00:19:24
Speaker
hide away. I refuse to do that. I feel like there are some people who are like, but the sugars, keep them perfect for your kid because then you're doing everything for your kid, but if you're doing everything for your kid and then you're a shitty version of yourself, then your kid is getting a shitty version of their mom while getting excellent sugars. I personally would rather have my mom showing up
00:19:49
Speaker
at her absolute best every day and a sugar go up to 210 instead of stay at 120 all day. But I don't know what you tell me.
00:20:01
Speaker
Oh, that's hard. I mean, I think it depends on so many things. Obviously, your parents contribute so much to your overall, just who you are as a person and like, how you feel mentally and I don't know, it really has so many factors involved. So, but I do think that a parent taking care of themselves is really important to model for your kids.
00:20:27
Speaker
And so if you are showing Hadi that you're taking care of yourself and therefore you can take care of her and care of Summer and everything, then she is going to be able to hopefully take better care of herself in the future, including diabetes, because that time will come, you know? Yeah. And it's all so fluid. And it's all like, I think I've, I've, again, subconsciously, but now that we're talking about it, it feels very conscious and I'm like very aware. I feel like I've reached a threshold of
00:20:57
Speaker
would I allow, like what kind of imperfect I allow with diabetes management and for how long before I'm stepping in and going, okay, now it's dangerous for her or now I'm not comfortable with it or now, like regardless of how tired or frustrated or whatever I am, diabetes management comes first for her wellbeing, for her to feel good. And I think I'm going to put a number to this just because I don't know. I feel like everyone likes their concrete examples more.
00:21:26
Speaker
For me, I'm pretty mellow when sugars go up to 225, as long as I see them slowing. And then I'm like, okay, they'll come back down. Anything above 250 or anything that's skyrocketing, like jumps of 30 to 50, I'm taking action right then and there. And then anything that's 300 or above, it's like a hundred percent diabetes right then and there to get her back down because
00:21:57
Speaker
not because like, God, I feel weird saying that now. I don't want anyone listening to this who might struggle with like going up to 300s to think, oh my gosh, I'm a bad parent and I need to hyper focus on that. No, I have like, there's no judgment whatsoever. There is no set number for anyone to like, you know, strive for. I'm just explaining how it is for me and our family. And it's because one
00:22:25
Speaker
When Hattie is at 300, she changes. We can tell. We see the behavior change. We see the physical changes. We see the sweating, the frequent tantrums, the struggle, comprehending, struggle, putting her thoughts into words. That was appropriate.
00:22:50
Speaker
And then she like sleeps like a log and then wakes up just feeling so groggy, so out of it. Bowel movements. Sorry, Hattie, if you're older and listening to this, but bowel movements are significantly different and it's just like, I don't know. That's not what I want for her.
00:23:09
Speaker
You know her and people have to know their kids and and also what's happening in that moment and if they can handle it mentally and if The child is in the middle of a birthday party and needs their social time or they you know, like there's like a million things I I think that's really awesome. Like you just know her
00:23:26
Speaker
Thanks. You just made adjustments, right? Because, yeah, you will. This will come out after I post the reel. I'm going to post this reel that I made in a day or two. But so we just did the, on the podcast masterclass and it went great. And there were so many, um, like real life examples. And of course, when I got on, we were having,
00:23:55
Speaker
like one night that night of tough blood sugars that were like rising and just like a really hard, really hard like overnight where she didn't come back in range until after midnight. And I just thought it was a fluke at first because it was so sudden, you know, that's diabetes. One night you can be perfectly in range and the very next night you cannot be. So I'm thinking, okay, she could be getting sick,
00:24:23
Speaker
the timing of the dose could have been bad.

Adjusting Insulin Strategies

00:24:25
Speaker
I know that she ate so many carbs and they included fast acting because we had pancakes and syrup for dinner. And she ate like all of her meal. I did a split bowl cause she typically hasn't been eating. So I just like really forgave myself, but it fell off. And so I just tucked that away in the back of my brain. It fell off because they were jumps of 20 to 30 until she hit like three 25, which is super rare. We never see spikes that high.
00:24:52
Speaker
And so I ended up, her total carbs that she ate for dinner were 75. I ended up dosing for an extra 25 grams of ghost carbs. So she didn't actually eat another 25 grams. I just was like, maybe I miscalculated or I'm going to put that in because the syrup is really high glycemic and whatever. And then we went in and did literally four micro boluses of corrections.
00:25:21
Speaker
And it was the stickiest high ever. Cause going into bedtime when she's already high and then she falls asleep, has a growth hormone. It's like impossible to know exactly how much she needs to get her down safely without tanking her. So whatever that was the first name. And then the next night, yeah, that was the night of, um, um, me pod five class. I was like, Oh God, am I really qualified to be helping other parents when this is what's going on. And then the next night I dosed her for
00:25:50
Speaker
I measured out like with the scale and measuring cups and everything, every last card, and I pre-bolist for every single card.
00:25:58
Speaker
and pre-bolts by 20 minutes. And on top of that, I had already given her a micro correction because she was at like 167, 30 minutes before dinner. And I was like, let's, let's scoot this down. And then she did her jumps, but this time it was by like 15 or 20 points every reading. And she got up to like 250 ish came back down a little bit, but then went right back up and it was super sticky. And I was like, okay,
00:26:28
Speaker
This doesn't feel like a nighttime correction thing. This feels like a dinner time thing. Because if you don't have enough insulin to cover your carbs at dinner, then you're fighting a losing battle here going into bedtime. And then regardless of if your correction factor is correct for nighttime, it's still not going to do what it's supposed to do because you have all these uncovered carbs. And so I adjusted her carb ratio to be stronger for dinner time and
00:26:58
Speaker
For more than just adjusting it, I looked at all of our settings and I saw that her carb ratio for dinner was 1 to 17 from like 4 p.m. to 7 p.m. And I had noticed that she had started to slowly rise, starting at like 2 p.m., like kind of an afternoon bump.
00:27:17
Speaker
And now that we're two years into this, I know that when the weather warms up, she kind of develops this afternoon spike that happens around 2 PM last till five, whatever. So she always always always has snacks after 2 PM and before dinner. And so I adjusted her dinner time, quote unquote carb ratio to be from 3 PM to 7 PM. So four full hours.
00:27:44
Speaker
and I strengthened it from one to 17 to one to 15. I did that because I know through trial and error over the last two years that adjusting our carb ratios by two yields results without causing tanks. And so if it wasn't strong enough, I would have seen better coverage, but still a bump or above, you know, and then I would have adjusted further down to like one to 14, but I tried one to 15 to start. And then the very next night,
00:28:14
Speaker
It was perfect. We saw a hundred percent in range for 48 hours and it was just so cool and felt so like validating. And there's just this level of empowerment. And of course, like, I'm not going to lie. There's part of me that's like, hell yeah, I'm freaking badass type one mom. But then there's so much more of me that is like, thank God I understand this to the degree that I do.
00:28:44
Speaker
So I can make these adjustments for her so that I can then teach her how to do this from an early age and empower her. Because I don't know if she, if we just let the endos office guide us completely, I'm not sure that they would push for her to take this level of control over her diabetic management. Yeah, I agree. And yeah, it just feels so empowering, right? It's like,
00:29:15
Speaker
I don't know, I'm really, I'm getting kind of excited. Cause she's in this stage right now where she suddenly wants to be filling her army pods again with me. And I mean, it's a little scary cause she goes, I got it. Grabs the package out of my hand, rips it open. The pod goes flying across the room. She's like, whoops, God, put the needle on. I'm like, oh, go slow. So yeah, I can just be,
00:29:44
Speaker
I don't know. I'm seeing this future suddenly within the next year or two where she's decent at math. I was telling you this earlier today, Raquel. She's pretty decent at math for her age and I can just see her finally having a play date without mom. She's hyper independent. She's going to want that. I know. And I think that she's going to be able to get it sooner than later. And that, that's
00:30:07
Speaker
really empowering because that was one of the first things that I thought of that I really was mourning for her when we got when she was first diagnosed with like, holy shit, she's not going to be able to ever have a play date by herself. Like my childhood was defined by going to whoever's house whenever I wanted from like the age of six on
00:30:25
Speaker
being alive there, you know. That's so fun. I know. I think it's so possible. And I want to highlight to everyone how small the changes are that you made. Like they might seem small, but these small changes can make such a big difference. Yeah. And a couple of days ago, I posted a story asking our community what kind of master classes you all want because people are loving the Omnipod and T-Slim class and
00:30:51
Speaker
You know, we'd love to put on more like micro, like mini classes on various topics like traveling, sick days, whatever. So if you have anything, let us know. But a couple people put in the box, carb counting. And I found that really interesting because I'd be willing to bet that the issue is not carb counting because look at what you just said. You took a night where you calculated everything, quote unquote, perfectly. You did all the right things and it didn't necessarily work. So what else needs to be adjusted? It might
00:31:18
Speaker
look like an issue is dressed up as food or carbs or whatever, but there's probably underlying things that is causing or that causes the. Flood sugars to go really high or low that are happening maybe before or after the carbs, but they contribute to what happens when those carbs are consumed. Does that make sense? Yeah, yeah, totally. Yeah, the understanding of like all the outside factors and kind of figuring out like that, that's actually like a phenomenal point.
00:31:47
Speaker
Looking at the hour or two right before a meal, an hour or two right after a meal can completely change your understanding of how the insulin and carbs are working in your child's body and why they're reacting the way they are. Agreed. Yeah. That's a nice way to simplify it. I'm always looking for ways to explain stuff in a way that's super, super simple. It makes sense for people.
00:32:13
Speaker
Yeah, we should make a video about that. All right, well, let's see, do we have any announcements before we sign off? We should start doing announcements at the end because I feel like there's so many things we always have going on. I think as of today, actually, when this comes out, potentially, we would have launched enrollment for another grandparent

Podcast Offerings and Final Thoughts

00:32:31
Speaker
course. I know we've gotten some messages of people interested.
00:32:34
Speaker
So you can find all the info on our website and maybe we'll link it here too. Our team together list is growing like crazy. That's our list where you can meet other local families in your area for free. So you can join that also on our website. Anything else? No, I mean, better together is starting. So yeah, enrollment will probably be closed. Yeah, enrollment will be closed, but I'm really excited for that. And if people are still
00:33:02
Speaker
interested moving forward make sure to send us a DM so we know that you guys are still liking it and wanting it hoping for it um and we'll we'll keep keep up with these uh group coaching rounds and then i don't think there's anything else huh that's it babysitter list is growing that's the same but yeah let's do a real call okay howdy is 179
00:33:31
Speaker
I'm 108. Oh, so close. Not at all, not at all close, but how cool that she was 108. Well, I'm so happy that I'm 108 on the podcast for once that had to happen one day and now it'll happen. Perfect. Okay, well, we will see you all next week. Thanks for tuning in. Bye. Bye.