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From Backyard Burials to Blood Sugar Levels
45 Plays16 days ago
This week the sisters tackle a truly unexpected dilemma: what do you do when the pet you’re babysitting dies on your watch? The conversation spirals into backyard burials, reptile drama, and the anxiety of being responsible for someone else’s pet. Then a nurse practitioner joins the conversation to break down the growing trend of over-the-counter continuous glucose monitors and what they actually tell you about metabolism, weight, and midlife health. Plus: a dog destroys a beloved cashmere poncho and the sisters ask—what would you do?
threelilfishes.com/shownotes for recipes and more details
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Transcript
Weight Struggles & Genetic Factors
00:00:00
Speaker
But a lot of the people that start struggling with their weight are really kind of, they probably have somewhere in their genetic makeup, the type, you're the gene for type two diabetes. And they're starting to struggle with their weight because of that. But is that the same thing as like women in our age group, like,
00:00:17
Speaker
you know, as your hormones plummet, you know, then you do like, I've said this before, like I went and had a physical I gained a little bit of weight and she was like, well, you know, you don't have as many hormones. You're probably a little insulin resistant. You need to get your cortisol under, you know, in shape. And then you got to like,
00:00:41
Speaker
Yeah. Like get more sleep and reduce your stress and eat all your things. And I'm like, I eat well, I work out, I lift weights, I sleep seven to eight hours and like, what the F do you guys want from me?
00:00:54
Speaker
Right. Do you find that like, as we age, it's a different program or is it all the same program? No, no. I think it's definitely, it changes as we get older. And I mean, I've worked with so many wonderful dieticians and I've said, you guys need to write a manual and tell us like in your twenties, you want to have two cheeseburgers and a milkshake.
00:01:15
Speaker
You'll burn that off and you'll stay slow. yeah let's do it just go Right. Like cut it down to one cheeseburger. And then, I mean, I feel like here I am, I just turned 57 and it's like, you get a cracker.
00:01:32
Speaker
yeah Welcome to Three Little Fishes.
Introduction of Hosts
00:01:36
Speaker
We're three sisters who grew up in the Midwest together, but have since spread across the country. i live in Los Angeles. I'm in Nashville. And I live in Philadelphia. We are all married with children, have all had careers, but now we stay at home with our families. join us as we share secre about being women, w we welcome you to laugh alo new, reach out and join our con
00:02:04
Speaker
so let's jump in
00:02:11
Speaker
What's up, fishes? What's up, fishes? What's up? Good to see you.
Celebrity Legal Issues
00:02:15
Speaker
You guys, I just saw in the news, Justin Timberlake is suing the Sag Harbor police, like in Long Island, New York, for- what? Well, he got arrested for a DUI last year, and he does not want the footage to come out.
00:02:33
Speaker
So he's trying to block it from coming out because it says it will cause severe damage. So I'm intrigued by this because I'm like, too what's on there?
00:02:45
Speaker
Yeah. What were you doing? Yeah. Yeah. I think this whole thing, i mean, I don't know about the lawsuit, but like, Justin, what are you doing? You're in the Hamptons. You're having a big old time. I understand. Okay. Maybe you had too many.
00:02:58
Speaker
Why would you get in your car? Hire a car. Like there's so many services. You're a gazillionaire. You could afford to get a taxi. Yes. yeah right Well, my annoyances is is that just because you're rich or superstar and you're in the public eye, you made a mistake. And that is public...
00:03:19
Speaker
That's anybody like that. Like if that was me, they had gotten arrested. They could release the footage. I don't have any say Like you're not above the law. You're not above the rules. I'm sorry that that that you're going to feel embarrassed by it. But I wish you would just own it and make better choices. I'm with you. like Get a car. i Get a teaching moment.
00:03:38
Speaker
Like I'm tired of all these people who have a lot of privilege and money feel like they don't have to follow the rules. Like I have to follow the rules. Like, all right. We all so do. you Yeah. Like it's, it's really totally ridiculous. And I'm like, oh I'm disappointed to hear this.
00:03:57
Speaker
We're over it. Over it. Over the entitlement. Make better choices. Okay, you guys, on today's pod, we're going to
Podcast Engagement & Teasers
00:04:06
Speaker
be talking about what would you do?
00:04:09
Speaker
We have our friend and nurse practitioner back visiting as a special guest and what's for dinner. But before we get into it, wanna please remind you to to rate, review, and invite your favorite fishes to jump in and join the conversation. Log in, hit that login button. All it is is signing up for the newsletter. It's amazing and it costs you nothing.
00:04:33
Speaker
So do it. All right, girls, the first segment is what would you do, right? What would you do? okay What would you do? So i what would you do?
Pet Stories & Reflections
00:04:43
Speaker
We had our, one of our children left a couple of their lizards here at the house and we had been taking care of them.
00:04:51
Speaker
and last week I went in and the bearded dragon did not look good. So I call the child. I'm like, This dragon does not look good. I'm very upset. Well, you said it's like mails were like black.
00:05:07
Speaker
And it's not supposed to be black. So we worked through. You've been fretting about this bearded dragon for like days, right? Like you've been worried about it. Like you've been like, it's not looking good. This is on my watch. I have this like reptile to take care of. There's actually nothing worse than losing a pet.
00:05:26
Speaker
unless you're pet sitting and you lose someone else's pet. Was it like your house stuff over the... light die rested It I have no idea. All the hammering.
00:05:39
Speaker
mean, I found a couple of stink bugs in there. I know it's been stressed with all the hammering and construction. There were bugs in there? I don't know how stink bugs got into it because it's got this mesh thing over the top of it. That's nasty. It's nasty. So anyway, it died. And I was crushed. I'm so sorry.
00:05:59
Speaker
Because, you know, was probably like two feet long. I mean, it's not a little tiny thing. it's not. So she's upset. I'm upset. What do I do? so I end up looking up online, like, how do you dispose of a bearded dragon?
00:06:16
Speaker
i don't want to spend money to get it cremated. I'm not putting it in my fire pit. Like, that is a hard no for me you So anyway, my husband and I talked about it, and I was like, okay, I think we should bury it.
00:06:30
Speaker
So we found a spot in the yard that I know is going to bloom, very pretty. And he was on a call and I started digging this hole. And I don't know if you've ever dug a hole, but digging a hole is actually shockingly hard.
00:06:45
Speaker
Yeah. so he came out and he finished digging the hole. we dug like pretty far down, like maybe two and half, three feet. And we covered it up we put it in there. Yeah.
00:06:58
Speaker
Well, I didn't get into the rules, but and i didn't have ah like a shoe box, which is really what I wanted. i don't know why I don't have a shoe box. I ended up putting a zip top, and I put the body in the hole, and we covered it up. And every day I keep looking like...
00:07:15
Speaker
Is it going to get dug up? Like what's going to happen? But so far it hasn't gotten dug up, but I don't know. What would you guys do? Like what's, what, do how do people dispose of their bearded dragons when they die?
00:07:28
Speaker
i never have one i don't think I'll ever have one that I can't, I draw a line at reptiles, but I'm sorry for your loss. It was sad. i mean, we have a gecko and I have to tell you, i think it's on its way out.
00:07:43
Speaker
Kevin, no. No, Kevin. a p has a large bump on its back. And the other day it ran into the rock. Cancer.
00:07:55
Speaker
And it started bleeding. And I was like, oh, my gosh. Is this going to bleed out here on my wife? Should I bandage this? You probably should like prep your son that you know you don't know. I told my husband. but I kept watching it. And I kind of did...
00:08:14
Speaker
put some pressure on it as much as he would tolerate. because You know, they, they're not like first aid for the get from Dr. K, Dr. k But I told my husband later that night, I said, Peter, please, will you like go check on him? And if he's dead, let me know. And he never like told me he was dead. So i guess he made it through the night.
00:08:41
Speaker
But i I did think he was going to die. So what would you do? What would you do if you were in Linda's situation? And when Kevin goes, what are you going to do? Are you going to also just bury in your yard? Can you do that? Like, isn't that against the law? Well, I mean, Gecko's a lot smaller. Gecko's a little. don't know if it should go, like, in our trash or if we should bury it. I mean, I can bury it here in Pennsylvania because I did look it up. Because was like...
00:09:08
Speaker
But we do have a dog too, and she has a super nose. So I'm just worried like if we did bury it, like that would be the worst for her to dig it up. I mean, I'm just imagining the whole thing. So i Linda, i feel for you. i mean, I think that's a tough situation. was very traumatic and not fun. Yeah, i know. I feel sad for you guys. and I understand not wanting to get, like to spend a lot of money. Like was the vet just a lot of money to have it cremated? Yeah.
00:09:35
Speaker
I actually didn't really look into it. I mean, I did kind of like look. Seriously, Nancy? I did kind of like look a little and just see like, what's the range? It can be $75 to $150 to get a lizard i mean cremated. Yeah, I think you did to he did the right thing. I mean, maybe she would want the ashes. And I just know in Los Angeles, you cannot bury animals in your backyard. So I like am a rule follower and I would like be not be able to like break the law like that. I get it.
00:10:07
Speaker
And we can here in Tennessee. So we can in Pennsylvania too. I mean, okay. So what would everybody else do? Are you burying it yourself? Are you, you know, cremating it? Are you taking it to the vet? What would you do? Yeah. um Kathy, you think that Millie would, you think Millie would dig up your gecko?
00:10:30
Speaker
any any Very possible for sure.
Dog Mishap & Health Concerns
00:10:33
Speaker
So we also had an interesting thing happen with our dog too. And it makes me ask you like, what would you do? So we have our dog, Millie, who doesn't want to get out the puppy stage.
00:10:49
Speaker
Well, she's only one, right? or she two No, she's going to be two April. She's going be two. But she acts like she's six months old and she eats everything.
00:11:01
Speaker
And like I have pods in my house that keep her away from like our shoes and things because I'm like, no, you're not going to eat these $200 pair of shoes or whatever. Like a pod. do you mean like invisible fence pods? where Yeah, like an invisible fence.
00:11:17
Speaker
Yeah. So she doesn't come near stuff that I have the pods out. Um, but over the weekend we went to a lacrosse game with, for my son and we had to gear up cause it was cold and we had blankets and I threw in, um my cashmere like poncho cape.
00:11:38
Speaker
Cause I was like, it's getting a little bit warmer. And I was like, maybe I'll be able to wear the poncho and not have my coat. And I wasn't even going to bring it, but I brought it anyway. And we came home. I didn't wear it.
00:11:50
Speaker
I threw it on our kitchen table along with the blanket. And sure enough, the next morning, my husband comes down. I'm actually working out in the basement.
00:12:01
Speaker
And I was like, what are you doing down here? He's like, well, I wanted to tell you something. I'm like, what? I'm done. I was like, what? Is somebody sick? Like, what is it? I was like, what happened? Did someone die?
00:12:19
Speaker
He's like, no, but you're going to be mad because Millie ate your cape, your cashmere cape and our blanket. She took both of those items from the table. Off the table. took up Extra bad.
00:12:32
Speaker
yeah Outside and started eating them. And he showed me my cashmere wrap has holes like all in it. And I was just like, oh, my God, that dog has caused me so much anxiety.
00:12:48
Speaker
know if you you know, let me know. train yeah them i don't know if you if you know please let me know but Are you worried that she's going to get like stuck, like, you know, something stuck in there? Like, you know, all that fabric? Because yesterday i actually had to work and I came home and there was a big, this is gross, but a big pile of throw up on her bed.
00:13:15
Speaker
which was lovely. And I'm like, oh my gosh, you do not have a blockage to you. That was like my first thought. Like my cashmere is like in your belly and you can't get rid of it. And I, yeah, I went there, but yeah.
00:13:31
Speaker
So I actually, Linda told me you should put some oil on her food at night to help her kind of maybe help pass whatever's in there.
00:13:43
Speaker
Get out of here. You're saying that oil is going to help pass? I mean, I don't know. I'm desperate. I mean, intellectually, it seems like it would work. Yeah. i don't know. Oh my God. Oh my God. Okay. have say, I did watch her this morning and I think things are fine, but.
00:14:01
Speaker
yeah So what would you do? What would you Would, would you put oil in your animals food and help that it like lubes it up? So it like moves through the intestine. What would you do? What would I was upset with her. I scolded her.
00:14:20
Speaker
I wanted to do more than that, but I was like... Well, you know what? Maybe it's not totally her fault because she's oral and you're a dentist. So maybe it's a little nod to you that she's extra like oral fixated.
00:14:33
Speaker
No, that would drive me crazy. Because you feel like you can't do anything out. Like nothing is safe. So that's a no. No. yeah yeah All right. well were You wouldn't be laughing if it was yours.
00:14:48
Speaker
I 1000% would not, but I would love to hear. Like, what will you all do with these like situations? Coco would never act naughty. No, she's she's really she's really a prince, a princess. She's amazing.
00:15:03
Speaker
She actually is really good. Her only flaw, she likes to lick. She's pretty good. know. I have one thing, but I have a cat, Loki, who really is the opposite and super naughty. So can I have one pet that like behaves itself?
Continuous Glucose Monitors (CGMs) Discussion
00:15:19
Speaker
Let's move on So today we have a special guest with us, our nurse practitioner friend, Lori Gudat, and she has come to visit to talk to us about glucose monitors for the non-diabetic.
00:15:32
Speaker
You know, we talk a lot about health and nutrition and weight and aging and things like that, because this is when I'm out with my girlfriends, we always have, we're sharing ideas about what's working, what's not working. So we thought we would bring Lori back to discuss this tool that is just now kind of getting traction for the non-diabetic um I don't think it's any lightning bolt, like life-changing thing, but it could be a really important tool in your arsenal for good health. So let's listen in.
00:16:06
Speaker
Well, we would like to welcome back our friend and nurse practitioner, Lori Gudat. She is a nurse practitioner, but she specializes in diabetes. And our last conversations with Lori were around the GLP-1s, how they were used for weight loss.
00:16:21
Speaker
Lori is like a sister to us, and we're just trying to figure it all out. So today we'd like to talk to Lori about the continuous glucose monitor, which is abbreviated CGM.
00:16:34
Speaker
And we want to know how this can be used to help with weight loss. So please welcome Lori. Hi, Lori. Hi, everyone. We're so happy to see you.
00:16:45
Speaker
Good to see you guys, too. ah Tell us, Lori, how is the CGE? M monitor going to help us? so the CGM, you know, first came on the market for our type two diabetes population because it was a better way to really closely monitor their blood sugars all the time.
00:17:04
Speaker
But when I still worked in the clinic, it came out as a tool that we would put patients on for three days, similar to like a cardiac monitor. And then we would download the results and we'd be able to see when they were in control, And when they weren't, and that allowed us to make tweaks to medication as well as diet.
00:17:22
Speaker
So that was, you know, early like 2004. That was then. So then as time went on, I think it just got to the point where the monitors now you can buy over the counter and people that are kind of in the arena of trying to lose weight started using them. And it's an effective tool for that as well.
00:17:43
Speaker
Right. So i feel I want to back up just a little bit because I feel like we, let's, for our for people who don't know how diabetes work and how the monitor works, explain that first. Sure. And then can you explain how we went from that to moving into using it for diet? I feel like we did, we kind of, we've jumped from like A to D, let's that kind of give some back some history of it. Sure, sure. So this continuous sensor, you know, there's three parts to it. There's a sensor and it's like a small copper wire that it's you insert it into either like the back of your arm or your stomach area. um And then it's got a receiver built into it or a transmitter, excuse me. So on that little copper wire, it's like it will...
00:18:33
Speaker
cause an electrical current and it'll give a number reading and it's your glucose reading in the interstitial fluid that's right there below your ab you know, your stomach area. So then that gets transmitted to your phone.
00:18:47
Speaker
And so you're able to see the number. So is there a needle attached to the monitor? There's an introducer needle. So it introduces that copper guide wire down into your like fat tissue. And then yeah it comes out, it retracts. And just that little flexible wire stays into your skin. You can wear it up to 15 days. Now, does it hurt to put on No, I mean, i i don't think it does. Your stomach really doesn't have a lot of nerve endings. So that's why we always, you know, say give injections. A lay person can put this on? Oh, yes. Yeah, it's very easy. And then my sister wears hers for her diabetes on the back of her arm. And that's the newest thing is they're encouraging people to wear it more on the back of their arm.
00:19:30
Speaker
Why the back of the arm? I think just because they feel that it doesn't get bumped around as much or jostled and that, you know, it's just stable like in a safer spot. Yeah. So then, so the the glucose works, the monitor works in conjunction with their smartphone and their pump and the pump is attached to them as well. And it just gives them more or less insulin as needed. For an insulin pump. Yes. Yes, exactly. Exactly.
00:19:58
Speaker
so So can I ask, those she so you can get them over the counter so you don't need a script. correct So were they being, was a doctor or healthcare practitioner saying, hey, go get this monitor and start tracking it? Or did patients and people start doing this on their own? No, I think what happened was it was the research trials that first happened, you know, in some of the weight loss centers, and then they saw benefit from it. So it got FDA approved to be over the counter and, you know, available for patients without diabetes, because there are differences in those continuous sensors.
00:20:36
Speaker
You have to get a prescription from your doctor to get one for diabetes, whereas you don't if you're just monitoring it for weight loss. So how come you need one for diabetes, but not for weight loss? So the one that you use for diabetes has alarms built into it and lets you know when your blood sugar is getting too high and when you're having hypoglycemia, like a low reaction. Because that can get dangerous for our patients, you know, with type one and even some of our type twos. Whereas if you're just using it for weight loss, it doesn't have that function. That functionality is not built into it. But it's tracking those big spikes. right? It just lets you know when you're going above your target range, but you don't really know an exact number. It just says you're going above 180 or 200 or whatever it says. what is the big deal about that? Like who cares if you have a spike in glucose? Sure. So, you know, moving into a new job as I am, we use the continuous glucose sensor with the insulin pump. They're paired together. That's how they work together. But I wanted to get more familiar. I've worn sensors before, but I put one on a couple of weeks ago and wore it for four days. So what I noticed is depending on how much I ate at dinner time and what like the composition of food was, I could watch my blood sugars go a little bit higher after the meal.
00:22:00
Speaker
So then it's kind of like the psychology changes because you think, huh, if I ate like a chicken breast and vegetables, my blood sugar won't go as high. And you want to see good numbers. Like we're all looped into that. We want immediate good feedback that we're doing a good job. And it provides it because it's right there on your phone and it tells you. Like what's your percentage of time and range, which means your blood sugars, how often are they in this 80 to 140, you know, range, which is a good controlled range.
00:22:31
Speaker
So if somebody does go off the rails a little bit, like you were on vacation and. Yes. Maybe eating some more sweets or whatever yeah that you normally do.
00:22:42
Speaker
Yes. In your coladas. Did you notice it took a long time to like get those numbers back to normal or? Well, you know, for me, it was interesting because, you know, the one night I think I kind of was just tired after dinner and I sat on the couch and my blood sugars were higher. So I purposely, the next night, walked like 10 laps inside my house, and my blood sugars never went as high. And I thought there really is something to that, like getting yourselves awake and active. But, you know, you just start to take more accountability for your health when you've got a monitor giving you yeah the feedback every 15 minutes, you know what your blood sugar is doing. So then how did we how did we jump from, this was a diabetes crisis,
00:23:29
Speaker
tool to weight loss? Well, I think because what's happening is a lot of the people that are using it in the weight loss arena probably have pre-diabetes and just don't know it yet, or they have it and they're not at the point where they're going to be diagnosed and take medicine for it, but they could still do a lot with diet and exercise.
00:23:49
Speaker
So if they wear it and they can kind of see instant feedback on if I make healthy food choices, my blood sugar stay more stable. What happens is when your blood sugars go higher after meals, if your body doesn't utilize that sugar, it stores it as fat. And that's why you gain more and more weight. You know, it's like they're not even eating as much. You would think, you know, yeah and that's the whole problem with insulin resistance. And then, you know, the weight that's related to it.
00:24:21
Speaker
So the new, like the continuous glucose monitors that are over the counter, they're actually kind of touted as good for metabolic health. because they're helping you understand how your body metabolically is reacting to different foods and to like increased levels of activity. So are these good for people that are really like overweight, like obese, or they good for people that need to lose like 10 pounds?
00:24:49
Speaker
Like, is there, I don't know that there's really a delineation between people that are just overweight versus people that are obese. I mean I kind of looked into it to research it on my own just to see, and they actually said food journaling is still like the number one way to hold people accountable and to, you know, lose the weight.
00:25:11
Speaker
but yeah I think different people react differently. Like I, I've actually been food journaling a little bit myself just to kind of see like how many calories I'm eating. Right. Like if I saw this, the CGM and saw that, oh my gosh, after I ate that, my,
00:25:31
Speaker
you know, I spiked way high. Right. I think that would be very meaningful to me. Yeah. like I don't think you realize what you're doing when you're eating these things. You don't think about it. I agree because I've done Weight Watchers in the past. And, you know, as long as I was writing it down, going in and weighing every week, I lost weight, you know, and like our teacher and Weight Watchers would say, if you ab bite it, you write it.
00:25:56
Speaker
So you keep track of all of that. actually a good saying. Yeah. You bite it, you write
Genetic & Dietary Influences on Weight
00:26:01
Speaker
it. So I guess for me, what I am like getting like stuck on is how are people deciding to go buy these glucose monitors that are not diabetic? And then the flip side of that, all the research so far has been on the diabetic body, which is different than a non-diabetic body, right? so Right. But a lot of the people that start struggling with their weight are really kind of, they probably have somewhere in their genetic makeup, the type, you're the gene for type two diabetes. And they're starting to struggle with their weight because of that. But is that the same thing as like women in our age group? Like, you know, as your hormones plummet, you know, then you do like, I've said this before, like I went and had a physical and I've gained a little bit of weight. And she was like, well,
00:26:53
Speaker
you know, you don't have as many hormones, you're probably a little insulin resistant, you need to get your cortisol under, you know, in shape. And then you got to like, yeah, like get more sleep and reduce your stress and eat all your thing. And I'm like, I eat well, I work out, I lift weights, I sleep seven to eight hours and like, what the F do you guys want from me?
00:27:17
Speaker
And what I'm kind of wondering is is, it like I need to be eating different things as I age or eating less as I age? Because what I'm doing now is not what I did in my 20s and 30s and even 40s. Right. Do you find that like as we age, it's a different program or is it all the same program?
00:27:39
Speaker
No, no. I think it's definitely it changes as we get older. And I mean, I've worked with so many wonderful dieticians and I've said, you guys need to write a manual and tell us like in your twenties, you want to have two cheeseburgers and a milkshake.
00:27:54
Speaker
You'll burn that off and you'll stay slow. yeah let's do it um just disgust Like cut it down to one cheeseburger. And then, I mean, i feel like here I am. I just and you get a cracker.
00:28:09
Speaker
yeah And you have to start, I think, developing taste for healthy, really healthy foods because they don't. I mean, I know the dieticians are probably giggling because like they knew it all along. Like you actually feel fuller with healthy foods and your blood sugars don't spike.
00:28:28
Speaker
And so your blood sugar stays stable. Metabolism stays stable. Insulin resistance goes down. You know, i mean, it's just easier to maintain the weight. yeah But what if you're doing all of that? Like, I don't eat processed foods very often.
00:28:42
Speaker
Right. Still, you know what I mean? So then I'm kind of like, so the continuous glucose monitor is one tool. Right. then there's also these, like, fancy meta medical scales that sort of scan your body and tell you, like... It's like we've hit the Jetsons or something. like and And there's like, like these other tools like lumen where you blow into that and measures different.
00:29:14
Speaker
Yeah. It's a carbon dioxide. And so it's telling you then like what your next meal should be. I don't, you know, I kind of read up on that a little bit too. And I thought,
00:29:26
Speaker
it kind of And my older son his girlfriend's a dietician at one of the big hospitals here in town. And I asked her last night, have you heard of this lumen? Because she works with bariatrics. She's working. yeah i And she said, no, I've never heard of that. And she said, I'm going to go take it back to our dietician so we can.
00:29:44
Speaker
I said, yeah, it's it's a thing. Like you blow into this mouthpiece. We're always looking for like... What's the answer? quick fix. They want quick fix. not even a quick fix. It's more like, what is the answer to successfully navigate this like last, you know, third of life?
00:30:03
Speaker
Well, it's almost like the customer demand is like outpacing the research. Right. So I do think there's a lot of that. Yeah. You know, you like hear these like, you know, Kathy, I know you're really excited about possibly these monitors for just the everyday person.
00:30:19
Speaker
And I'm like, I don't want i don't know what I think about that. And I don't want to be stressed out anymore to have to like. use this tool to feel guilty that, you know, I'm going to eat this cheeseburger because it's 1130 at night and I just got done with the soccer game that went on and like double overtime, like, you know, kicks and I didn't get a chance to have dinner. right i i don't want to feel bad that.
00:30:45
Speaker
I need a cheeseburger. Yeah, I get you. i get that. But I think that people in general don't realize what they're eating and what it does to your body. They're oblivious.
00:30:57
Speaker
And I think I was one of those people. Like, I don't think I realized, oh, my gosh, you know, I have a sweet tooth and I would eat a lot of sweets. Well, you know.
00:31:08
Speaker
I did didn't really care. and now that I'm in my 50s, I am starting to care. Like, what's going on here? Hence why you're like, yes, Carson, throw out all the food in the pantry. That's no that's totally fine.
00:31:24
Speaker
so laurie If you wear one of these continuous glucose monitors and you do it for a couple of weeks and you're just trying to figure out like how your body reacts, because my body could react to something differently than your body, right? I mean, is that what I'm hearing? Yes, absolutely. if you did that for like the 15 days and you really manage like,
00:31:52
Speaker
how you're eating and you didn't really try and change your diet too much, you just really were trying to figure out like how you react. right What would that tell me?
00:32:03
Speaker
Like, is there anything so like, so if we if our blood sugar rises and we don't burn it off with exercise, then it stays in our body as fat.
00:32:15
Speaker
Yes. you So if we do this monitor, we do our life, then we can figure out like, yeah, my body doesn't like pretzels. Don't eat pretzels. Exactly. Exactly. he does not like it when i eat apples I mean, I think part of it is, is we have gotten so used to now having more instant feedback. Like if you want to learn something, you know, you used to just, you know, go to the library, look it up, you know, now look it up on the computer. Now it's like, everything's AI, you know, there, it runs through that. And I mean, even like starting this new job, AI is automatically built into what we do. But what I'm saying is, is I think this appeals to people because it's more instant feedback.
Pros and Cons of CGMs
00:33:00
Speaker
Like I remember standing in the line and getting weighed in, you know, each week at Weight Watchers and I prefer much more to wear sensor and figure out, okay, this is where I'm going wrong. Right. You know, but it's just like, it feels more like private, you know, you don't feel like you're putting all your junk out there for everybody to see.
00:33:20
Speaker
there Maybe I hear less, but like less, less shameful, right? Like it sounds like, like that was, but you felt shame with doing that. Yeah. My question, my question is,
00:33:31
Speaker
With AI can be a great tool. But I think that what I worry about is, is now everybody thinks they're an expert. Like everybody just thinks that they can just go to AI and they, they know everything and like research and doctors and nurse practitioners,
00:33:48
Speaker
Yes. Yeah. Don't really count. Do you, are you seeing that at all? Are you worried about that? Like, especially with instant gratification? Yeah. Um, you know, I guess I would say stay tuned because, you know, starting this new position and like, this is the first job I've really had where AI is really a big part of it. I mean, in my old company, it was just more or less, if we were like,
00:34:12
Speaker
sending emails in the company or to our customers or, you know, whatnot, you could have AI kind of help you write it to sound more polished and professional. But I think this is kind of scaling it in a whole different version. So I don't know. I'll let you know.
00:34:28
Speaker
So is there a downside to having one of these continuous glucose monitors? Like, is there any bad downside? stuff that could happen with it? Like what's the downside? but a non-diabetic, right? I would say, you know, for the non-diabetic, it would just be if you're, sometimes people have skin reactions to the adhesive tape and they can have allergic reactions. Okay. Or if they're not paying attention, you know, if you're trying to wear it, I only wore it for four days and then I was just ready to be done with it. But um if you wore it the full 15, you know,
00:35:05
Speaker
there's always a chance it can get infected. Can I ask you why four days? Why by after day four, you were like, no, I don't want this anymore. Well, for me, it was just because my blood sugars, like what the goal is to try to have them in a 70%, 75% time and range. And that means I'm staying in that mine were like 92, 93%. So I was really pleasantly surprised because I thought, okay, I'm not, I'm doing better than I thought. Yeah. So And then my skin was getting really itchy where it was. yeah The older I get, the more sensitive skin I have. I have to be careful with makeup and lotion and yeah you know all of that. So I didn't want to take a chance on it turning into like ah a big skin, itchy rash. You know, I just thought, and I know I've i found out the data. And I mean, I'm sure down the road, I'll probably do it again just to see where I'm at. yeah
00:36:00
Speaker
I guess one of the goals, you're not trying to like, have these big spikes, right? In their blood sugar. right so what is like in your opinion, like a good snack or protein snack for somebody that is not wanting to see these big spikes?
00:36:19
Speaker
You know, we used to always kind of counsel patients, but it's really good for anybody. You know, cottage cheese is a good source of protein that won't spike the blood sugar. Um, peanut butter, like on apples or crackers, you know, that's always good nuts and, you know, fruit together. They always say like clothe your carbohydrates, don't eat fast yeah and carbohydrates by themselves because they break too quickly into sugar and can spike. But if you pair it with protein,
00:36:53
Speaker
And then, you know, cheese and fruit or cheese and crackers, kind of the same thing. Cheese and crackers. My dream meal. Which is my dream meal too. I love it. it' Like a little tree and a cracker.
00:37:06
Speaker
I mean, please, you're talking my language. I'm all about it. I know. But I mean, like, as I get older, I tried making this Italian three bean salad because really like that's what you should be eating more of that because it's high in protein, low in carbs, full of fiber. High in fiber. Yes. And everybody loved it. So I was like, I should just meal, you know, I'd like try to get psyched up. Like I should meal prep and make that and take that in lunch every day, but I haven't done it yet. But You know, best intentions. I mean, it's like I do find to like as we age, it is really hard to manage the fat content while maintaining higher protein and higher fiber. So that's like the sweet spot. So I'm sure this has been researched, but like if you have a meal, you
00:38:00
Speaker
I think we talked about this with Kelsey. She was like, if you have a big meal, you should go take a 10 minute walk. But really what I'm hearing is if you have any kind of a meal, especially maybe a high carbohydrate meal and you've you know your blood sugar is going higher, you should take a walk around the block if you can or walk around the house and get your body moving and that helps your body process it. So maybe we won't have as much retained fat. Is that what I'm hearing from you? Yes, yes.
00:38:31
Speaker
Yeah, I'm doing it wrong. My cheese and crackers in front of the TV is not doing it for me. okay So when you talk about your like, what's the ideal number of your blood sugar?
00:38:45
Speaker
we wouldn't know that without a monitor, right? You don't know that. And what is it for like, is it, is it different for each age range? No, it's, it's all the same, you know, for the adult population. um And for kids, I mean, now that's like, if they have diabetes, we want them to run a little bit higher just because the brain's still developing and you don't want them to go too low, but No, for our age group, like when I wore the CGM and it was just an over-the-counter one, 80 to 140 is the range that kind of shows up.
00:39:19
Speaker
and That's kind of big. Yeah, I mean, but that's so that if it's two hours after the meal, like if we you know, what we say is like normal pancreatic function and your body's doing everything it's supposed to be, you can be as high as 180,
00:39:34
Speaker
you know an hour after meal and then by two hours you should come down to 140. so if you're still up high that's a sign that you've got insulin resistance on board and you need to probably be changing your meal plan a little and getting more exercise after the meals okay they're the largest meal of the day you know yeah okay I had gestational diabetes and I remember them always saying, like, if you're like at lunch, you ate something, you need to check your sugars. If you're high, you need to be exercising. Like Linda was saying, like take a walk around the block, whatever. And I, I was like working in my dental office and I would walk around and I'd be like, Oh, I got to go walk. Cause I'm high.
00:40:18
Speaker
So if someone like that, am I like at risk? later in life to get diabetes. Well, yes, once you have gestational diabetes, that does increase your risk. And so starting at age 45, you should have your hemoglobin A1C checked, like part of your ah checkup. ah that's the yeah That's in the ADA, like the American Diabetes Association guidelines. um But yeah, even now they're finding the offspring, because I had gestational diabetes with the first pregnancy.
00:40:51
Speaker
So even your offspring is higher risk for type two diabetes. and Like all of your offspring. Like it doesn't matter. you had it with all of them. But I mean, did you develop it in your other pregnancies or was it just now? Yeah, that's how I was. because I didn't take very good care of myself when I was a nursing instructor. And I was carrying some extra weight and I lost weight in between pregnancies and got more active because I started working at the diabetes center around the dieticians. And so I never developed it the second time, which they say, usually once you have it, you're going to have it again and it's going to be worse, you know, and you'll need insulin. And so I was happy I beat the odds. And I mean, so far,
00:41:33
Speaker
You know, I don't, I haven't developed type two yet, so I'm happy about that. But yeah. Okay. I mean, is there anything you think you can do to avoid getting type two? Like really, it's just, you know, eating a healthier diet and maintaining a healthier weight and staying physically active and really kind of monitoring your stress and trying to control your stress.
00:41:59
Speaker
So it sounds like for some of these, um for these over the counter pods. Mm-hmm. The sensors. The sensors. Yeah. It sounds like they could they could be a good tool. if Maybe you talk to your physician. Maybe that could be a good tool. But it's not a quick fix to be like, you know, if you put this if you put this pod on or this... um Monitor on, yeah. Right. Yeah, this monitor on. You're not going It's not this magic bullet to, like, fix you and to help you control your weight. It's really just...
00:42:34
Speaker
maybe it it could help you as a tool to see what you're eating and how, how you process food. But it's not really meant to be like long-term as of yet, right? As research is still developing of how it, of how it's working for the non-diabetic.
00:42:51
Speaker
Yeah. I think that they get used a lot, like in the weight loss centers and then Those patients are following up with a dietician and they're probably keeping food logs in conjunction with because you can download, you know, after you wear it for two weeks, those 15 days, you can download all of that into a computer, you know, I mean, and then yeah they have lots of ways of looking at, well, it looks like every day at two in the afternoon, you're spiking high. Let's see what you're eating for lunch, you know, and right. I mean, there's lots of that.
00:43:21
Speaker
That's what we do in the diabetes population. We can figure out by looking at patterns what's going on. Whereas when you do Weight Watchers, it's more of a, you know, crapshoot. I mean, you calories and calories out. Yeah. yeah You can like count your carbs. and This could be more beneficial, you think, in the long run.
00:43:40
Speaker
I do because I think it gives you more, you know, more information and, can help you in real time make changes, you know? yeah Like hitting on the hand hammer. mean, it is a very interesting concept. I do think, you know, whenever you, if you can afford it and you are willing put in the time and the energy, this could be a great tool in your toolbox for, you know, maintaining or becoming a little little bit more healthy.
00:44:08
Speaker
Yes. So, I mean, it is kind of an amazing thing. Yeah. I think it's a great thing, but you know right now, I don't think insurance companies are really covering it. And, you know, I looked online and it's $89 to get two sensors.
Cost & Emotional Aspects of Health Management
00:44:24
Speaker
So if you want to wear it continuously, but what I might do is just kind of wear it sporadically and then see what my body's doing, you know? Right.
00:44:33
Speaker
Well, Lori, is there anything else you want to share with our listeners? Any other little nuggets that you feel like I want to tell them? I think the best thing is, is self-love and hang in there. Like, you know, I love that.
00:44:49
Speaker
Yeah. I mean, I think that all these things are treatable and there's light at the end of the tunnel. And so we just kind of have to have a sense of humor about it. I mean, yeah, don't beat so hard on yourself.
00:45:01
Speaker
Yeah. I mean, I think because i look at my parents, you know, in the phase they're in, but I just think every day is a privilege, you know, and yeah, yeah we just got to stay in it.
00:45:12
Speaker
you know, for the long haul. Fight the fight. Yeah. Yeah, exactly. We all don't want the same body type, right? Like the idea is to be healthy, not necessarily all the same, right? Like, I mean, Marilyn Monroe, like was at once considered obese, right? Like, but she was gorgeous. Right, right. Yeah. In today's world, her size 12 would have been shunned, you know, because she's not a size four.
00:45:35
Speaker
But I think, yeah, we've, you know, we've kind of lost sight of um just being healthy and being happy and, you know. Yeah. Yeah. Good advice, Lori. Thank you so much. Thank We appreciate you being here. You're very welcome.
00:45:50
Speaker
All right, you guys, I thought that that was super interesting. and one takeaway i really found interesting is is that she used, that these monitors are being used a lot with nutritionists, weight loss centers, and just as another tool so people can see immediately what they're putting in their bodies and how their bodies are reacting. i would have never thought that these glucose monitors could be used in that way.
00:46:18
Speaker
um So I thought that was kind of fascinating. I think my big takeaway from her is I think you have to be aware of what you're putting in your body. You definitely need to eat more whole foods. um You know, eating a lot of junk and processed food does cause spikes in your glucose. so you don't want that. And I think i I never really thought about it that way. So that was kind of eye opening for me.
00:46:47
Speaker
is just kind of be aware of what you're eating. And I think most of all too, is to love our bodies, right? To love, to give ourselves enough self-love is what she said and not beat ourselves up so much.
00:46:59
Speaker
try to do the best that you can. right if this if you have the extra resources and you think that this tool could be helpful, you could try it. You could talk to your doctor. If not, you know, you could still journal. She said that that was a really good way to still do that too. But mostly she really also talked about self-love and we're all on this journey together. Like, all right, y'all, what's for dinner?
00:47:22
Speaker
Our special guest, Lori, diabetes educator, gave us a good recipe that is... good protein, high in fiber, low in fat. And so we kind of looked at it and we were like, we're going to spice this up a little bit. And so I think we're going to add some shredded salad to it.
00:47:45
Speaker
And you can add whatever protein you want. Like my family really likes chicken. So I'm going to put some chicken in there. And I think that would be a great It'd be a great recipe for just dinner, or you could even have it as a ah salad for lunch. So I'm going to try it this week yeah and take it to work.
00:48:04
Speaker
Yeah. I think it's super healthy and I actually love garbanzo beans. So I think it'll be good. yeah But yeah, you can make it your own, right? Like we'll put in, you'll put in a, but we'll put in a recipe in the show notes, but you can substitute whatever you want. You can really make it your own, but the idea is to get high fiber, high protein, low fat, low fat. yeah Yeah. Yeah. Yummy. And try to be satisfied. Which will make you not hungry. So that's the bonus. And hopefully not gassy. Like Linda just made a joke. She's like, take your Beano. Yeah. Hopefully not.
00:48:41
Speaker
Especially at work. Let us know what you guys think.
Closing Thoughts & Listener Engagement
00:48:46
Speaker
I know this is a journey of trying to just make food interesting, healthy and filling, right? So it's tricky.
00:48:53
Speaker
So let us know what you think of it. The Mediterranean three bean salad. We want to thank you for listening to our podcast and letting us sisters jump into your day. Please continue to follow us at three little fishes.com slash show notes and And make sure you sign up for all our exclusive content and recipes. Also follow us at 3LFPod on social media to be part of the daily conversation.
00:49:17
Speaker
I want to wish everyone a happy March. I am wearing green to signify March. ah So anyway, y'all have a wonderful weekend.
00:49:29
Speaker
Sisters, out. Nobody loves a holiday more than Kathy, man.