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Episode 65- Nervous System Regulation and Diabetes with Brooke Stewart
241 Plays1 month ago
Join us in this incredibly insightful conversation with our friend, Brooke Stewart. Do you notice blood sugars spiking coinciding with high energy/high stress situations? Brooke explains the science behind this, what you can do about it, and how to regulate your nervous system in order to contribute to diabetes management. We've already been putting some of her suggestions into practice and are seeing massive improvement!
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Transcript
Introduction to Brooke and Nervous System Regulation
00:00:23
amanda
All right. Hey everybody. We have a super special guest on today. um Her name is Brooke and she lives with type 1 diabetes. She uses the Medtronic pump and she knows a thing or two about nervous system regulation, which is going to be the meat and potatoes of the conversation.
00:00:44
amanda
um But first, let's just dive into it and Brooke, will you please introduce yourself and tell us a little bit about yourself? Thanks so much for being here.
00:00:54
Brooke
Oh, absolutely. I'm happy to be here. So like Amanda said, my name is Brooke and I've been living with type 1 diabetes for 22 years now. I am on the MiniMed 780G system. um So we can always talk a little bit about how that pump system helps manage my lifestyle um and because it's something that has truly helped me to exercise the way that I exercise and and also throughout my workday. So very thankful for that pump. And um I'm a um'm a physical therapist. I work with individuals with neurological conditions and other dizziness conditions, but also people with diabetes. So that's also something we can kind of dive into
Impact of Diabetes on Neurological Recovery
00:01:41
Brooke
a little bit.
00:01:41
amanda
Yeah. So I'm curious when you say you work with people with like these neuro conditions and diabetes, is it people who live with diabetes who also have neuro conditions or is there a separation there?
00:01:48
Brooke
Yes.
00:01:54
Brooke
Yes. So normally it's someone who is diagnosed with a neurological or vestibular condition um and they get referred to physical therapy for balance, gait, or just overall function and mobility. And then they happen to have diabetes. And um I think One thing that we don't really talk a lot about is how much your diabetes can actually influence your recovery process if you were diagnosed with another condition. um And so I do a lot of nervous system regulation and exercise prescription for my patients to be able to help manage their blood sugars, um which then helps with their overall symptom management of their other condition they're diagnosed with.
00:02:36
amandacberg
Whoa, that's a big thing.
00:02:37
amanda
Yeah, I was right.
00:02:38
amandacberg
I'm like, okay, tell me about that. Like, what is that? How did they impact each other? Like, I, oh, yeah.
00:02:44
Brooke
Yeah. Yeah. So if someone is diagnosed with a neurological condition, their nervous system is affected. I feel like I can relate a lot to my patients in that way.
00:02:58
Brooke
because I was diagnosed with something just like how we all were with diabetes, like you're diagnosed and you didn't ask for it. There's nothing you did that caused you to be diagnosed. And it can be a condition that just turns your world upside down. So I feel like I really connected with my patients with neurological conditions because it was the same emotional stress, right? They got diagnosed, they didn't ask for it. And it's like, okay, now how do I maneuver around my environment with this newly diagnosed,
00:03:26
Brooke
um, condition that, you know, I just, I got diagnosed, got a little bit of information and then was like, okay, now what? So for me, I helped to, for one, allow them to recognize any body signs that they're, that they might be in like a fight or flight or sympathetic state. And then let's learn some regulatory techniques to help with managing that stress that might be there. And it could be due to their,
00:03:53
Brooke
neuro condition that you're diagnosed with. It could be due to diabetes or it could be due to both, right? So I think the number one thing is recognizing your body sign and then being proactive to find some sort of technique that works for you to help with truly overall symptom management.
Stress and its Realizations in Diabetes Management
00:04:10
amanda
This is so interesting.
00:04:13
amandacberg
What is?
00:04:13
amanda
It is, yeah, because there's, I feel like there's so much that goes in to the nervous system that one maybe isn't understood and two isn't discussed and three has the potential to either negatively or positively contribute to what what thousands of factors to your day.
00:04:25
Brooke
Right. Oh, absolutely absolutely. Absolutely. Um, I think for me, I never really recognized how influential my nervous system was for my diabetes management until I started working in this field. And I think because I saw how beneficial it was for my patients, like real time and working on these techniques, I recognized, well, my body is going through the same thing, right? I'm constantly getting buzzes from my pump. I'm constantly checking my phone to make sure my blood sugar is okay.
00:05:08
Brooke
I'm monitoring myself throughout exercise and throughout my day constantly. And then if I have a low you know that at or a high, it adds stress. And so I was just managing my diabetes, just going through the motions. And then I realized, no, this is actually affecting me more than I realized. And it really hit me this year. I mean, I've been diabetic for 22 years and this year it hit me probably the hardest it's ever hit me.
00:05:36
Brooke
And I recognized I actually had to slow down and take care of my nervous system in order to take care of myself and my overall health.
00:05:45
amandacberg
Yeah.
00:05:46
Brooke
So that was, that was really a powerful wake up call for me this year because I recognized, and we can get into this a little bit if you guys want to, but your autonomic nervous system goes into different stages.
00:05:46
amanda
Yeah.
00:05:58
Brooke
And I was definitely in what we call a free state. So I was in the, I'm overwhelmed. I can't do this. I don't want to do this. My body was shutting down pretty much.
00:06:10
Brooke
And if you've been following me for however long, you know that I'm type the the type of person that's like, I'm not going to let this get me. And you know let's keep moving on. And all this like positivity towards it. And then I realized, no, like I'm frustrated. I'm overwhelmed. I am stressed beyond belief. And I need to do something about it. So I feel very grateful to be able to, again, work in this profession to recognize for when I was in a free state. Because I don't think a lot of people recognize for one that they're in that.
00:06:39
Brooke
And then to be proactive and be able to try to get myself out of that free state. And I can tell you I'm, I'm doing much better now, but I have good days and I have really bad days. Right. So I think that's normal. I think it's something we should all discuss. It's something that, you know, it's very valid and something that should not, you should not feel, you know, guilt towards it's something that affects your day all the
Techniques for Managing Stress and Nervous System Regulation
00:07:04
Brooke
time. Right. So.
00:07:06
Brooke
um You can see how that could affect your overall nervous system after so long or even in a short period of time. And that goes for people with living with diabetes and also parents with kiddos with diabetes, right?
00:07:14
amandacberg
Yeah.
00:07:20
Brooke
You guys go through a lot.
00:07:20
amanda
Yeah. I mean, the whole reason why I even had my pretty severe mental breakdown was because the but my nervous system was completely overwhelmed, you know, like new baby.
00:07:36
Brooke
Yes.
00:07:38
amanda
up throughout the night for diabetes, up throughout the night for breastfeeding and then suddenly trying to learn this disease process and the inconsistencies of it and then on top of all that it was with a two-year-old who screamed and cried and ran away and writhed writhed in pain
00:07:40
Brooke
Yep.
00:07:42
Brooke
Mm-hmm.
00:07:48
Brooke
Absolutely.
00:07:55
Brooke
Right.
00:08:00
Brooke
Right.
00:08:00
amanda
And it was like way, way, way too much. um And it just is too much in general because it is constant decision making.
00:08:04
Brooke
Absolutely.
00:08:10
Brooke
Constant.
00:08:10
amanda
And yes, it's yes.
00:08:11
Brooke
On top of everything else that you have going on too, right?
00:08:14
amanda
Yeah.
00:08:15
Brooke
Like that's not the only thing that you're doing.
00:08:15
amandacberg
Yes.
00:08:17
amanda
Right.
00:08:17
Brooke
Yeah.
00:08:18
amanda
So I ended up like needing medication to quiet my brain because everything was so often I'm sure that I could have done some sort of exercises or practices but in that moment, one when I was seeing professionals, they were like, you're so far gone and you need help immediately because you are still responsible for two humans, two and under.
00:08:41
Brooke
Absolutely.
00:08:41
amanda
You know, I like needed the baseline to be reset. And since then, I like to think that I am am like decent at giving myself some time to relax and calm down but really I'm not really I'm not so can we dive into like what specific exercises or thoughtt thought processes or anything like that actually contribute to regulating your nervous system?
00:08:56
Brooke
Yeah.
00:09:09
Brooke
Yes. So I talked a little bit about this earlier, but your nervous system goes through three different stages. So you have your parasympathetic state, which is your rest or digest, and then you have your sympathetic state, which is that fight or flight. What people don't recognize all the time, and again, I wouldn't, I wouldn't know this if I was in the profession, is that you have two separate components to your parasympathetic. So we have that lovely,
00:09:35
Brooke
I feel comfortable, I feel grounded, I feel safe state. And then we have this free state that is, I feel like being talked about a little bit more now, um but the free state is a part of your parasympathetic state.
00:09:45
amanda
Mm hmm.
00:09:48
Brooke
And what happens is it's actually as your arousal increases or your high energy increases. So whatever that may be, right? Stress, frustration, irritation, it can even be like, I feel hyper excitement, like all those things.
00:10:03
Brooke
your your nervous system will go into a higher energy state. So it goes from, again, that calm, regulated state to now a sympathetic state. And sympathetic state is not a bad thing at all, right? We need it to exercise, we need it to get excited, we need it to make a decision if we need to fight or we need a flight, right? It's our physiology and it's safe and okay to be in that state. But what happens is when we're living in that state, then we become we get closer and closer to that freeze state, which that is when our body shuts down.
00:10:37
Brooke
So it, you know, I, I really want to also validate that everyone has a different experience with this and everyone has a different journey with mental health.
00:10:49
Brooke
And so, um, you know, medications are useful for some, for some scenarios and absolutely like your that actually changes your brain chemistry in order to allow it to get out of a threat, right?
00:11:03
amanda
Mm hmm.
00:11:04
Brooke
Because if it was like living in a threat state, of course that is absolutely appropriate. um However, they're what I like to educate with my patients, and again, practice myself, is when I recognize my body signs that I'm in a sympathetic state, so that fight or flight, I will slow down.
00:11:24
Brooke
I will do techniques Deep breathing is one that we all know, right? Meditation, going on a walk for 20 minutes. Those are all things that a lot of people are familiar with. But actually slowing down your body movements, slowing down your activities. So if you're gonna be washing dishes or you're gonna be eating something, slow down. Actually slow your speed and your pace down. If you are going to be cleaning up something, right? And you're like vacuuming and you're like, ah, I gotta do this, slow down.
00:11:57
Brooke
a I feel like that is just one of the best ways where you're implementing it throughout your day. So even if you're getting up into that sympathetic state, you're able to kind of get back down. And even though you might still be living in that state or there, at least it's decreasing your arousal.
00:12:08
amanda
Mm
00:12:12
Brooke
Because anytime we're like, go, go, go, go, go, we're heightening that energy.
00:12:12
amanda
-hmm.
00:12:17
Brooke
So think of that getting into that sympathetic state is higher energy. So how can I decrease that high energy?
00:12:27
amanda
Yeah.
00:12:27
Brooke
And so that's probably one of the biggest tips. Like I said, I educate for my patients and I do for myself. Um, even slow blinking or slow swallowing is one of those things, right?
00:12:39
amanda
Wow.
00:12:40
Brooke
Cause you're going to be doing that anyway.
00:12:40
amanda
Yep.
00:12:42
Brooke
Right.
00:12:43
amandacberg
Yeah.
00:12:43
Brooke
So slow down your body and it gives you more awareness of like, whoa, I didn't even really realize I was in that state. And you know, body science can be I'm c clenching my teeth.
00:12:57
Brooke
I'm biting my lip, I'm picking my nails, I'm fidgeting, right? Like right now I have a little higher energy because I'm just excited to be here.
00:13:04
amanda
and
00:13:05
Brooke
And I'm like this, like behind the camera, right?
00:13:07
amanda
no
00:13:10
Brooke
So I recognize those signs for myself. And if I recognize them, then I can be proactive and do a technique that actually calms my nervous system down.
00:13:22
Brooke
And it can be like that.
00:13:24
amanda
So if you do this, like if I were to implement this, because for some reason I saw something like a reel or something two weeks ago that said like, are you feeling stressed or crazy or whatever?
00:13:32
amandacberg
Thank you.
00:13:33
Brooke
Mm hmm.
00:13:37
amanda
Walk slowly. And I thought about that as I was like racing down the hallway for no reason to go get something.
00:13:39
Brooke
Yes. Yeah.
00:13:43
Brooke
Yep.
00:13:45
amanda
And I forced myself to take really slow steps and I immediately felt better, or felt better but then I forgot about that technique.
00:13:50
Brooke
Yeah. Yeah.
00:13:53
amanda
ah literally two seconds later so I haven't done it again but I'm curious like if you really do pay attention and start implementing this stuff are you going to feel or me I guess I'm asking for myself
00:14:06
Brooke
yeah Yeah.
00:14:09
amanda
Am I going to feel less tired because I cannot tell you how exhausted I am.
00:14:13
Brooke
Yep.
00:14:13
amandacberg
Mm hmm.
00:14:16
amanda
I can sleep for five hours or 12 hours and I am the same amount of tired.
00:14:17
Brooke
yeah
00:14:20
Brooke
Yep. Yep. So I can't guarantee, right? Because there are so many factors that go into fatigue and also just you're a mama, right?
00:14:25
amanda
Yeah.
00:14:33
Brooke
You're a mama, you work. You're busy, you have a social life. You just, there are so many things that are going on in your life. But I think of it too. Again, if you're in this higher energy state, you're exerting more energy than what your body might need to do throughout your day, right? If you're never getting back into that settled, grounded, I feel safe and comfortable state, then your body is constantly using this energy all the time.
00:15:01
amanda
Mm hmm.
00:15:01
Brooke
And when we use, when we're in that state, again, it's our physiology. So different types of hormones are being released. Like we're all familiar with cortisol, right? I mean, that is something that it alerts you, it gets you awake. So if you feel like you are living in a certain state, you're constantly having these hormones that are being released, but eventually it's almost like having that crash, right? It's like being released, released, released, and then man, I'm exhausted.
00:15:28
amanda
Yeah.
00:15:28
Brooke
because the first half of my day was just go, go, go, go, go. So I, again, I was one that I would get up, run, go work out, go right to work, like see patients. and I'm like, bam, bam, bam. And then in the beginning of this year, when I just was in a free state, I was like, I can't do that to myself. I actually need to settle my system.
00:15:53
Brooke
I actually need to deactivate this high energy. So I need to slow down. So I would get up and I would read. I would journal. I would just sit there honestly and like listen to the birds. Like something that just was so different from how I was doing it. And I felt more energized the more I did that.
00:16:13
amanda
Mm hmm.
00:16:13
Brooke
I stopped drinking coffee. Not that coffee is like a horrible thing. You know, I still have my cup right here actually right now, but I felt like in that state I had to do that because I didn't want to get that high energy still.
00:16:18
amanda
you
00:16:26
Brooke
I actually had to deactivate that higher energy and do less.
00:16:26
amanda
Yeah.
00:16:31
Brooke
So again, as a mom, you know, I'm not a mother. I don't know how that feels to have kiddos, right? And to have to manage their schedules and your schedule and all of those things, right?
00:16:44
Brooke
But I think finding those moments of rest that you can do throughout your day is going to be so crucial, so crucial for you.
00:16:50
amanda
Yeah.
00:16:52
Brooke
And it can be just a couple of minutes.
00:16:52
amanda
Yeah.
00:16:55
Brooke
It doesn't have to be this whole, I need to block 30 minutes, unless that's what you need, right? But it can be a couple of minutes throughout the day. of, okay, I'm going to sit here and maybe just do some slow blinking.
00:17:05
Brooke
Or when I eat my meal, I'm actually going to chew and I'm going to slow down. If I drink my coffee or my tea, I'm actually going to slow down. Right. All of those things are helping to decrease that high energy.
00:17:18
Brooke
So I'm curious if you were to implement those techniques, how you might feel. Because I can say for me, it was useful.
00:17:25
amanda
Yeah.
00:17:29
Brooke
And for my patients, it's incredibly useful for them. But again, different situations, right?
00:17:36
amanda
Well, I'm really determined because I feel like extra crazy lately with all the school shit that's going on, too.
00:17:44
Brooke
Yeah. Yeah.
Personal Experiences with Stress and Diabetes
00:17:46
amanda
So I definitely need it more, like now more than ever.
00:17:49
Brooke
Right.
00:17:51
amanda
And I totally know that I am using my phone as a crutch where I just like I'm scrolling Pinterest.
00:17:51
Brooke
Yeah.
00:17:56
Brooke
Yes.
00:17:58
amanda
to I'm mindlessly going through reels because that like helps me turn my brain off or it feels like it does.
00:17:59
Brooke
Yep.
00:18:06
Brooke
ah It's a distraction.
00:18:07
amanda
Yeah, exactly.
00:18:07
Brooke
Mm-hmm.
00:18:08
amanda
And so
00:18:08
Brooke
Mm-hmm.
00:18:10
amanda
doing nothing feels like more work to me than scrolling and so and yeah it's like really affecting me like I can really feel it and so I've been thinking about it a lot but in the moment when I am so exhausted or it is 7 15 p.m.
00:18:14
Brooke
Yeah. I know. I can resonate with that so much. Yes.
00:18:32
amanda
and it has been non-stop go-go-go because
00:18:34
Brooke
Yep.
00:18:35
amanda
kids, work, school, advocate, call the call the school, fight, email, you know, whatever.
00:18:38
Brooke
Oh, yeah. Right.
00:18:41
amanda
And I'm so freaking heightened. The last thing I want to do is lay there and like go into a kumbaya state. I'm like, I can't do that. That sounds like a really intense exercise on my brain.
00:18:50
Brooke
Yep.
00:18:51
amandacberg
I know
00:18:53
amanda
Sorry, Raquel, go ahead.
00:18:55
amandacberg
I've just been thinking throughout all of this. First of all, it just hits home so much. You know, this Brooke, we've talked offline before.
00:18:59
Brooke
Mm hmm.
00:19:01
amandacberg
In fact, Brooke even sent me like the discount code to use the calm app a long time ago. And I can't tell you how many times I've almost clicked on it and like almost gone to your messages to start it. And I just, I haven't because of what Amanda is saying too.
00:19:14
amandacberg
I feel exhausted for different reasons, but I do think I'm curious on your thoughts on this. being diagnosed with diabetes at five and growing up and taking on responsibility as soon as I possibly could.
00:19:24
Brooke
Right. Mm hmm.
00:19:25
amandacberg
And that only doing good for my life, right? Like then I got to do the things I wanted to do.
00:19:30
Brooke
Yep.
00:19:30
amandacberg
Then I really cared about my blood sugars and I got them in the range that I wanted them to. Then I started a business and it's going really well. The more I work and the harder I work, like I am addicted to working and I do think it goes back to diabetes.
00:19:39
Brooke
yep
00:19:41
Brooke
Yeah.
00:19:42
amandacberg
I don't know. And I think that people can have type one and take it the total opposite direction. But my personality is just like, the more I work on this, the better it's going to be.
00:19:50
Brooke
Yeah.
00:19:50
amandacberg
And like, that kind of has been true. But at the same time, I feel exhausted. Like I wake up in the morning and I have these moments of just being so excited.
00:19:57
Brooke
Yeah.
00:19:59
amandacberg
I have all this energy. And and then by the afternoon, I'm just totally out of it. And I hear people all the time talking about like non-diabetes people, like oh, it's because you're having blood sugar spikes and you're crashing. And I'm like, no, my numbers were steady.
00:20:12
amandacberg
I am just exhausted.
00:20:12
Brooke
Yes.
00:20:13
amandacberg
And I know we need to sit still.
00:20:14
Brooke
Yes.
00:20:15
amandacberg
That makes me so uncomfortable.
00:20:17
Brooke
Yep.
00:20:17
amandacberg
Like I've even wanting to like, a new hobby I want to start my friends been doing this is I want to start scrapbooking putting out there.
00:20:17
amanda
he
00:20:21
Brooke
Yes.
00:20:24
amandacberg
oh Like I used to love being crafty.
00:20:24
Brooke
I love that.
00:20:26
amandacberg
And I'm like, I just need to go to the store and get fun stuff and print pictures and like sit there and like have fun making these pages because I love looking through old photo albums and I don't have
00:20:27
Brooke
Yep. Yeah. no on
00:20:35
amandacberg
So that's been like something on my mind. But instead of going to Joanne's and doing that, I said on my phone as well.
00:20:39
Brooke
Yep.
00:20:40
amandacberg
And it's just so hard to get out of the cycle. Like how do you make yourself do that? Like I know you did make a big life change yourself. So sitting there in the morning and I thought a lot about having a morning routine that doesn't involve just doing the things to get straight to work, but then I sometimes feel like that stresses me out more because I have this stuff.
00:20:56
Brooke
yep Yeah.
00:20:59
amandacberg
I know I have to get done, and so I almost rather get it done and than rest, but then I don't end up resting.
00:21:03
Brooke
Yeah.
00:21:04
amandacberg
So that's my whole rant.
00:21:05
Brooke
Yeah.
00:21:06
amanda
Wait, and then as you answer that, Brooke, can you also explain how once you regulate your nervous system, what the science behind that does to your blood sugars and if you specifically have seen your blood sugars change or the management or whatever change because of that?
00:21:06
Brooke
No, I think. Yeah.
00:21:18
Brooke
Yeah.
00:21:21
amandacberg
love.
00:21:25
Brooke
Yes, absolutely. That's a great question. So i I just want to reiterate, I know i I've said this earlier, but I just want to reiterate how you guys feel is so, so valid because I can 100% wholeheartedly relate to how you're feeling of like, okay, no, I'm not. The fact that I need to even sit makes me uncomfortable. um Again,
00:21:50
Brooke
my entire life and for people who know me, I've always been that go, go, go, go, go. I don't want to just rest. I feel like for me, it was always revolving around like, I'm not being proactive or I'm not being, um not proactive, but I'm not being, what's the word I'm like, what is it?
00:22:04
amandacberg
next
00:22:07
amandacberg
productive is that what you mean
00:22:08
Brooke
Yeah, productive. Thank you. Yes.
00:22:09
amandacberg
um
00:22:09
Brooke
I'm not being productive. I have all these things I need to do. And I just feel like that's a stress and like this,
00:22:17
Brooke
this like perception that our society gives us. I mean, you guys are two successful women and you guys have built, you know, this whole community because you are go getters, right? You guys get things done and you connect people and you're helping people all around, which is so great. So great. And I think that's what I also look at is, you know, I ah haven't really given myself a break until probably this year, to be honest.
00:22:47
Brooke
I mean, I went through undergrad right through undergrad. I went through physical therapy school right through there. I started work and it was just like nonstop. Go, go, go. Our life, you know, we were always traveling and doing things.
00:22:58
Brooke
People coming to visit and I was just, it was very rare for me just to like relax. Right. And it's almost like looked at as like, okay, well if I relax, I'm being lazy. And so I never ever gave myself that break until I had to, I had to,
00:23:08
amanda
Mm.
00:23:16
Brooke
because my body was in that free state. And I think for me, I was very thankful to be able to be working with someone. She actually works with our patients and I became a patient of hers. So so for the first time, it was like, okay, the roles are reversed or flipped. I actually need help. And she was the one that helped to guide me through some of this regulation and to recognize what it was doing to my body. She knows my background. She knows, again, I work with individuals with diabetes. She knows I'm diabetic. And so I feel like for her, she was really understanding of like how much diabetes can influence my nervous system throughout the day that I never recognized myself, right? Again, having something that buzzes on your side all the time, something that you're constantly looking at all the time because you want to make sure you're in range, it affects your nervous system.
00:24:06
Brooke
Why we like to scroll is because yes, it distracts us from other things that are going on. It entertains us, right? But it also gives us surges of dopamine. Dopamine is our feel good hormone, right?
00:24:19
Brooke
So we like it. We like to scroll. We like to see things. Again, it's entertaining. But what that does though, is it actually gets your body into more of a sympathetic state, gets that higher energy, right?
00:24:31
amanda
Hmm.
00:24:32
Brooke
Dopamine gets you into that type of state. And so, why we feel or why we want to do those things is yes, it's a distraction. It feels good. I again, get some entertainment, but it's still ramping up that higher energy. We're not going back down until we actually give ourself rest. And I don't know if it's helpful, but I have a graph that I show my patients about these energies um or this nervous system state and how energy can influence. So I can always send that to you guys and I don't know
00:25:04
amandacberg
No.
Benefits of Nervous System Regulation in Diabetes Management
00:25:05
Brooke
if it can be uploaded somewhere, but it is it's it's useful to see this visual.
00:25:10
Brooke
That's why I keep kind of doing this with my hands, because I want to show that it's kind of looked at as, again, as energy rises.
00:25:12
amanda
Yeah.
00:25:17
Brooke
I'm getting into that higher energy state, and eventually if I'm in that free state, it looks like I am in more of a, like I can't do this, or I'm i'm in a more relaxed state because I feel overwhelmed and I can't do this, but actually it's I'm high energy.
00:25:34
Brooke
So to get yourself out of that, you have to actually settle, you have to ground, you have to decrease that high energy somehow. So again, me working with someone was really useful. Me recognizing I was in this state and what do I need to do was very useful. And then I just had to implement it.
00:25:52
Brooke
I was like, I don't want to do this at all, but I have to do it. And once I started, I felt so much better. And I think that was my motivator right there, right? Once I just started and I was like, man, I actually feel better and I can act and I have more energy.
00:26:07
Brooke
and I'm thinking clearly. I don't have brain fog as much as I do, or I'm not getting tired at 2 p.m., right? Once I started, my stomach feels better. My blood sugars are better. Like once I had all of those other qualitative but also quantitative data pieces, I was like, okay.
00:26:25
Brooke
this is This worked for my body and that was the feedback I needed, but I don't think I would have really implemented it right away unless I had someone there that was an outsider perspective helping guide me through that.
00:26:38
amandacberg
Mm.
00:26:40
Brooke
and That's kind of what I do for my patients, but I want to try to implement more of this in the diabetes community because it's so needed. so Amanda, going back to your question about you know how once I'm in that regulated state, how do I recognize with my blood sugars? If you're in a sympathetic state, you have more um insulin resistance. So blood sugars can be higher. I mean, I never knew this until I was like in my second year PT school. And I mean, truly, I mean, all through high school undergrad or middle school, high school, undergrad, and my first year PT school, I was like, why am I always high and very resistant during finals week?
00:27:22
Brooke
Like why? And then finally, one of my professors is like, yeah, because your insulin is very resistant during stress. And now I know that now.
00:27:34
amanda
Yeah.
00:27:34
Brooke
And maybe you got like, maybe that's more commonly known now, but back then that wasn't, no one was sharing that. Right.
00:27:40
amanda
Yeah.
00:27:41
Brooke
So, and I share that with my patients again, along with this graph I'm talking about, it talks about all the physiologic changes that happen in your body when you're in a sympathetic state. like your heart rate increases, your blood pressure increases, your respiratory rate increases, your insulin resistance increases, right? Compared to when you're in a calmer state, all of that decreases. So, so many factors go into blood sugars, right? So many, right? is It's like, it changes for everybody. It depends if you're a woman or or a male. It is, you know, if you are going through periods of stress, exercise, traveling, altitude, like all these things.
00:28:19
Brooke
But i I don't think that nervous system is really talked about. I've never heard that from any of my providers until I became a provider myself. oh So it's just, it's something I want to help people with. I want to educate. I want to share this information. It was incredibly powerful for myself. And I think it can help a lot of people who are living with diabetes and also parents with kiddos with diabetes. Because our society in itself without take diabetes aside, right? We're all living in this state.
00:28:49
Brooke
We're living in a sympathetic state as a society. And now you add in the you know all the stressors that come with diabetes.
00:28:56
amanda
Yeah.
00:28:57
Brooke
And the constant monitoring, the constant decision making, like you said, Amanda, I mean, it's just no wonder. No wonder we're feeling the way that we're feeling.
00:29:04
amanda
Yeah.
00:29:06
amandacberg
Have you found ways to help?
00:29:06
amanda
i No, you're good.
00:29:08
amandacberg
Sorry, really.
00:29:10
amanda
Go ahead, Raquel.
00:29:10
amandacberg
ah um not Like the actual device, like I thought about before trying to use the Dexcom receiver. I don't even know if I have it anymore, but like when you feel like you have to be so tethered to your devices all the time.
00:29:21
amandacberg
Do you have any tips about that?
00:29:21
Brooke
Yep.
00:29:23
amanda
Great. Great question.
00:29:24
Brooke
Yeah, that that one's hard. I think for me, sometimes I just have to take my watch off. So I have the connectivity to my watch and it also gives me my updates from my pump.
00:29:37
Brooke
Sometimes I just have to take my watch off. I've actually thought about maybe going away from this type of watch. It's not a bad thing for people. I mean, it's useful because I don't have to take my phone around. um But it's also just that constant buzz that I've recognized if I'm in a certain state, it just gets me further into that state. So sometimes I just have to disconnect in that way. I can't disconnect my pump, right? I can't really silence my alarms. Those alarms are there for a reason. So I'm thankful for them. But I think if I can help what I can control,
00:30:11
Brooke
is what I do besides looking at my blood sugars on this, right?
00:30:13
amandacberg
Mm hmm.
00:30:17
Brooke
First thing in the morning, I'm not looking at this. I'm gonna look at my blood sugar, make sure I'm okay, but I do not get on my phone until 30 to 60 minutes after I've been awake. Because it already puts me into a sympathetic state if I get into, if I start scrolling right away.
00:30:33
Brooke
And Raquel, I think we talked about this a little bit, is is just being able to wake up
00:30:34
amandacberg
Thank
00:30:39
Brooke
more in a, you know, a slower state, right? Talk about that slower, more, more calming, settled state going on a walk or reading. or journaling or doing whatever that may be.
00:30:52
Brooke
But i if I'm going to spend the time, 20 minutes on my phone scrolling versus 20 minutes on a walk regulating myself, I'm going to choose that now because I have felt the differences and I still sometimes will do that.
00:30:59
amandacberg
you.
00:31:01
amanda
Mm hmm.
00:31:06
Brooke
right I get up and it's like, oh, I see a message and then I'm like, whoa, I'm sucked in.
00:31:08
amanda
Mm hmm.
00:31:09
amandacberg
Yep.
00:31:10
Brooke
But then I again recognize like, wait, what am I doing?
00:31:14
Brooke
And I get myself out of that because I have control. I think that's the thing is like I have that control to put this away. So maybe I keep it on my nightstand. I don't even look at it right until 30 minutes to 60 minutes. So I think recognizing what works for you, not everybody is going to find the same thing works. right But playing around with different techniques and Once you feel something different and you're like, whoa, okay, I don't have that chest tightness.
00:31:45
Brooke
I feel a little more energized. I'm not clenching my teeth or fidgeting all the time. Then that's your feedback right there of like, okay, that worked, that worked.
00:31:53
amanda
yeah
00:31:54
Brooke
I think we need to change the perception that it's okay to slow down and it's okay to rest because we do so much already. Our bodies were, our brains, they were not supposed to be working all the time in this alert state all day for months and years and however long, right?
00:32:14
amandacberg
Yeah.
00:32:18
amanda
Yeah.
00:32:18
Brooke
I mean, we i i just I want to try to change that negative perception because I was there.
00:32:25
Brooke
And to be honest, I was not in a good state mentally. And I feel like that i I just had to do what I needed to do to kind of get myself back to feeling healthy and feeling safe and feeling okay with everything.
00:32:42
Brooke
So so I think Raquel, I'm not 100% sure. I kind of forget the original question.
00:32:48
amandacberg
Well.
00:32:48
Brooke
and Yeah.
00:32:49
amandacberg
All the red ones, thank you.
00:32:51
amanda
It does resonate and I do think that like a lot of it is about self-reflecting and figuring out what contributes to you as an individual and what makes like you get triggered because you're talking about like the watch buzzing like that contributes to yours.
00:33:01
Brooke
Yes. Yes.
00:33:08
Brooke
Mm-hmm.
00:33:10
amanda
I don't mind my watch buzzing until it's been over an hour and that's when I start to feel my body shift and everything tighten and the clenching happening
00:33:12
Brooke
Mm-hmm.
00:33:20
amanda
um But I will say that one thing that has like changed the game, this is not an ad yet, but is the sweet dreams app for having blood sugar on the face of my phone.
00:33:27
Brooke
Oh!
00:33:36
amanda
Like because I don't have to open up the phone and then get sucked into all the other apps I'm just looking at the the numbers and I can see the trend the last four numbers so you get like five readings in total and That has been so helpful But then there are some people where being able to constantly see their child's blood sugar like that might actually Contribute contribute negatively to their nervous system, right?
00:33:36
Brooke
Oh, okay. Nice. That's very nice.
00:33:52
Brooke
and Nice.
00:34:05
amanda
So I think it's about some self-reflection that's just more a call to action for our audience here, but um Okay, can we dive oh, sorry go ahead
00:34:11
Brooke
Absolutely. Absolutely. Like what? No, I was just going to say what works for me might not work for you guys. Right. And so I think it's just, just to kind of summarize, it's, it's recognizing your body sign, right? What is your body giving you as a sign that you might be in that certain state and then being proactive and actually listening of what can I do to get out of that state? And then how do I feel? Right? Did that actually help or am I heightened even more? So.
Supporting Children in Managing Stress and Blood Sugar
00:34:40
Brooke
I think that that just comes with practice. It comes with, again, giving yourself that space to recognize, right? If you're kind of ignoring, I mean, like me, I ignored for years, probably, all of my signs, and I didn't want to listen. And to be honest, if I didn't have the resources, like, again, my my my friend who helped me with nervous system, I probably, if someone would have told me this, I probably would have been like, yeah, yeah, yeah, yeah, yeah, whatever. You don't understand, right? But I think because I,
00:35:09
Brooke
was able to trust this person. I was like, okay, you do really good work for my patients. I'm gonna trust you in this. And I just, i I gave myself the space to explore myself. And I think that's what was really helpful for me.
00:35:24
amanda
Yeah, I love that. I feel empowered.
00:35:28
Brooke
Good.
00:35:29
amanda
um I do.
00:35:30
Brooke
Good.
00:35:31
amanda
can we Can we talk a little bit about like any tips or you know like concrete um examples of how we as parents might be able to implement some of this regulation into our children with diabetes?
00:35:48
Brooke
Mm-hmm.
00:35:51
amanda
Because i mean we all know it if your child is having a tantrum, That blood sugar is spiking. It just is.
00:36:00
Brooke
Yes?
00:36:01
amanda
And it's because of what we just touched on.
00:36:02
Brooke
Yes?
00:36:04
amanda
So how do we, I think, I think first of all, there's power and knowledge, just being aware that that's what's happening and like trying not to feed into the crazy, like introducing calm to the crazy.
00:36:08
Brooke
Mm-hmm.
00:36:17
amanda
But are there any, any techniques that work with kids specifically that you're aware of that can help them like get regulated faster?
00:36:17
Brooke
Right.
00:36:23
Brooke
Yeah. Yeah. I think that it's going to be the same thing, trying something and see what happens. um If they are having a tantrum or they're in a state of stress, right for whatever reason, then yes, that causes more of that insulin resistance and that can change those blood sugars. so I think getting them into some sort of calmer state and whether that's play, whether that's let's go on a walk, whether that is, okay, maybe sitting with like music. Again, I'm not a a mother myself. So those techniques I'm sure you guys can come up with. You're probably better at giving a little bit more of those techniques that would work. Um, but something that just helps to release that high energy.
00:37:10
Brooke
So play, that's the first thing I think of. Play is probably one of the best things we can do for our body. And that goes for adults as well, right? You feel good once you play, right? if you're Whether that's like I'm exercising something or I'm playing on a team somewhere or you're just with your friends or you're with your spouse or your partner or your kids and you're playing, you probably feel really good because you are getting into more of that calmer state because you're releasing energy as you move.
00:37:41
amanda
Hmm.
00:37:42
Brooke
Okay. So movement helps to release energy. That's why we feel good after we do those things.
00:37:48
amanda
Okay. Have you heard of like kids who have like sensory input issues?
00:37:54
Brooke
Hmm. Yep.
00:37:57
amanda
So I'm like, we're pretty sure that our four almost five year old definitely has some sense of it sensory regulatory issues. And she was born with it. Like we could feel as an infant, how she was always searching for
00:38:11
Brooke
yeah Sensory input.
00:38:13
amanda
Yes, sensory input and like she can literally run down the entire hallway and she is like a bowling ball with like guardrails up, you know?
00:38:24
amanda
So her body is the bowling ball and the walls are the guardrails where she's just like throwing her body against the walls and it is like nothing is happening and it drives us freaking nuts but we don't know what to do about it.
00:38:26
Brooke
Yep.
00:38:31
Brooke
Yes.
00:38:38
Brooke
Yeah, it's probably because she feels really grounded when you, so when you have sensory input. So my patients who have like, let's say dizziness or peripheral neuropathy, their sensory input, there's a mismatch going on between other systems of their body.
00:38:53
Brooke
And I'm not saying this for your daughter. I'm just saying as again, a patient example.
00:38:55
amanda
Sure.
00:38:57
Brooke
And so if I put weights, ankle weights on their shoulders, levels out their shoulders, they feel that weight pressed down. It feels incredibly grounding for them. They feel settled and their system actually calms down.
00:39:10
Brooke
Dizziness is the exact same way if I actually get more input. Dizziness can decrease or even go away altogether. Ankle weights on the shoulders, weighted blanket, one of the best things for that type of um patient population I work with.
00:39:25
Brooke
Hands on the head. I would be curious if your daughter or your child would feel good about
00:39:27
amanda
Mm.
00:39:31
Brooke
Um, having some sort of sensory on the head, like hats.
00:39:33
amanda
Yeah.
00:39:35
Brooke
That's another great option. Um, but anything that just gives your brain input of. I'm actually settled. I'm not moving like this.
00:39:46
Brooke
I'm actually settled and I'm grounded and I feel more present. I wonder how that would do. So as your child is kind of like moving around the, you know, giving more input or stomping or running, that's trying to find more input, right?
00:40:01
Brooke
That's external input when you touch things. So on the wall, or if I'm pressing, you know, I'm stomping on the ground, that's, that's external feedback. If it's, um, like, um, and then marching or again, stomping, it's,
00:40:13
amanda
Yeah, she does that.
00:40:15
Brooke
Yes, it's it's actually giving more input through from your, from the ground up to her body.
00:40:20
amanda
Yeah.
00:40:21
Brooke
And then the brain's like, okay, I know where we're at. I know that I'm safe.
00:40:24
amanda
Okay.
00:40:25
Brooke
I know that I'm okay. So she's probably searching for all of those things because it makes her feel safe and makes her feel grounded. So again, it can be looked at as like, what in the world is going on?
00:40:37
Brooke
But actually it's her way of finding that stability.
00:40:40
amanda
Let's see.
00:40:40
Brooke
So a weighted blanket is incredibly helpful for a lot of our patients.
00:40:44
amanda
And this is where it's like I know that she needs it and I try so hard to just like let it happen if it's not disrupting anybody else or it's not going to harm her or someone else.
00:40:53
Brooke
Right. hu
00:40:55
amanda
But it is literally constant. There is not one moment that she is not moving throughout the day and that is a trigger to my sensory response.
00:41:01
Brooke
Absolutely. absolutely
00:41:07
amanda
Because I am just like, this is too freaking much. You are all over the place. Sit up. Stop laying down while you eat. Like stop jumping off of the couch, 80 feet in front of you.
00:41:19
amanda
Like you're going to break a bone. And I just, I don't know.
00:41:22
Brooke
Yeah, no, absolutely. i No, i' I'm curious too if there's actually more moments of like active settling.
00:41:23
amanda
It's a weird balance.
00:41:34
Brooke
I don't really use that term a lot for my patients, but like, Hey, we're going to sit here with a way to blanket on before you get out of bed or whatever it is, or before you go to bed or before you eat or whatever it may be, we're going to do this and just kind of see the differences if that causes more arousal or if it actually causes less arousal.
00:41:51
amanda
Hmm.
00:41:56
Brooke
um And also like having any type of stability, so like feet flat on the ground, Nice supported chair, right?
00:42:03
amanda
Yeah.
00:42:05
Brooke
My back is up against the chair and my arms on the armrest, like that gives you input. So even just what are some ways that maybe I can, or what are some ways that you could give her a little bit more of that input without her having to kind of find it herself, right?
00:42:21
Brooke
Again, are are her feet supported at the table?
00:42:24
amanda
Mmm.
00:42:24
Brooke
ah she is is Could there be a pillow or something that is put um you know behind her back to give her a little bit more of that support? Right? Or something to that degree.
00:42:33
amanda
Oh my gosh, this is crazy. So if I were to do this and like kind of find these little things throughout the day that help her feel more grounded and settle that nervous system.
00:42:46
amanda
Is there the thought then that I might see more control with blood sugars, less variability.
00:42:53
Brooke
Possibly. Right?
00:42:55
amanda
Okay. That's crazy.
00:42:55
Brooke
It's kind of something that, again, nervous system, and if we're talking about just nervous system, yes.
00:43:02
amanda
Yeah.
00:43:02
Brooke
if we're talking about other factors that can influence blood sugars, possibly, right?
00:43:05
amanda
Right.
00:43:09
amanda
Well, it's it's just so interesting because it's one of those things where, you know, if you provide the same exact meal with the same exact dose two nights in a row,
00:43:18
Brooke
Yeah, it's going to be different.
00:43:20
amanda
It's going to be different, but I'm curious if it's different on the second night. It's like more volatile. We see increases of 20 instead of increases of seven, and then it flattens or whatever because she's more dysregulated on the second night.
00:43:30
Brooke
Yeah.
00:43:35
amanda
But I don't realize that she's more dysregulated.
00:43:38
Brooke
Yeah, i think I think one other thing that a lot of us don't recognize is we co-regulate with the people around us. So if if she's in a higher energy state, you're going to feel it too, right? Not only is it just like there can be other factors that make you into a higher energy state, but if you're around people,
00:43:58
Brooke
right that are in that state, you're gonna feel it. It is really hard for me, and I'm learning this, but when I have patients that are in a high energy state, I really have to calm my nervous system down before I even go see them. Because if not, I'm gonna be ramped up, I'm gonna be heightened myself, and that affects my blood sugars. So I really have to calm myself down before I go see them. And then if I go in with a calm presence, right then that can actually calm them down. So just know that you can have that influence also on your child, but your child could also have an influence on you. And that goes for every person that you are around. So sometimes stepping away is one of the best ways you can break that stress cycle, even though that can be hard to recognize sometimes. But sometimes we need to actually separate ourselves from what might be causing us to be in a certain state because I need to get myself back down so that I can help the person in front of me also be in a calmer state.
00:44:57
Brooke
Right?
00:44:58
amanda
That's so interesting.
00:44:59
amandacberg
I also wonder, like, I don't know what I'm talking about completely, obviously, but so as a dancer,
Reflections on Grounding Techniques and Future Plans
00:45:05
amandacberg
as a lot of you know, and like, a lot of these issues, I guess, have come up since I stopped dancing a lot.
00:45:05
Brooke
Yeah.
00:45:11
amandacberg
And when I really think about it, we would spend so much time in the class getting literally grounded, we would stand with our feet planted, like, make sure we're like, in alignment, we would close our eyes, we would breathe, we would
00:45:16
Brooke
Yes.
00:45:19
Brooke
Yep.
00:45:21
amandacberg
I felt so connected to my body, and it's amazing, Amanda, that you've mentioned that Hattie loves dance and she wants to be in dance, and I wonder if like connecting to her body in that way could allow her to, number one, release the energy, because that's what I'm missing, and then like feel more connected and grounded after dance and in the days to come.
00:45:24
Brooke
You're moving.
00:45:35
Brooke
Mm hmm.
00:45:39
amandacberg
you know
00:45:40
amanda
Yeah.
00:45:40
Brooke
Absolutely.
00:45:40
amandacberg
is It was really good for me. And I know that. And it's very interesting seeing the difference. And sometimes when I go to a workout, I do get that. But like, depending on the exercise, sometimes it also just heightens the state even more.
00:45:52
amandacberg
And this could take us into the exercise conversation maybe, Brooke, because I know you have so much knowledge there as well.
00:45:52
Brooke
yeah
00:45:58
amandacberg
But it's interesting.
00:45:59
Brooke
Yeah, absolutely. I think it's what works for you. So Raquel, like you recognize that change and maybe that influence dance had. So how can you now implement that into your day to day now, right?
00:46:13
amandacberg
Yeah.
00:46:13
Brooke
And in in the environment that you're in.
00:46:15
Brooke
And I think that that's what we all need to recognize is like, what is that thing that makes me feel the best, right?
00:46:22
amandacberg
open
00:46:24
Brooke
And then how can I implement that? Even if it's, you know, just a couple minutes a day, how can I implement it? So I'm just not constantly driving up this sympathetic state for however long, right?
00:46:36
Brooke
It's like, how can I get myself back down? And then maybe I go back up, but it's not as heightened as it was compared to if I didn't do anything. So I think that that's that's just a good tidbit for parents as well, because you know your child best.
00:46:46
amandacberg
Yeah.
00:46:53
Brooke
Like what's going to work for your child? But trying something, recognize any changes in their in their in their signs and how they're acting, maybe their energy levels, and then that right there will give you the feedback.
00:47:06
Brooke
You have a lot of feedback from what your body gives you. So how can I, I'm gonna try something, monitor, try it. If it doesn't work, I'm gonna try something else. If it does, great.
00:47:17
Brooke
I'm gonna start implementing it.
00:47:18
amandacberg
Yeah.
00:47:19
amanda
So interesting.
00:47:21
amandacberg
I didn't even realize that it's already almost time and we have to go. So I'm not sure if we have time to dive into the other conversation.
00:47:24
Brooke
And that's okay, that's okay.
00:47:27
amandacberg
um
00:47:29
Brooke
that That would be a whole other.
00:47:31
amandacberg
Well, there will be a happy one for the part two, I think, because this already did so much for me and I'm hoping for the parents listening as well.
00:47:32
Brooke
ah yes
00:47:40
amanda
Yeah, definitely.
00:47:42
Brooke
I would love that.
00:47:42
amanda
Thank you so much for coming on, Brooke. You are a wealth of knowledge.
00:47:46
Brooke
Oh, absolutely.
00:47:47
amandacberg
Yes.
00:47:47
Brooke
I appreciate the opportunity and I really just want to be a resource for people because again, being someone who's diabetic, I understand the challenges that can come with managing your condition.
00:47:59
Brooke
so And also that goes for parents. I never really talked to my parents about how it influenced them until now. Right. And I wish I would have, I wish I would have known.
00:48:10
Brooke
I think they tried to do that more to kind of protect me. Um, but you guys go through so much.
00:48:17
amanda
I was gonna say, as a parent, I never want Hattie to know.
00:48:17
Brooke
I gave you guys so many props and yeah, I know.
00:48:24
amanda
There's just no, there's no need.
00:48:24
Brooke
Cause you, you guys are and c incredibly strong. And again, like now I can kind of relate a little bit to what my parents have gone through, but you guys are so strong and you guys also deserve, you know, all the the tips and trick as tricks as well.
00:48:41
Brooke
Cause this is also new for you guys, right? And managing through every life stage is going to be new.
00:48:43
amanda
if
00:48:47
Brooke
So it's ah it's a team effort here. And like I said, I'm here for you guys. I'm here for other people who might want to reach out and just know that we're all in here together.
00:48:53
amandacberg
Yeah, where can people find
00:48:55
Brooke
Um, so I have my Instagram handle is sugar B and me. So that's probably the best way to reach out. Um, and then I have done a couple of videos for honey health.
00:49:09
Brooke
So that's another great way.
00:49:09
amandacberg
Yes, that's about it. We brought Brooke in to do some videos for you all on our super parent community group and the honey health app. So remember, it's a free app.
00:49:21
amandacberg
Anyone can join. We'll link that here. We'll link Brooke's Instagram here. Um, and hopefully have you on again. I would love that.
00:49:29
Brooke
I appreciate it.
00:49:29
amanda
Yeah.
00:49:30
Brooke
Thank you so much.
00:49:30
amandacberg
Yay.
00:49:32
amanda
All right, everyone.
00:49:32
amandacberg
All right. We'll see everyone next week.
00:49:33
amanda
OK, you know what we haven't done, though, in a long time?
00:49:35
amandacberg
me
00:49:36
amanda
Roll call.
00:49:37
amandacberg
You're right.
00:49:38
amandacberg
Let's do it.
00:49:38
amanda
Blood sugar roll call.
00:49:39
Brooke
Is that blood sugar?
00:49:39
amandacberg
We do.
00:49:40
amanda
Yeah.
00:49:40
amandacberg
ah yeah and
00:49:42
Brooke
Oh man. Let's see here.
00:49:45
amandacberg
yeah
00:49:46
Brooke
All right. I am actually 224 and I feel like that's because I'm in this high energy state of excitement.
00:49:53
amanda
yeah Love it.
00:49:56
amandacberg
Oh she's dropping.
00:50:00
Brooke
ah Beautiful.
00:50:01
amanda
Hattie is 149 down 23. We'll sir see if it slows and we'll see if anyone catches it.
00:50:07
Brooke
Beautiful, beautiful.
00:50:09
amandacberg
Yes.
00:50:14
amanda
Too bad the health office has no idea what her current number is.
00:50:18
Brooke
ah I'm thinking about you.
00:50:20
amandacberg
why
00:50:21
amanda
Thanks.
00:50:21
Brooke
I mean, what you're doing, your advocacy is is wonderful. So keep doing what you're doing.
00:50:26
amanda
Thanks, I'm gonna be a brat about it and super obnoxious about it until it gets changed.
00:50:31
Brooke
Hey, that's how change happens though, right?
00:50:31
amandacberg
One option.
00:50:32
amanda
So.
00:50:34
Brooke
Consistency and having a movement.
00:50:35
amanda
I guess so.
00:50:37
Brooke
So let us know if there's anything we can do.
00:50:37
amanda
Yeah.
00:50:40
amanda
Thank you. All right guys, we will talk to you next time.
00:50:44
amandacberg
Bye.
00:50:46
amanda
Bye.
00:50:46
Brooke
Bye.