Full Transcript for What If Your “Type 2” Diagnosis Is Wrong? LADA with Ginger Vieira The Diabetes Nerd

our third dog. 00:02:04.959 --> 00:02:07.519 Ginger on the exact same. 00:02:07.760 --> 00:02:11.840 My wife is a veterinarian, and it was oh our dogs, yeah. 00:02:11.919 --> 00:02:12.960 We're getting another one. 00:02:13.199 --> 00:02:14.319 Seriously, yeah. 00:02:14.560 --> 00:02:19.199 When the when our puppy is full-sized, it will outweigh my wife and myself combined. 00:02:19.520 --> 00:02:20.719 You know, the the four of them. 00:02:20.800 --> 00:02:22.879 Yeah, and I'm not a small person. 00:02:23.280 --> 00:02:25.680 I have to tell you that I brought that dog home. 00:02:25.759 --> 00:02:26.639 He was eight pounds. 00:02:26.719 --> 00:02:29.120 He's now 12 pounds, he's not being treated well. 00:02:29.280 --> 00:02:31.280 He needed some muscle and nice. 00:02:31.439 --> 00:02:34.479 Uh, but I I got rid of that fella. 00:02:34.960 --> 00:02:41.120 Um what kind of what kind of man would be um an adorable eight-pound dog? 00:02:41.759 --> 00:02:44.000 Um I gotta I have a better one now, don't worry. 00:02:44.159 --> 00:02:44.960 We're not sitting here. 00:02:45.280 --> 00:02:46.719 A better man or a better dog? 00:02:46.800 --> 00:02:47.199 Yes. 00:02:47.520 --> 00:02:49.840 Um all the dogs are always amazing. 00:02:50.000 --> 00:02:51.199 I did find a better man. 00:02:51.439 --> 00:02:51.759 Excellent. 00:02:51.919 --> 00:02:52.400 That's good. 00:02:52.560 --> 00:02:54.560 That's good, excellent, excellent. 00:02:54.879 --> 00:02:56.240 So diabetes. 00:02:56.400 --> 00:02:58.639 Um, I Oh yes, diabetes. 00:02:58.800 --> 00:02:59.759 Yeah, you remember that? 00:03:00.000 --> 00:03:08.159 I uh I found you because I am a career scientist, probably equally as nerdy. 00:03:08.319 --> 00:03:14.800 Um, I have not found the resources um nor the connections that you have. 00:03:14.960 --> 00:03:20.240 And thank you for creating your little diabetic nerd definitely like ecosphere. 00:03:21.039 --> 00:03:21.520 Thank you. 00:03:21.840 --> 00:03:30.719 After I spent a I don't know, six months trying to get into an endocrinologist, and then he saw me for six minutes. 00:03:30.879 --> 00:03:33.919 Um I had to take the nerd reins myself. 00:03:34.240 --> 00:03:40.159 Uh when I reached out to you I think I I think I have Lada. 00:03:41.280 --> 00:03:45.520 And this this is really what I wanted to focus on because it is super new to me. 00:03:45.599 --> 00:03:52.319 I've been I thought I've been type two for ten years, and I I solved nothing. 00:03:52.479 --> 00:03:55.520 Scott is type two and he just eats right and it works. 00:03:56.080 --> 00:04:02.319 I would eat right, I would exercise, I'd do all the things, low carb, keto, all of it. 00:04:02.560 --> 00:04:09.280 And never I mean, I I bought uh CGM out of pocket just to kind of gather some data. 00:04:09.360 --> 00:04:20.240 And well, the running joke with John, yeah, when we would go because John would come to the gym and we'll work out or whatever, and he'll show me his phone, and the running joke was look, new high score. 00:04:20.319 --> 00:04:22.240 Yeah, and it didn't matter what he did. 00:04:22.639 --> 00:04:25.680 Exercise made my exercise made my blood sugar go high. 00:04:25.839 --> 00:04:26.959 Oh, it blew him through the wall. 00:04:27.439 --> 00:04:39.199 So I mean that was the running joke all the time with John, and it got I could see his frustration sort of mounting with it, but I didn't mean to interrupt, but I mean it gives an idea of sort of where you were heading with some of this. 00:04:39.680 --> 00:04:43.279 So can you tell me anything, everything, all the things you know about Lada? 00:04:43.600 --> 00:04:46.399 Because there honestly is not a lot out there. 00:04:46.639 --> 00:04:47.600 Not a lot out there. 00:04:48.160 --> 00:04:49.920 Okay, so it's crazy. 00:04:50.079 --> 00:05:02.639 There's your story is actually becoming so common, but it's still so hard to change the core education in medical scene, right? 00:05:02.800 --> 00:05:06.959 And your doctor, you know, went to medical school decades ago, probably. 00:05:07.120 --> 00:05:21.120 So I can tell you, I want to tell you this right from the start, because I was relieved to learn this a few months ago, that they are now educating medical students right now that type 1 diabetes can develop in adulthood. 00:05:21.439 --> 00:05:26.480 Most doctors believe that type 1 diabetes can only develop in childhood, right? 00:05:26.800 --> 00:05:37.279 Even though more than 40%, I think at least, um, if not 50%, of cases of type 1 diabetes develop in adults. 00:05:37.680 --> 00:05:41.199 So the whole that's why we don't call it juvenile diabetes anymore. 00:05:41.360 --> 00:05:41.920 Oh, is that true? 00:05:42.079 --> 00:05:43.040 Oh, that makes sense. 00:05:43.279 --> 00:05:45.040 Yeah, it used to be called juvenile. 00:05:45.439 --> 00:05:45.759 Right, right. 00:05:45.920 --> 00:05:47.040 No, that that's amazing. 00:05:47.279 --> 00:05:52.879 And I I sort of can I self-confirmed it, and I, you know, you have the data in front of you, but I paid no attention. 00:05:52.959 --> 00:06:00.480 I get an annual physical through work and and they do blood sugar, and I looked and it was fine, it was fine, it was fine. 00:06:00.560 --> 00:06:03.279 And then like 10 years ago, it started being unfine. 00:06:04.000 --> 00:06:08.160 And I'm like, I didn't do anything, and you know, I did all the things. 00:06:08.240 --> 00:06:10.800 I lost, I don't know what I lose, Scott, 80 pounds. 00:06:11.360 --> 00:06:12.079 Closer to 100. 00:06:12.560 --> 00:06:15.839 You know, just I I did all the type 2 things. 00:06:16.240 --> 00:06:16.800 Yeah. 00:06:17.120 --> 00:06:20.000 So let's spell out for listeners what LATA means. 00:06:20.160 --> 00:06:26.720 LATA is an acronym, L-A-D-A, for latent autoimmune diabetes in adults. 00:06:26.879 --> 00:06:28.959 So it is type 1 diabetes. 00:06:29.199 --> 00:06:33.279 Type 1 diabetes is autoimmune, type 2 diabetes is metabolic. 00:06:33.519 -->

00:06:39.439 So type 1 diabetes means your immune system is attacking the cells in your pancreas that produce insulin. 00:06:39.680 --> 00:06:43.600 Type 2 diabetes means there's a dysfunction within your metabolism. 00:06:43.759 --> 00:06:49.360 And there are people with type 2 diabetes who don't produce enough insulin or they produce insulin. 00:06:49.439 --> 00:06:55.600 Um, they don't produce sorry, the cells that produce insulin are damaged, so the cells are not like working properly. 00:06:56.000 --> 00:07:00.000 Um, but it's not your immune system attacking in type 2. 00:07:00.160 --> 00:07:04.160 So LATA, people think, oh, it's it's a combination of both. 00:07:04.319 --> 00:07:22.560 No, it is just type 1 diabetes, but it develops really slowly because the attack on your immune system the attack on your pancreas from your immune system when you're an adult is less aggressive compared to the attack when type one develops in children. 00:07:23.279 --> 00:07:27.519 And so that's why it can look like type two for a decade. 00:07:27.600 --> 00:07:31.439 And I have heard that story, I'm not telling I'm not even kidding, so many times. 00:07:32.240 --> 00:07:37.199 Um, I've interviewed these people, so you definitely go to type1strom.org. 00:07:37.279 --> 00:07:43.199 We have so many lata misdiagnosis stories on there, um, just like yours, to be honest. 00:07:43.360 --> 00:07:47.600 Yeah, and that's they're really trying to raise awareness of this through type one strong. 00:07:47.839 --> 00:07:48.480 Oh, that's awesome. 00:07:48.639 --> 00:07:52.959 Um, and it's not that's not my website, but I've written a lot of articles for them. 00:07:53.279 --> 00:08:04.720 Um, and the problem is doctors just do the initial diagnosis and there's no follow-up because there are two tests that would have clarified your diagnosis right away. 00:08:04.879 --> 00:08:09.279 But if you were overweight, they're just gonna assume, well, makes sense, right? 00:08:09.360 --> 00:08:10.959 It's got 80 pounds to lose. 00:08:11.120 --> 00:08:12.160 This is obvious. 00:08:12.560 --> 00:08:14.720 But what they should, yeah, go ahead. 00:08:15.120 --> 00:08:22.240 No, I was gonna say, I I wasn't it's been a mystery since the beginning because I I carried it fine, but it that's where I was gonna go, John. 00:08:22.639 --> 00:08:27.680 You weren't, you know, the typical 300 plus pound guy. 00:08:27.839 --> 00:08:30.160 Yeah, you know, I mean we've all seen that. 00:08:30.240 --> 00:08:31.040 Yeah, John. 00:08:31.360 --> 00:08:35.679 You know, for all of his lack of ego and his humility. 00:08:36.320 --> 00:08:37.759 Yeah, you're adorable. 00:08:38.799 --> 00:08:39.759 John's jacked. 00:08:39.919 --> 00:08:40.159 Yeah, yeah. 00:08:40.320 --> 00:08:43.840 You know, I mean, yeah, I don't I don't know what you guys look like. 00:08:44.159 --> 00:08:44.240 Right? 00:08:44.320 --> 00:08:45.039 It was a mystery. 00:08:45.360 --> 00:08:45.840 It's a mystery. 00:08:46.399 --> 00:08:47.600 We'll have to start a YouTube channel. 00:08:47.759 --> 00:08:48.559 Oh no, we don't. 00:08:48.720 --> 00:08:49.039 Yeah. 00:08:49.600 --> 00:08:53.120 Whenever he would put up, you know, he called it his his ego picture. 00:08:53.279 --> 00:08:54.159 There's a picture of him. 00:08:54.240 --> 00:08:59.200 He's 300 plus pounds and he's throwing a 300 pound weight. 00:08:59.440 --> 00:09:04.000 Yeah, I heard I had although fun fact, Ginger would did powerlifting. 00:09:04.080 --> 00:09:04.320 Really? 00:09:05.519 --> 00:09:05.759 Yeah. 00:09:06.080 --> 00:09:08.639 My best uh my best deadlift was 315. 00:09:08.960 --> 00:09:09.600 Yeah, that's awesome. 00:09:11.039 --> 00:09:12.240 She's not your size. 00:09:12.320 --> 00:09:15.039 I mean, there aren't a lot of people that are by styles. 00:09:15.519 --> 00:09:15.919 Good point. 00:09:16.159 --> 00:09:18.960 I'm uh I'm another large human. 00:09:19.039 --> 00:09:19.200 Yeah. 00:09:19.440 --> 00:09:22.879 Ginger, before we go too far, you said something I think is kind of important. 00:09:23.039 --> 00:09:27.360 You said there's two tests that would have indicated what are those two tests? 00:09:27.679 --> 00:09:33.039 Yeah, so um it's a C peptide test, is the easiest one to get. 00:09:33.360 --> 00:09:35.200 C peptide is just a blood test. 00:09:35.279 --> 00:09:38.720 It C peptide indicates how much insulin you're producing. 00:09:38.960 --> 00:09:43.039 So in a person with type two, C peptide levels would be very high. 00:09:43.279 --> 00:09:49.120 In a person with type one, C peptide levels are very low because you're not producing insulin. 00:09:49.200 --> 00:10:04.799 And so it it can immediately clear things up when you lose weight and your blood sugars are still high and you're trying all the things and it doesn't make sense, your doctor should and could um have ordered that. 00:10:05.120 --> 00:10:11.360 The other one that's a little harder to get, but hopefully they're making it easier, is an auto antibody test. 00:10:11.759 --> 00:10:19.440 So when you start developing type one, which actually happens years before your blood sugars started rising. 00:10:19.600 --> 00:10:20.080 Oh, really? 00:10:20.320 --> 00:10:25.759 Um, probably before you were even five years old, you were in stage one of type one diabetes. 00:10:25.919 --> 00:10:30.080 And then you just hung out in stage one for decades. 00:10:30.399 --> 00:10:30.720 Wow. 00:10:31.120 --> 00:10:38.399 And stage two is when blood sugars start to rise, and then stage three is when it's obvious and you make a diagnosis. 00:10:38.639 --> 00:10:59.519 But there are autoantibodies present, and that's autoantibodies are the result of your immune system attacking itself, and so there's several types that they know indicate type 1 diabetes, and they can spot them in your blood, and your doctor can order that test, it's just not a standard thing, and they won't really know how to do it. 00:10:59.759 --> 00:11:02.399 Yeah, but the

C peptide one, and this is funny. 00:11:02.559 --> 00:11:06.240 So uh, you know, I was so frustrated, I wasn't solving anything. 00:11:06.399 --> 00:11:09.600 Uh, I have a benefit through work for a nutritionist. 00:11:10.000 --> 00:11:27.039 So I worked with her, and we, you know, we set up a diet, and I told her all the things that, you know, when I was thinking type two, and um she was kind of skeptical, and she did a couple things with my diet, and we set up some meals, and she's like, You need the C peptide test. 00:11:27.200 --> 00:11:29.759 You have to ask your doctor, and I was like, Why? 00:11:29.919 --> 00:11:31.919 And she told me, and I'm like, Oh, and I looked into it. 00:11:32.000 --> 00:11:38.960 So C peptides are basically like the the trimmings from the body making insulin, is sort of the way to dumb it down. 00:11:39.120 --> 00:11:40.480 Um I like that, yeah. 00:11:40.559 --> 00:11:43.360 The fact that they exist shows that you're making insulin. 00:11:43.759 --> 00:11:48.639 Yeah, and yeah, I got the test and it was blaringly obvious. 00:11:48.960 --> 00:11:55.120 And uh I was like, oh, well, that's why I guess you ask like professionals. 00:11:55.279 --> 00:11:59.519 So again, another reason why I found your content and uh we have you on today. 00:11:59.679 --> 00:12:03.440 Because I Well, I gotta say, like you could have asked the wrong professional. 00:12:03.519 --> 00:12:05.440 I mean, that's a nutritionist, right? 00:12:05.759 --> 00:12:13.759 People respect your endocrinologist far more than they respect the nutritionist, but she's the one that had the intelligence to tell you to do that. 00:12:13.919 --> 00:12:28.480 And no, I and endocrinologists are really smart people, but my endocrinologist, who I really only use for prescriptions, she sees mostly people with type two, and so she just couldn't believe that my insulin needs were so low. 00:12:28.639 --> 00:12:31.120 And it's not, it's not uh an accident. 00:12:31.200 --> 00:12:35.200 I jump rope for a half hour every day and I walk my nose four miles a day. 00:12:35.360 --> 00:12:36.879 Of course, my insulin needs are low. 00:12:36.960 --> 00:12:37.600 You know what I mean? 00:12:37.679 --> 00:12:42.720 I'm a five foot two little woman, but she's so used to seeing larger amounts of insulin. 00:12:42.879 --> 00:12:45.279 She made me get a C peptide test. 00:12:45.600 --> 00:12:48.159 So she's like, You must be producing insulin still. 00:12:48.240 --> 00:12:50.320 I'm like, I've had type one for 27 years. 00:12:50.720 --> 00:12:53.200 She made you she made you basically prove it to her. 00:12:54.240 --> 00:12:54.559 Yeah. 00:12:54.879 --> 00:13:12.639 And she knew I had, but and that's the funny thing too, is I used to, um, in freshman year of college, I had not been taking care of myself for a few years and I gained weight, and my insulin needs were three times the amount they are today because I wasn't active and I was eating crap. 00:13:12.960 --> 00:13:19.519 And so um my C peptide, long story short, came back at less than 0.01. 00:13:20.080 --> 00:13:21.279 Oh, wow, yeah. 00:13:21.519 --> 00:13:27.679 So but it but it is funny, and I and I think I I heard you refer to this in something that you put online. 00:13:28.240 --> 00:13:33.919 Um getting into an endocrinologist for me was such a hassle. 00:13:34.159 --> 00:13:38.399 They there's I guess there's very few of them, and they are overwhelmed. 00:13:38.480 --> 00:13:42.559 And I wasn't completely exaggerating when I said I spent spent six minutes with them. 00:13:42.799 --> 00:13:46.960 Now I was completely prepared because I I suspected this was going to be the problem. 00:13:47.039 --> 00:13:50.559 So I asked, you know, I asked the important four questions. 00:13:51.200 --> 00:13:54.960 Um but yeah, just getting to an endocrinologist. 00:13:55.120 --> 00:14:03.919 But you know, I think something that's gotten, I say on this podcast in a variety of different, you know, cohorts is you have to be your own damn advocate these days. 00:14:04.240 --> 00:14:05.120 You do, yeah. 00:14:05.279 --> 00:14:09.440 The endocrinologist is not gonna solve really very much for you. 00:14:09.600 --> 00:14:27.279 And there there's a serious shortage of endocrinologists because it's not a very appealing path um for a doctor because they spend so much time trying to get reimbursed by health insurance companies and the the conditions they manage are all really high maintenance. 00:14:27.440 --> 00:14:30.639 People with type one, for example, need a lot of support. 00:14:30.879 --> 00:14:38.559 Um, and so it's just not a very uh compelling career path for a doctor, and there's not enough of them. 00:14:38.879 --> 00:14:46.000 Well, that was the thing when probably a year after I was diagnosed, my doctor said to me, He says, Your numbers are good. 00:14:46.159 --> 00:14:54.240 You know, I was sitting around 5'8, 5'9 for my A1C, and he said to me, We're gonna send you to see an endocrinologist. 00:14:54.320 --> 00:14:56.320 And I looked at him and I said, Okay, why? 00:14:56.559 --> 00:15:02.159 He said, Because at the point where things get worse, you need to be established. 00:15:03.039 --> 00:15:06.320 And it took six months to get in to see one for the first time. 00:15:06.799 --> 00:15:18.480 And and very similar to John, it was uh I was in and out within, you know, of seeing the actual doctor less than 10 minutes, you know, so maybe a little bit more than time. 00:15:18.879 --> 00:15:19.600 So the same thing. 00:15:19.679 --> 00:15:24.399 I went in there with my list of questions, my what am I doing here, what what does this mean, those types of things. 00:15:25.440 --> 00:15:29.919 But at some point during our conversation today, I I do want to get to this question. 00:15:30.720 --> 00:15:32.559 Because John and I have talked about this before. 00:15:33.039 --> 00:15:39.840 Uh the sort of uh individualized nature of diabetes for different people. 00:15:40.639 -->

00:15:45.440 Because there are certain things that like my uncle is a type two, okay? 00:15:46.159 --> 00:15:49.919 There are certain things he can eat that does absolutely nothing to his blood sugar. 00:15:50.799 --> 00:15:51.759 He can eat tomatoes. 00:15:52.639 --> 00:15:53.120 Does nothing. 00:15:54.240 --> 00:15:59.840 I take a bite out of a tomato, and it's like somebody jumped pure sugar down my throat. 00:16:01.519 --> 00:16:06.639 So, you know, those types of Scott that you haven't been misdiagnosed? 00:16:07.120 --> 00:16:07.440 Uh-huh. 00:16:08.320 --> 00:16:09.600 Oh, it's entirely possible. 00:16:09.840 --> 00:16:17.360 Well, but like but my numbers, you know, for the last what have I been, like four or five years now, something like that. 00:16:18.559 --> 00:16:19.679 Have been stable. 00:16:19.919 --> 00:16:20.799 Have been pretty stable. 00:16:20.960 --> 00:16:28.720 I mean, they went up because of I put some weight on purposely for some of the the events that I do. 00:16:29.200 --> 00:16:36.000 So I'm now in the low sixes, but uh it it's the it stays there. 00:16:36.879 --> 00:16:41.759 Like I've I've added uh whole carbs to my my diet, stuff like that. 00:16:42.000 --> 00:16:44.720 And it, you know, my number still stays six two. 00:16:44.960 --> 00:16:47.360 I think the highest I ever got was a six three. 00:16:48.080 --> 00:16:50.960 So my numbers stay good. 00:16:51.200 --> 00:16:55.039 I don't, you know, there's no medication involved with me at this point, thank God. 00:16:55.200 --> 00:16:59.759 But I I do at some point, and I want to get back to the whole type one thing that you and John are dealing with. 00:17:00.080 --> 00:17:07.119 Well, I want to hit on the medication thing too, because what you just said is such a classic stigma towards medication. 00:17:07.279 --> 00:17:09.440 Oh, I don't Is your uncle is your uncle on? 00:17:09.759 --> 00:17:12.400 I know, I know you you might not know, but you said thank God. 00:17:12.480 --> 00:17:14.960 But that wait, okay, but let's back up. 00:17:15.039 --> 00:17:16.480 Is your uncle on any medication? 00:17:16.720 --> 00:17:17.359 Yes. 00:17:17.839 --> 00:17:18.160 Okay. 00:17:18.880 --> 00:17:21.119 That's why he can eat tomatoes. 00:17:21.680 --> 00:17:22.160 Uh-huh. 00:17:22.319 --> 00:17:22.640 Okay. 00:17:23.119 --> 00:17:23.920 Thanks, Jeff. 00:17:24.000 --> 00:17:24.720 You're welcome. 00:17:25.039 --> 00:17:25.359 Okay. 00:17:25.839 --> 00:17:39.039 But no, I think I I think that if there's any takeaways from listening to me babble at a smart person today, I think that's C peptide test for anybody who's even and if you're going in for blood work, ask for it. 00:17:39.200 --> 00:17:39.440 Yeah. 00:17:39.839 --> 00:17:45.119 Just because, because you could be you said that there's like a first phase where you wouldn't even really know, right, Ginger? 00:17:45.519 --> 00:17:48.480 Um, yeah, well, so that's for autoantibodies. 00:17:48.640 --> 00:17:57.839 So I also, for

any adults listening, anyone, regardless of if type one is in your family or not, because 90% of people with type one have no family history. 00:17:58.079 --> 00:18:03.440 I have screened my children for the auto antibodies of type one three times. 00:18:03.759 --> 00:18:05.359 Now, three is more than needed. 00:18:05.519 --> 00:18:23.920 Once would have been sufficient, but one of my kids um was diagnosed with celiac last year, and I had celiac, and it often goes hand in hand with type one because once you have one autoimmune disease, you tend to have another, and so I panicked and I was like, oh my gosh, they must have missed the type one in the previous autoantibody test, we gotta do it again. 00:18:24.079 --> 00:18:26.240 So that's she's been through it a bunch. 00:18:26.400 --> 00:18:31.279 But here's you know how it's saying that you have the auto antibodies before age five, right? 00:18:32.720 --> 00:18:37.519 They now are going to work into all pediatric care over the next couple of years. 00:18:37.599 --> 00:18:39.680 They're they've been working on this for a while. 00:18:40.000 --> 00:18:48.960 They're gonna have autoantibody testing become a mainstream part of pediatric care, probably when you're around like five or six. 00:18:49.440 --> 00:19:00.960 Um, because there are now there's one FDA-approved therapy that can actually delay the need for therapy so it can kind of hold you in stage two before you need insulin. 00:19:01.599 --> 00:19:06.880 Um, and it works in adults too, it's just a lot harder to convince adults to anything. 00:19:11.119 --> 00:19:42.000 And it's hard to convince parents to do the screening too, because they think um that well, no one in my family has type one, my kids are fine, but type one rates are increasing dramatically, and so everybody really should be getting screened because you can intervene, and there's all these clinical trials happening too with therapies that can gently you know, it's not major immunosuppression, can gently protect your insulin production and delay the need for daily insulin therapy. 00:19:42.160 --> 00:19:51.279 And if you can imagine trying to manage daily insulin injections in a five-year-old versus maybe we can delay this till they're 10, right? 00:19:51.440 --> 00:19:52.799 It's like night and day. 00:19:53.119 --> 00:20:08.720 Well, I think that's an awesome step forward, both for the testing, making it more of part of the normal protocol, but the ability to delay that, you're right, because you know, working with five-year-olds trying to get them to do anything that they don't like is not great. 00:20:09.039 --> 00:20:18.079 I mean, a type one diagnosis for really anybody uh under 18, but definitely under 10, is like it's pretty traumatic for the whole family. 00:20:18.240 --> 00:20:22.559 And it is but I gotta I gotta tell you another way to get some testing done too. 00:20:22.720 --> 00:20:27.759 So type1strong.org is really owned by t1dscout.com. 00:20:28.079 --> 00:20:33.440 And t1d Scout has developed a saliva-based genetic test. 00:20:33.759 --> 00:20:42.240 So you can kind of do this before you take you yourself and your kids down the blood testing, which is more tedious, of course, especially with kids. 00:20:42.720 --> 00:20:51.119 Um, it's an at-home saliva test, and they have identified genes that indicate you have a high risk for type one or not. 00:20:51.279 --> 00:21:04.480 And so you can, and you could even take it, Scott and John, both of you could get it too, because it would tell you if you have a high likelihood of type one, and that would mean okay, I really should go get tested for autoantibodies. 00:21:04.799 --> 00:21:04.960 Wow. 00:21:05.039 --> 00:21:06.799 And what was that site again, please? 00:21:07.359 --> 00:21:12.079 T1D, like type 1 diabetes, T1D Scout.com. 00:21:12.640 --> 00:21:15.119 And this is really new that he's bringing it to market. 00:21:15.200 --> 00:21:20.240 Um, full disclosure, I I do marketing work for them, but because it's incredible. 00:21:20.319 --> 00:21:24.640 Um, and I've you know, we've run the test through my kids, and you'll see my kids on their website. 00:21:24.799 --> 00:21:29.839 But it's a it's the first and only saliva-based genetic testing for type one. 00:21:30.400 --> 00:21:30.880 That's cool. 00:21:31.039 --> 00:21:38.480 And you know, I think I don't know if it's just me or maybe it's it more in general, but I think you just broke a myth. 00:21:38.720 --> 00:21:47.839 I really thought that diabetes had a very strong familial, like, you know, grandpa had it, you have it. 00:21:48.960 --> 00:21:49.440 Yeah. 00:21:49.759 --> 00:21:52.960 I didn't realize that that's not necessarily the case. 00:21:53.359 --> 00:21:53.680 Right. 00:21:53.759 --> 00:22:00.880 Like in type two, there's definitely some major genetics that predispose you to obesity and in Resistance. 00:22:01.519 --> 00:22:13.920 Um, and you know, lifestyle habits can combat those genetics to a certain extent, but um, you know, we know that you guys are fitness goos, um, but it can't always cure, prevents everything. 00:22:14.160 --> 00:22:25.839 And then in type one, it does surprise me that it's 90% don't have a family history, but what you might not know in your family history are other autoimmune diseases, right? 00:22:26.000 --> 00:22:34.400 And then the combination of your parents' genetics and grandma might have had type two, but grandma was actually misdiagnosed like John. 00:22:35.279 --> 00:22:35.680 That's true. 00:22:35.839 --> 00:22:37.279 And I see that all the time. 00:22:37.359 --> 00:22:48.240 Um, I hear those stories all the time of people like their their grandparents discovering that they actually had type one, not type two, after their grandchild was diagnosed. 00:22:48.640 --> 00:22:49.200 Wow. 00:22:49.440 --> 00:22:57.039 Yeah, and I gotta tell you, I am I'm literally in the transition of I thought I was type two until I don't know, two months ago.

00:22:57.200 --> 00:22:57.440 Yeah. 00:22:57.599 --> 00:22:59.920 And did you get an official diagnosis? 00:23:00.160 --> 00:23:01.279 Um, yes. 00:23:01.599 --> 00:23:09.839 Um he threw me on some, you know, instant insulin as opposed to the the long acting stuff that I was on. 00:23:10.480 --> 00:23:19.119 Um and I and I saw an immediate effect, except for the fact, do you remember how I said that I wanted to be like your neighbor and we could hang out and like have cool parties? 00:23:19.519 --> 00:23:20.480 Can you steal my insulin? 00:23:21.200 --> 00:23:24.960 No, I think I think you're either my best friend or my mortal enemy. 00:23:25.119 --> 00:23:30.240 Um because I saw content of yours that mentioned a word that I love. 00:23:30.559 --> 00:23:32.160 Uh caffeine. 00:23:32.640 --> 00:23:33.359 Oh god. 00:23:33.839 --> 00:23:38.160 Oh so as I'm looking across the studio and see cases out of the case. 00:23:38.480 --> 00:23:38.880 I know why. 00:23:39.440 --> 00:23:41.279 Yeah, I'm caffeine free now. 00:23:42.000 --> 00:23:42.640 Oh my god. 00:23:42.960 --> 00:23:44.160 But I'll still talk to you. 00:23:44.400 --> 00:23:46.960 No, that makes one of us. 00:23:47.200 --> 00:23:57.039 But so that's real, caffeine, because honestly, I'm still sort of struggling with the, you know, I'm doing all the new things right, and I'm still not getting anywhere near in range. 00:23:57.200 --> 00:23:59.680 And caffeine's a thing, huh? 00:24:00.319 --> 00:24:10.160 Yeah, caffeine tells your liver to release a bunch of things, including uh well, caffeine triggers the release of a bunch of things, including telling your liver to release stored sugar. 00:24:10.400 --> 00:24:14.400 So that's what gradually led me to quit it altogether because it's just a pain in the back. 00:24:14.799 --> 00:24:17.920 But lots of people with type one still consume caffeine. 00:24:18.000 --> 00:24:21.359 You just you have a cup of black coffee, you need insulin for it. 00:24:21.599 --> 00:24:22.880 And everybody's a little different. 00:24:23.039 --> 00:24:31.440 Some people can tolerate one cup, but if they have two or three and then they start needing insulin, I can't even drink, I drink decaf in the morning, one cup. 00:24:31.599 --> 00:24:40.559 If I drink decaf in the afternoon, my blood sugar spikes a hundred points, and it will not come down for hours until that caffeine has worked its way out of my system. 00:24:40.880 --> 00:24:52.799 You just described me where it, yeah, not knowing, but it uh in my mind I was thinking I was waking up and about an hour later my my blood sugar would spike and it would be up for hours. 00:24:53.200 --> 00:24:56.960 And I'm like, I you know, I I ate like eggs for breakfast. 00:24:57.039 --> 00:24:57.839 Come on now. 00:24:58.799 --> 00:25:05.200 But I think you just I think you've you've dealt a mortal blow to my personality with uh caffeine. 00:25:05.359 --> 00:25:05.519 Yeah. 00:25:06.480 --> 00:25:07.920 I mean, you basically, yeah, go

ahead. 00:25:08.640 --> 00:25:09.839 I'm sorry, time out on the field. 00:25:10.000 --> 00:25:15.200 Oh what's do me a favor, go over that process again. 00:25:15.519 --> 00:25:20.799 Caffeine, its impact on the liver causes the liver to release sugar. 00:25:21.519 --> 00:25:24.079 We know that caffeine gives us energy, right? 00:25:24.240 --> 00:25:24.480 Yes. 00:25:24.720 --> 00:25:30.319 And one of the ways it does that is by telling your liver to release a little boost of sugar. 00:25:30.480 --> 00:25:39.599 And so for people who for people who are struggling to lose weight, even if they don't have diabetes, and I see them, I was a personal trainer for many years. 00:25:39.680 --> 00:25:41.519 I still coach people here and there. 00:25:41.759 --> 00:25:44.960 I see them drinking coffee all. 00:25:45.359 --> 00:25:46.880 Am I allowed to swear on this show? 00:25:47.039 --> 00:25:47.519 You betcha. 00:25:47.599 --> 00:25:51.680 I pay a dollar every episode for Scott who says something really fucking stupid. 00:25:52.000 --> 00:25:53.759 And for the record, Scott is not swearing. 00:25:54.000 --> 00:25:56.160 No, I know that's why I okay I popped it. 00:25:56.319 --> 00:25:58.240 But yes, you're more than welcome to. 00:25:58.640 --> 00:26:03.039 It drives me crazy when I watch people drinking coffee all fucking day. 00:26:03.200 --> 00:26:09.519 Or then they swap it out for Diet Coke and Red Bull and they think it's harmless because it has zero calories. 00:26:09.759 --> 00:26:13.279 But you, I don't don't even get me into the artificial sweeteners. 00:26:13.359 --> 00:26:14.400 That's a whole different rant. 00:26:14.640 --> 00:26:25.759 But the caffeine is triggering insulin resistance or the need for insulin, and that extra sugar is getting stored as body fat. 00:26:25.920 --> 00:26:31.039 So if you're trying to lose weight and you're consuming caffeine all day, you're not helping yourself. 00:26:31.359 --> 00:26:32.640 You just made John cry. 00:26:32.880 --> 00:26:33.200 I know. 00:26:33.359 --> 00:26:41.920 Like I said, I'm literally looking across the studio, and there's a case, there's actually two cases of ghost energy drinks sitting there. 00:26:42.160 --> 00:26:42.880 They're delicious. 00:26:43.119 --> 00:26:43.440 Wow. 00:26:43.680 --> 00:26:45.599 Yeah, John doesn't do coffee quite as much. 00:26:45.920 --> 00:26:47.519 I also have three different coffee makers. 00:26:47.599 --> 00:26:49.839 I have a Keurig, I have a French press. 00:26:49.920 --> 00:26:50.720 I oh no. 00:26:50.960 --> 00:26:55.279 Oh, I mean, you can still love your coffee, John, but you need to start thinking into them. 00:26:55.680 --> 00:26:56.960 Well, you know, it's like anything else. 00:26:57.039 --> 00:26:59.920 Now that I have the information, I can manage it, right? 00:27:00.000 --> 00:27:03.599 Because it'll be a choice now, not like a just scratch my head. 00:27:03.759 --> 00:27:06.720 Um I don't draw dependent idiocy on it. 00:27:06.880 --> 00:27:07.119 Yeah. 00:27:07.279 --> 00:27:08.480 I don't want to let it go. 00:27:08.640 --> 00:27:12.880 And and we're we are built on rants and old people opinions. 00:27:13.119 --> 00:27:15.680 Um artificial sweeteners? 00:27:15.920 --> 00:27:16.319 Yeah. 00:27:16.640 --> 00:27:17.920 Oh okay. 00:27:18.960 --> 00:27:21.039 Help us out, please, because that is life right now. 00:27:21.279 --> 00:27:21.759 Go ahead. 00:27:22.079 --> 00:27:22.319 Okay. 00:27:22.480 --> 00:27:22.880 All right. 00:27:23.039 --> 00:27:26.880 So I get a lot of studies in my inboxes all the time, right? 00:27:27.039 --> 00:27:30.640 Um, but I used to drink fresca and diet coke a lot. 00:27:30.880 --> 00:27:34.799 When you have type one, people consider these like your free food. 00:27:34.880 --> 00:27:43.039 And because back in the day when you were diagnosed with type one, you you had foods you had to count into groups of 15 grams of carbs at a time. 00:27:43.119 --> 00:27:44.480 That counted as one carb. 00:27:44.559 --> 00:27:47.279 So you'd be told you could have four carbs at lunch. 00:27:47.440 --> 00:27:49.680 That meant you know, 15 times four. 00:27:50.000 --> 00:27:56.160 Um, and then you had free food, which are sugar-free jello and all the diet soda you want, right? 00:27:56.559 --> 00:27:58.559 Carrots were considered a free food. 00:27:58.720 --> 00:28:01.599 This is back before fetter insulin was existing. 00:28:01.759 --> 00:28:10.960 Um, and the people with diabetes clutch their diet soda like like it's their newborn baby. 00:28:11.279 --> 00:28:13.920 And John is John is smiling at me right now. 00:28:14.160 --> 00:28:20.160 Okay, because we don't do a video podcast yet, because I it shouldn't be weeping on camera. 00:28:20.960 --> 00:28:22.640 No, we don't cry. 00:28:22.799 --> 00:28:23.920 I can't handle that. 00:28:24.079 --> 00:28:24.799 It's Friday. 00:28:25.519 --> 00:28:25.920 It's Friday. 00:28:26.319 --> 00:28:35.839 Okay, so so aspartame, we I mean, I I can't regurgitate all the terms from the studies, but there isn't a single good one. 00:28:36.079 --> 00:28:38.079 Aspartame is pure poison. 00:28:38.240 --> 00:28:41.039 That's what you find in most traditional diet sodas. 00:28:41.279 --> 00:28:42.799 And then we've got the newer ones. 00:28:42.880 --> 00:28:46.559 Now they're saying xylitol damages the lining of your brain. 00:28:47.279 --> 00:28:49.359 Um, and and then what's the other? 00:28:49.440 --> 00:28:50.400 Oh, erythritol. 00:28:50.480 --> 00:28:53.359 Sorry, erythritol is the one that damages the lining of your brain. 00:28:53.519 --> 00:29:01.680 Then we've got um, you know, stevia is a plant that's harmless, but nobody uses just stevia because it tastes terrible. 00:29:01.759 --> 00:29:03.440 It's always mixed with something else. 00:29:03.519 --> 00:29:05.519 Um, what's the uh Splendor one? 00:29:05.759 --> 00:29:06.559 Superlose. 00:29:06.640 --> 00:29:06.799 Yeah. 00:29:07.119 --> 00:29:16.480 Sucralose is linked, they're

all linked to dementia, cancer risk, damaging your brain, and insulin resistance. 00:29:16.799 --> 00:29:18.720 Well, let me jump in for half a second. 00:29:18.880 --> 00:29:27.599 Like I said before, my wife's a veterinarian and like I chew gum, okay, to to sort of satiate some of the food pangs or whatever. 00:29:27.759 --> 00:29:30.160 And she'll look at me and say, Does the gum have xylitol in it? 00:29:30.240 --> 00:29:31.599 And I look at the package and I say, Yeah. 00:29:31.759 --> 00:29:36.799 She says, either A, stop doing it, or B, make sure the animals can't get near it. 00:29:37.359 --> 00:29:46.720 Apparently, xylitol, if like even the the smallest amount, if one of the animals that we have in the house gets it, she cannot cure them. 00:29:46.880 --> 00:29:48.480 They will die very painfully. 00:29:48.640 --> 00:29:48.880 Yeah. 00:29:49.519 --> 00:29:49.759 Yeah. 00:29:49.839 --> 00:29:53.680 I remember when that came out a couple years ago, xylitol is deadly for dogs. 00:29:54.000 --> 00:29:55.200 And I apologize for interrupting you. 00:29:55.359 --> 00:29:59.200 No, that's what when you said xylitol, that's I'm like, oh my god, that's what Gene talks about. 00:29:59.440 --> 00:30:00.160 My wife is Gene. 00:30:00.319 --> 00:30:01.519 That's what Gene talks about. 00:30:01.680 --> 00:30:19.039 You know, so Yeah, and and like um sucralose was invented by accident when they were developing some kind of, don't I can't, don't quote me exactly on this, but it was like they were developing some kind of cancer therapy, and somebody tasted it and realized part of their recipe was sweet. 00:30:19.279 --> 00:30:23.440 And that is where sucralose, which is Splenda, was derived from. 00:30:23.599 --> 00:30:33.440 A friend of mine had a friend who worked in, I know this is like um playing telephone, but a friend of a front who worked in the the Splenda manufacturing thing. 00:30:33.599 --> 00:30:36.079 She asked him, she's like, Come on, how bad is it really? 00:30:36.240 --> 00:30:43.279 And he said, Well, whatever you do, just don't heat it up because that he was implying that that makes it even worse for you. 00:30:43.599 --> 00:30:45.680 Like, don't put it in my coffee? 00:30:45.920 --> 00:30:46.480 Exactly. 00:30:46.720 --> 00:30:51.200 Oh my gosh, it's just pure chemical shit. 00:30:51.359 --> 00:30:57.519 And I I had a lot of frustration about this um and resistance in my early 20s. 00:30:57.680 --> 00:31:02.880 And then when I was preparing for pregnancy, I just thought, all right, I really don't want this shit in my system. 00:31:03.039 --> 00:31:07.519 My best friend who isn't diabetic was always like, I wish you wouldn't drink that stuff. 00:31:07.599 --> 00:31:13.119 She's very um um savvy and and very into nutrition and health. 00:31:13.279 --> 00:31:15.680 And I gave it up for pregnancy. 00:31:15.759 --> 00:31:28.000 And when I actually had one again, a diet root beer, it tasted so gross because all I tasted was chemicals now that I gotten it out of my taste bud environment. 00:31:29.440 --> 00:31:32.559 I'm gonna jump over top of John here real quick. 00:31:32.880 --> 00:31:34.480 Yeah, because he's crying in the corner. 00:31:34.960 --> 00:31:38.160 No, he actually both of us I think had the same thought. 00:31:38.400 --> 00:31:43.519 I love that you're on the show today and everything you're saying, but I think I hate you. 00:31:43.680 --> 00:31:44.319 Yeah, right? 00:31:44.559 --> 00:31:44.880 I know. 00:31:45.039 --> 00:31:46.799 You know, well, I'm so obnoxious. 00:31:47.119 --> 00:31:48.559 No, but no, no, no, no, no, no. 00:31:49.119 --> 00:31:57.599 We're saying that obviously tongue in cheek because I'm going through my head and I'm thinking to myself, all right, I do a lot of meal prepping stuff like that. 00:31:57.680 --> 00:32:02.480 I'm I'm very fortunate in the fact that I don't mind eating the same thing day after day after day. 00:32:02.559 --> 00:32:03.920 It does not bother me. 00:32:04.640 --> 00:32:13.200 But I look at it and like on the weekend, you know, I might have that high protein, you know, low carb ice cream. 00:32:13.279 --> 00:32:17.920 Well, it gets its taste from sugar alcohol or, you know, the fake sugars. 00:32:18.559 --> 00:32:23.759 And I mean, sugar alcohol, some people, it'll run through them, their GI systems. 00:32:23.920 --> 00:32:24.720 To me, it doesn't. 00:32:25.200 --> 00:32:27.920 Guilty does bad. 00:32:28.160 --> 00:32:28.720 Yep, guilty. 00:32:28.960 --> 00:32:30.400 But it's like I'm thinking of myself. 00:32:31.599 --> 00:32:36.640 I'm I'm looking, especially because with the the the caffeine. 00:32:37.440 --> 00:32:39.200 I'm looking at a complete remake. 00:32:39.359 --> 00:32:41.759 Yep, you know, and that's not a bad thing. 00:32:41.920 --> 00:32:42.400 No, it's not. 00:32:42.559 --> 00:32:50.160 And the fun the the funny thing is that uh because I was thinking that and I'm like, you're not saying a thing that we all don't kind of intuit a little bit. 00:32:50.480 --> 00:32:54.880 Yeah, but the fact that I know you've done your homework, I'm like, shit, she's right. 00:32:55.119 --> 00:33:05.119 You know, it's not just like you know, this the study I got the most recently was about the sugar alcohols, and we know they're not good for your gut, but it was like it was talking about the lining of your brain. 00:33:06.400 --> 00:33:09.759 I mean, John, yo, I guess my question to you is can I still have Cheetos? 00:33:10.079 --> 00:33:10.880 Non-sponsor? 00:33:11.119 --> 00:33:12.400 And no Cheetos. 00:33:12.640 --> 00:33:13.920 I mean I listened to it. 00:33:14.640 --> 00:33:19.680 And well, but speaking of Cheetos, I want to mention that like my diet's not perfect. 00:33:19.920 --> 00:33:22.799 I just I refuse to eat any fake shit. 00:33:23.200 --> 00:33:38.480 So I'd much rather eat um a really delicious homemade or bakery fresh, gluten-free I feel yeah, gluten-free cookie with real sugar than a bunch of fake

processed pretend ice cream. 00:33:38.720 --> 00:33:40.000 So and yeah. 00:33:40.319 --> 00:33:41.279 No, no, no, I'm sorry. 00:33:41.359 --> 00:33:42.960 I I I I interrupted you. 00:33:43.039 --> 00:33:46.960 Please continue because then I want to go to that sort of sugar comment you just made. 00:33:47.279 --> 00:33:47.440 Right. 00:33:47.519 --> 00:33:49.519 I mean, sugar's not good for us either, right? 00:33:49.599 --> 00:33:54.480 We know sugar fuels the growth of cancer if we're gonna, you know, but I don't eat sugar all day. 00:33:54.720 --> 00:33:54.960 Right. 00:33:55.119 --> 00:34:01.039 I s I save I save my sugar for after dinner, and it's part of what keeps me happy. 00:34:01.119 --> 00:34:04.319 And I have to tell you, I'm the leanest I've ever been in my life. 00:34:04.480 --> 00:34:06.720 For the last like 10 years, I've been this weight. 00:34:06.799 --> 00:34:11.199 Um, and before that, I was so I'm for context, I'm 120 pounds now. 00:34:11.280 --> 00:34:15.119 When I was powerlifting, I was 158 pounds. 00:34:15.280 --> 00:34:20.639 I would compete in the 148-pound weight class by dropping water weight before the weigh-ins, you know. 00:34:20.880 --> 00:34:22.159 So nice John got that. 00:34:23.280 --> 00:34:29.440 No, we're not doing the John cut a lot of weight and then it's 23,000 calories in an hour. 00:34:29.519 --> 00:34:30.000 No, we're not. 00:34:30.400 --> 00:34:31.039 Yes, yes. 00:34:31.199 --> 00:34:31.679 I know. 00:34:31.760 --> 00:34:32.480 It's not good. 00:34:32.559 --> 00:34:33.280 It's extreme. 00:34:33.440 --> 00:34:34.480 I don't do it anymore. 00:34:34.559 --> 00:34:35.360 It's been a long time. 00:34:35.519 --> 00:34:39.679 I learned a lot, but it it left me with some permanent injuries for sure. 00:34:39.920 --> 00:34:46.960 Um, and back then I ate really meticulous, but also a lot of fake shit. 00:34:47.199 --> 00:34:53.280 Fake protein powders and and I don't have anything against protein powders, but I mean most of them do have fake sugar in them. 00:34:53.360 --> 00:34:58.159 So I there's only one protein powder I will consume, which is and it's hard to even find. 00:34:58.239 --> 00:35:01.440 It's the Organe Simple that has real sugar in it. 00:35:01.679 --> 00:35:02.000 Right. 00:35:02.320 --> 00:35:03.840 Oh, I'm familiar with the brand, yeah. 00:35:04.000 --> 00:35:04.159 Okay. 00:35:05.840 --> 00:35:10.800 Costco used to sell it, and now they don't, and so I just stopped I stopped consuming it. 00:35:11.039 --> 00:35:14.719 Um, but it's about balance, right? 00:35:14.960 --> 00:35:20.800 And then, but you have someone, so I do really want to talk about your your lack of meds as a person of type two. 00:35:21.039 --> 00:35:22.960 Can we can I rant on that for a second? 00:35:23.360 --> 00:35:27.280 Let me let me ask you my question first, and then and then we can then we can bury it. 00:35:27.519 --> 00:35:29.119 Uh then you can bury me. 00:35:29.360 --> 00:35:34.159 I am John's uh whipping boy quite often, so it does not bother me. 00:35:34.400 --> 00:35:39.360 Um and I and I know this is gonna sound terrible. 00:35:39.599 --> 00:35:42.480 I know how ignorant I am on certain things. 00:35:42.800 --> 00:35:46.400 So yes, rant away and tell me where I need to get better. 00:35:46.480 --> 00:35:48.320 That does that's that's all good for me. 00:35:49.199 --> 00:35:52.480 So you talked about the idea of natural sugar, okay? 00:35:52.559 --> 00:35:56.239 Not not the high fructose garbage, but you know, the the the natural stuff. 00:35:56.880 --> 00:36:04.000 You talked about the the concept of the fake, the the sugar alcohol, the chemical imbalances of them, stuff like that. 00:36:04.559 --> 00:36:12.639 So as a diabetic, uh and I know we sort of touched on the individualization of how it's different from person to person to person. 00:36:14.719 --> 00:36:17.360 How do you uh carry that balance? 00:36:17.519 --> 00:36:22.320 Is it something that you mentally overcome with the I don't have sugar anymore? 00:36:22.559 --> 00:36:27.840 Or is it the, you know, here's your your your little treat type of thing? 00:36:28.719 --> 00:36:32.239 Talk a little bit about that before you metaphorically beat me up, please. 00:36:32.719 --> 00:36:34.800 A lot of no, I'm not gonna beat you up. 00:36:34.960 --> 00:36:44.320 I a lot of people, as soon as they're diagnosed with type one or type two, try to go on these really extreme diets and they fail within weeks or months. 00:36:44.960 --> 00:36:46.800 And because it's not sustainable. 00:36:47.039 --> 00:37:09.199 And it and I used to, you know, I I worked in the gym, I was around all these different dieting things, I experimented with all of them, and I use the word experiment really purposefully because you learn something from each one, and then I really think you should bail on the extreme diet if it didn't already bail on you, and but take from it what you learned about what works well for you and what doesn't. 00:37:09.280 --> 00:37:14.079 And that's my one of my favorite Bruce Lee quotes is um take what works and leave the rest. 00:37:15.360 --> 00:37:20.159 And you know, I learned things from eating really low carb for a couple years. 00:37:20.320 --> 00:37:28.400 I learned things from um, I even for one week I followed my friend's uh crazy high carb, ultra low fat. 00:37:28.639 --> 00:37:33.360 And I felt miserable, but I learned some cool things while I was experimenting with that. 00:37:33.679 --> 00:37:38.079 And you have to create a plan that is sustainable. 00:37:38.239 --> 00:37:39.440 None of us can eat perfect. 00:37:39.519 --> 00:37:44.800 Just because you're diagnosed with type one or type two diabetes doesn't mean you become a perfect dieting machine. 00:37:45.039 --> 00:37:52.159 And an apple, without enough insulin, an apple can spike my blood sugar to 300, just like a Hershey's chocolate bar. 00:37:52.480 --> 00:37:56.719 And I want to add that like I'll eat some Cheetos, I'll eat a

Hershey's chocolate bar. 00:37:56.800 --> 00:38:00.239 It doesn't always have to be grandma's organic cookies, right? 00:38:00.719 --> 00:38:05.360 But it's about balance and understanding that you're not gonna be perfect. 00:38:05.440 --> 00:38:07.840 And I take insulin when I eat. 00:38:08.159 --> 00:38:25.039 So when I'm making gluten-free cupcakes for my daughter's birthday tomorrow, I am going to have to try to estimate how many carbs I need and then the timing of the insulin to match the rate of digestion for really the buttercream frosting, which takes hours to break down. 00:38:25.280 --> 00:38:28.239 Um but buttercream frosting is good. 00:38:28.880 --> 00:38:30.960 Yes, it's good, it's worth it. 00:38:31.199 --> 00:38:34.880 I my A1C and my diabetes is managed. 00:38:34.960 --> 00:38:35.840 Is it perfect? 00:38:36.079 --> 00:38:40.719 No, that's not my goal because I'm not a robot, I'm a human being, right? 00:38:41.199 --> 00:38:50.400 So that's is does that cover it does, and I mean with me my diet is extreme for most people. 00:38:50.639 --> 00:38:52.960 For me, I have more So is mine, yeah. 00:38:53.199 --> 00:39:01.360 Yeah, I mean when you get the diagnosis of being diabetic, you learn what you have to do, what you can do, how to sort of manage it. 00:39:01.920 --> 00:39:03.280 My friends pick on me for it. 00:39:03.440 --> 00:39:05.119 It doesn't bother me though. 00:39:05.760 --> 00:39:06.239 You know what I'm saying? 00:39:06.480 --> 00:39:07.920 Yeah, that's your personality type. 00:39:08.400 --> 00:39:09.440 Yeah, I've added in. 00:39:10.159 --> 00:39:15.199 You know, we had a nutritionist on what, about a year and a half ago, I think it was, John, something like that. 00:39:15.920 --> 00:39:20.079 And I've added more carbs into my diet. 00:39:20.960 --> 00:39:38.719 So it in it it's I'm enjoying it a little more, but I think again, now it's that reorganization, it's pulling caffeine out of it to uh a much greater extent because uh I'm not quite the caffeine whore like John is. 00:39:39.280 --> 00:39:42.400 I mean, John will and I love picking at him about this. 00:39:43.920 --> 00:39:48.880 I've seen him drink five, six energy drinks like full cans in a day. 00:39:49.519 --> 00:39:51.119 We were we were at a competition. 00:39:51.679 --> 00:39:53.039 That was my one that day. 00:39:53.119 --> 00:39:56.239 Okay, so you know, so five or six. 00:39:56.639 --> 00:39:57.119 Live and learn. 00:39:57.360 --> 00:40:04.639 But I mean like most people, you know, I vacillate in the amount that I might take in in any given day. 00:40:05.199 --> 00:40:19.440 But if I can take it down to a small thing of green tea, okay, you know, I can get that to to work for me, to get rid of the the sort of fake processed sugars. 00:40:20.480 --> 00:40:22.159 That's the part that I need to work on. 00:40:22.400 --> 00:40:26.159 And it's okay now because I mean I I work from home now. 00:40:26.719 --> 00:40:33.920 I I got a different position at the college, and I work from home, so I'm there to make meals more. 00:40:34.800 --> 00:40:35.679 You know what I'm saying? 00:40:36.000 --> 00:40:38.320 So I think that's gonna be an advantage to it. 00:40:38.480 --> 00:40:39.119 But all right. 00:40:39.679 --> 00:40:42.480 I think people also need to anticipate their taste buds. 00:40:42.559 --> 00:41:03.679 Like, so when I removed Splenda from my coffee in preparation for pregnancy, coffee tasted disgusting for about a month, and I drank it anyway, and then at a certain point my taste buds like you know, shifted or whatever taste buds do, and they were and it started tasting good, and now sweet coffee tastes really gross to me. 00:41:03.920 --> 00:41:10.559 And so if you're used to something being so sweet, then black coffee or even seltzer is gonna taste really bitter. 00:41:10.800 --> 00:41:17.679 But if you give your taste buds a few weeks, they do reset and you start to taste things properly again. 00:41:18.960 --> 00:41:22.480 Yeah, Scott, I I'm waiting for her to like totally like slam down cut. 00:41:22.639 --> 00:41:23.440 That's what I was just saying. 00:41:23.519 --> 00:41:23.760 Go ahead. 00:41:23.840 --> 00:41:30.000 Yeah, I'm ready, I'm sitting in the chair, I've I've got my hands, you know, gripping the armrests. 00:41:30.239 --> 00:41:30.320 Okay. 00:41:30.719 --> 00:41:31.599 Beat me up. 00:41:32.880 --> 00:41:42.400 So it's very um society has taught us that needing medicine for type 2 diabetes is a failure. 00:41:42.960 --> 00:41:49.199 In reality, um, the first drug that most people are prescribed with type 2 is metformin. 00:41:49.760 --> 00:41:55.280 And just shout out for anybody listening, make sure you get extended release and you start on a low dose. 00:41:55.360 --> 00:41:58.559 It does for some people cause tremendous diarrhea. 00:41:58.719 --> 00:42:02.559 For some people, no problem, but you should be on the extended release version. 00:42:02.960 --> 00:42:04.800 That helps, it's not a failure. 00:42:04.880 --> 00:42:12.239 It helps your pancreas work better, it helps you produce insulin better, it also tells your liver to make less sugar all day. 00:42:12.320 --> 00:42:17.280 I take metformin as a type one to tell my liver to produce less sugar all day. 00:42:17.440 --> 00:42:21.360 Um, because people with type one also overproduce sugar from the liver. 00:42:21.599 --> 00:42:21.760 Okay. 00:42:22.159 --> 00:42:23.280 But that's a whole different thing. 00:42:23.440 --> 00:42:25.519 We should we should do another episode on that. 00:42:25.840 --> 00:42:35.280 But so um you're so as a type two, metformin is helping your body become more sensitive to the insulin you do make. 00:42:35.360 --> 00:42:43.280 It's helping you produce insulin better and reducing the amount of sugar your body naturally produces. 00:42:43.679 --> 00:42:57.039 But then drugs like the GLP1s that really have a stigma for cheating and you know, it's the Ozempic and Lagobi and um Manjaro, those

drugs also do an amazing thing. 00:42:57.199 --> 00:43:03.760 They also help preserve and protect your natural insulin production as a person with type two. 00:43:05.920 --> 00:43:06.239 Okay. 00:43:07.360 --> 00:43:10.639 And I'm gonna turn that on I'm gonna turn that on John too. 00:43:10.800 --> 00:43:12.719 There are studies, you can find these easily. 00:43:12.800 --> 00:43:29.840 There are studies on putting people who are newly diagnosed or in um who are LADA and not even on insulin yet, who go on Ozempic and other GLP1 medicines, and it preserves and protects insulin production in type one also. 00:43:30.239 --> 00:43:34.880 Yeah, before John gets into that, because he has his Manjaro story. 00:43:34.960 --> 00:43:35.440 Yeah. 00:43:36.559 --> 00:43:36.880 Okay. 00:43:37.280 --> 00:43:43.679 It's funny because I I made the comment and it was a comment of ignorance, and I know that. 00:43:43.840 --> 00:43:46.079 And I I kind of knew that before you started. 00:43:47.599 --> 00:43:52.159 But you're right, there is this stigma out there that oh, you can't do it, you're on meds. 00:43:52.719 --> 00:43:53.679 Why can't you? 00:43:54.480 --> 00:43:55.440 And I get that. 00:43:55.920 --> 00:43:59.440 Um and I guess that is the ignorance of a lot of people. 00:44:00.159 --> 00:44:02.079 Including myself in that statement. 00:44:02.239 --> 00:44:03.039 Um Yeah. 00:44:03.360 --> 00:44:04.159 You can't help it. 00:44:04.239 --> 00:44:05.440 Yeah, we all it's yeah. 00:44:05.840 --> 00:44:10.880 But it's funny because I've said to my doctor, What do I need to do? 00:44:11.119 --> 00:44:13.760 And he says, just keep doing what you're doing. 00:44:13.920 --> 00:44:15.199 Your numbers are in a good place. 00:44:15.280 --> 00:44:16.800 We're not gonna put you on anything. 00:44:17.360 --> 00:44:21.280 Yeah, that you know there's a term for that, and I'm I'm gonna shame your doctor here. 00:44:21.440 --> 00:44:28.480 It's called clinical inertia, meaning they're not doing anything more for you, even though your A1C is now in the sixes. 00:44:28.800 --> 00:44:28.960 Right. 00:44:29.199 --> 00:44:33.679 So I would shame that doctor right to his face and say, What the heck? 00:44:34.000 --> 00:44:36.480 But what's funny clearly his body needs help. 00:44:36.559 --> 00:44:37.119 Go ahead, sorry. 00:44:37.360 --> 00:44:38.719 No, no, no, no, I interrupted you. 00:44:38.880 --> 00:44:53.840 But what's funny is after this year's nationals, which is two weeks from tomorrow, I'm going back down to the weight where everything was in the five eights, five nine, five seven to five nine, because I I've put on probably thousand. 00:44:57.199 --> 00:45:08.000 I just wanted to I just wanted to contribute probably about twenty-five-thirty pounds purposely because in you know, in strong man, I don't have a weight class because of my age. 00:45:09.440 --> 00:45:14.159 And it's mass is moved by acts, you know. 00:45:14.559 --> 00:45:15.039 I get it. 00:45:15.360 --> 00:45:18.719 So I mean once, and again, once that's done, ask John. 00:45:19.280 --> 00:45:23.360 The ability for us to go and go and go in the gym is there. 00:45:24.000 --> 00:45:26.559 So the weight will be shedded quickly. 00:45:27.119 --> 00:45:28.559 So I I don't know. 00:45:28.719 --> 00:45:33.840 I mean, my doctor doesn't know that, but in terms of what I'm doing with my weight. 00:45:34.880 --> 00:45:43.360 But I I want to see where my numbers sort of fall when I'm back down in that 275 range. 00:45:44.159 --> 00:45:44.480 Okay. 00:45:44.559 --> 00:45:47.840 I mean, there's no like there's no way that won't make a difference. 00:45:48.079 --> 00:45:49.519 That will definitely, yeah. 00:45:49.840 --> 00:45:51.519 Do you ever use a CGM? 00:45:51.840 --> 00:45:52.400 I do not. 00:45:52.559 --> 00:45:53.360 I have never. 00:45:53.519 --> 00:45:54.880 Uh, I check my numbers. 00:45:54.960 --> 00:45:58.719 You know, I haven't I used to check them daily. 00:45:59.280 --> 00:46:00.719 I don't anymore. 00:46:00.960 --> 00:46:02.239 I can give you one. 00:46:02.880 --> 00:46:04.480 I have uh 26. 00:46:04.719 --> 00:46:10.880 I have um I don't I don't know if you're aware of these, Ginger, but uh Amazon put out the Stilo. 00:46:11.280 --> 00:46:13.199 It's like uh the Stello, yeah. 00:46:13.519 --> 00:46:15.440 Estelo, it's like Dexcom Lite. 00:46:16.000 --> 00:46:20.480 Yeah, it's basically for biohackers, not insulin-dependent humans. 00:46:20.639 --> 00:46:25.599 Um yeah, it's also for type twos who can't get um good coverage. 00:46:25.920 --> 00:46:30.719 Yeah, so I bought it just because I was paying for the Dexcom out of pocket and this was a cheaper thing. 00:46:31.039 --> 00:46:33.199 Um I have a couple of those, Scott. 00:46:33.280 --> 00:46:34.239 I'm just saying. 00:46:34.480 --> 00:46:38.000 Um you remember what that cost per center? 00:46:38.320 --> 00:46:41.599 Uh it was I think it's 50 or 60 bucks. 00:46:41.920 --> 00:46:46.320 I think it's like I think it's like 99 for two is how they sell them. 00:46:46.559 --> 00:46:51.519 Okay, yeah, because I the I think the Libre 3 Plus is more accurate than Dexcom. 00:46:51.840 --> 00:46:55.039 And um, so I would you only need one, Scott. 00:46:55.119 --> 00:47:01.679 Just put one on for two weeks and just learn from it, and then it will, you know, after you're done with your your national. 00:47:02.159 --> 00:47:02.400 Right. 00:47:02.639 --> 00:47:06.480 And you'll see what your blood sugar is really doing versus what your A1C is. 00:47:06.639 --> 00:47:06.719 Okay. 00:47:07.760 --> 00:47:09.360 So let's talk about John's Manjaro story. 00:47:09.599 --> 00:47:13.280 No, let's not, because my Manjaro story's wrong-ish. 00:47:14.159 --> 00:47:17.199 So well, can I guess that they put you on way too much? 00:47:17.440 --> 00:47:17.840 Yeah, that's it. 00:47:18.000 --> 00:47:18.880 That's what I was gonna say. 00:47:19.039 --> 00:47:24.719 They treated me like they were doing type two and I was

overweight. 00:47:25.039 --> 00:47:29.280 And they took me up, you know, up to I think it was up too quick. 00:47:29.840 --> 00:47:33.199 And I stuck and I started to lose like muscle mass. 00:47:33.440 --> 00:47:34.480 You look emaciated. 00:47:34.800 --> 00:47:41.440 And I was like, you know, as much as I don't know about stuff, I know that muscle mass, you know, I'm 58 right now. 00:47:41.760 --> 00:47:46.320 Muscle mass is a thing when you get older, and I don't, I'm very precious about it. 00:47:46.400 --> 00:48:07.119 So I went off precious, but in in my research for this episode, like I see that there's emerging um research that there's like low dose, like never stepping up, like staying at you know, whatever the lower dose is, is is actually been is theoretically beneficial for type one. 00:48:08.320 --> 00:48:08.880 For sure. 00:48:09.039 --> 00:48:16.960 So I've been microdosing, um, I'm down to 0.15 because I hack and I'm I'm not doing it for weight loss. 00:48:17.039 --> 00:48:18.559 I'm the same weight as when I started. 00:48:18.719 --> 00:48:18.880 Right. 00:48:19.199 --> 00:48:26.079 But this is the other thing about all the other hormones um that is gonna open a like 50-minute can of worm. 00:48:26.639 --> 00:48:43.519 Um but type 1s don't regulate five other hormones properly because the cells that produce insulin are dead, so they're not talking to the other cells that regulate those other hormones, and GLP1 drugs help your body compensate for the lack of those other proper hormone levels. 00:48:44.079 --> 00:48:49.840 And so that's why microdosing a GLP1 as a type one is so impactful. 00:48:50.000 --> 00:49:00.239 And one of my friends who's a nurse practitioner, Annie has type one, he says that even in his patients who are obese with type one, that they still tend to need a microdose. 00:49:00.480 --> 00:49:08.719 And a lot of type twos are also overprescribed and they're sick and they're they can't eat anything and they feel terrible. 00:49:08.960 --> 00:49:10.960 So that was you for a while. 00:49:11.199 --> 00:49:31.920 Yeah, when oh when they took when they took me up, um, yeah, first of all, you know, uh the side effects are the side effects, but the one side effect of like shutting down your GI tract, like yeah, it it didn't shut down completely, but it got to the point that I'm like, there's a noticeable effect. 00:49:32.320 --> 00:49:35.440 You were I mean, you were not mentally in a good place during that time. 00:49:35.760 --> 00:49:37.039 No, it I felt horrible. 00:49:37.440 --> 00:49:46.639 Uh I I was emaciated's rough when you're I still weighed 230 something, but well, emaciated before you yeah, right. 00:49:47.360 --> 00:49:48.400 But it's really terrible. 00:49:48.480 --> 00:49:50.000 I blame the insurance companies. 00:49:50.159 --> 00:49:53.119 They're the ones saying we are well, sorry, the pharma companies. 00:49:53.199 --> 00:49:53.440 Yeah. 00:49:53.679 --> 00:49:59.519 Have there there are insurance companies that will deny you coverage if you don't keep going up in your dose. 00:49:59.760 --> 00:50:00.079 Oh really? 00:50:00.400 --> 00:50:01.679 So yeah. 00:50:01.840 --> 00:50:02.000 Wow. 00:50:02.320 --> 00:50:03.760 Which is really shitty, right? 00:50:03.920 --> 00:50:11.280 And that's some kind of that's some kind of relationship between big pharma and the insurance companies where they want people to use more and more and more. 00:50:11.519 --> 00:50:12.480 Yeah, that's that's boss. 00:50:12.800 --> 00:50:24.239 And that's why they keep pushing these high doses, and because in their studies, people at the highest doses lost 30% of their weight, so that's what they've now prescribed, even though most people feel terrible on that high dose. 00:50:24.559 --> 00:50:25.840 Yeah, I feel horrible. 00:50:26.079 --> 00:50:26.480 Horrible. 00:50:26.800 --> 00:50:33.280 Yeah, this is where you you have to question your doctor, unfortunately, but you don't have to tell them necessarily. 00:50:33.440 --> 00:50:42.000 So my doctor, my doctor understands me, they know I have the pen and that I don't do anything they tell me to do the way they want me to do it. 00:50:42.159 --> 00:50:42.800 You know what I mean? 00:50:43.039 --> 00:50:52.880 But if you have a doctor that's like or your insurance company, like just keep collecting the medicine, but take the dose that you know feels right for you. 00:50:53.039 --> 00:50:56.239 I actually stick a syringe into my Ozempic pen. 00:50:56.400 --> 00:50:56.480 Oh. 00:50:56.800 --> 00:51:03.679 Now I am not a doctor or a pharmacist, so if you're listening, I don't know what kind of pen you have or what kind of syringes you have, so don't copy this. 00:51:03.840 --> 00:51:05.920 Talk to somebody in real life. 00:51:06.480 --> 00:51:10.719 But I draw out 15 units because that's 0.15. 00:51:12.239 --> 00:51:13.679 So that's the dose I want. 00:51:13.920 --> 00:51:18.000 In an insulin syringe, 15 units equals the 0.15 dose. 00:51:18.159 --> 00:51:23.119 Because the pen will only give me 0.25 as the lowest dose, and I just don't want that much. 00:51:23.360 --> 00:51:27.440 Yeah, I probably should have led with this, but neither ginger or I or Scott are doctors. 00:51:27.519 --> 00:51:28.880 So talk to your doctor Bottles. 00:51:29.199 --> 00:51:30.400 Oh, yeah, Scott's not a doctor. 00:51:30.559 --> 00:51:31.280 He's not a real doctor. 00:51:31.519 --> 00:51:32.000 Not a real doctor. 00:51:32.960 --> 00:51:35.199 We're just a bunch of people with shitty pancreases, though. 00:51:35.440 --> 00:51:36.239 Pancreae? 00:51:36.559 --> 00:51:37.119 What's the plural? 00:51:37.280 --> 00:51:37.840 Pancreas. 00:51:38.320 --> 00:51:38.800 Pancreas. 00:51:39.599 --> 00:51:40.320 I like pancreas. 00:51:40.480 --> 00:51:41.199 I like pancreas. 00:51:41.360 --> 00:51:42.320 I think that's pretty hot. 00:51:42.559 --> 00:51:43.119 Cool. 00:51:43.679 --> 00:51:44.559 Um all right. 00:51:44.639 --> 00:52:00.960 So clearly, and I'm

gonna I'm gonna pause here for a minute to say that we're gonna have to do a follow-up episode because I think we're because I know your old six hormone thing too, and I you're right, that deserves time because I think that that's another one of those things that you've I and I don't know how you learned it. 00:52:01.039 --> 00:52:02.159 Kudos to you. 00:52:02.559 --> 00:52:13.280 But it's one of those things I've not heard very many other places, and it's not really out there, and it completely makes sense because the body's a closed system and everything affects everything. 00:52:13.599 --> 00:52:17.599 Well, and as a master athlete, I mean we're talking people 40 and above. 00:52:17.679 --> 00:52:20.960 Yeah, hormones, you know, and the lack of reduction. 00:52:21.519 --> 00:52:22.719 It's a big thing. 00:52:22.960 --> 00:52:25.119 All right, but I so we'll have to do this again. 00:52:25.199 --> 00:52:33.599 But what I do want to at least touch on right now because I saw one of your episodes with someone, and you say you were both an athlete and a personal trainer. 00:52:34.159 --> 00:52:37.920 And I just this is just me being that's all about me. 00:52:38.400 --> 00:52:39.519 Exercise. 00:52:40.079 --> 00:52:40.480 Yeah. 00:52:40.800 --> 00:52:43.840 Exercise makes my blood sugar go up. 00:52:44.000 --> 00:52:44.400 Why? 00:52:44.639 --> 00:52:45.280 Why? 00:52:46.320 --> 00:52:48.960 Why I'd like to know what type of exercise you're doing. 00:52:51.360 --> 00:53:02.400 It's strongman training, it's uh running, because I'm trying to run a 5k because I'm an idiot and I committed to weird things, and it's probably six, eight hours of pickleball a week. 00:53:02.559 --> 00:53:05.199 And all right so even pickleball drives it up? 00:53:05.360 --> 00:53:05.599 Yeah. 00:53:06.000 --> 00:53:14.320 Because I, you know, I I I pretend that I'm Jimmy Connors and I probably play a lot harder than the 80-year-olds that are crushing me, but I'm running around more. 00:53:14.719 --> 00:53:16.000 Wait, can I ask you a question? 00:53:16.320 --> 00:53:19.519 Do you drink a uh energy drink before? 00:53:20.000 --> 00:53:21.519 No, no, because I did think of that. 00:53:21.679 --> 00:53:21.840 Okay. 00:53:22.000 --> 00:53:22.239 I did. 00:53:22.480 --> 00:53:23.440 I just wanted to clear out that. 00:53:24.000 --> 00:53:25.920 My mind went there, so it wasn't just you. 00:53:26.079 --> 00:53:26.159 No. 00:53:28.719 --> 00:53:31.599 There certainly are times that that happens, but it's not always. 00:53:31.679 --> 00:53:37.599 But the exercise equals increased blood sugar is absolutely pretty consistent for me. 00:53:37.760 --> 00:53:38.000 Yeah. 00:53:38.320 --> 00:53:38.719 Yes. 00:53:38.880 --> 00:53:39.199 Okay. 00:53:39.519 --> 00:53:49.440 So um there's a one I just want to put out there that there's a foundational issue that you are gradually um producing less and less insulin, right? 00:53:49.519 --> 00:53:51.360 And you're new to taking insulin. 00:53:51.440 --> 00:53:51.599 Yeah. 00:53:51.840 --> 00:53:58.159 So I would assume that your doses are kind of, and this is true for everyone. 00:53:58.239 --> 00:54:03.840 It's not, you know, but need to be fine-tuned a little bit because you're probably not getting enough background insulin. 00:54:04.079 --> 00:54:05.360 Yeah, it's it's fixed. 00:54:05.519 --> 00:54:10.400 I I I know that people calculate and and have pumps and stuff that do that for them. 00:54:10.559 --> 00:54:12.480 Uh, I'm just on a fixed dose now. 00:54:13.360 --> 00:54:15.199 Yeah, but I'm on long acting too. 00:54:15.360 --> 00:54:19.679 And so uh I have a book called Exercise with Type 1 Diabetes. 00:54:19.760 --> 00:54:20.639 It's a hundred pages. 00:54:20.800 --> 00:54:25.920 I also have a free five-day email course that explains this science that we're gonna go over in a pending. 00:54:26.559 --> 00:54:26.639 Okay. 00:54:26.880 --> 00:54:31.679 Um, but uh so right now I take 12 units of lanthos a day. 00:54:32.239 --> 00:54:48.559 If I were to start seeing that even walking my dog's uh blood sugar is going up between meals uh when I don't have an obvious impact from food, you know, or it's been hours since I ate, that would tell me that my long acting, my background in torn dose needs to go up a bit. 00:54:49.039 --> 00:55:01.760 So I would guess, because you said you're a little frustrated with your blood sugars lately, and again, this is about questioning the doctor and not questioning, but also not waiting for them to fix it for you the next time you see them. 00:55:02.000 --> 00:55:07.199 I would guess that you need a 10 to 20 percent boost in your long acting in tornado. 00:55:09.119 --> 00:55:16.159 There's also this whole cool thing that anaerobic exercise versus aerobic. 00:55:16.639 --> 00:55:33.199 I know your listeners are famous people, but anaerobic is weight, definitely strong man renting depending on the intensity of your 5k, like if you're really pushing hard, that can put you into an anaerobic state instead of aerobic. 00:55:33.360 --> 00:55:38.079 And it really isn't about what your heart rate is doing and how long your heart rate is doing that for. 00:55:38.320 --> 00:55:48.000 So if you're I have a friend with type two who's not on influence and she was her blood sugar was spiking like 70 points every time she went for a job. 00:55:48.159 --> 00:55:49.920 And I said, Well, how hard are you pushing? 00:55:50.400 --> 00:55:52.320 She's pushing really hard. 00:55:52.480 --> 00:56:06.559 And I I wanted to see an experiment what would happen if she lightened up on the intensity of her rum, and she lightened up to a more comfortable jogging page and her blood sugar didn't fight because she wasn't pushing herself into an anaerobic state. 00:56:06.800 --> 00:56:38.320 So when we're when we're doing strongman, lifting weights, craft fit and competitive things like um pickleball, the that triggers adrenaline, which does tell your liver to release storage

sugar so that anything adrenaline related competition day, you know, but just basic anaerobic exercise, your body is producing lactic acid and converting that lactic acid into glucose and back to your recycle it back to your cell. 00:56:38.719 --> 00:56:39.519 Come on, nice. 00:56:40.320 --> 00:56:40.800 Nice. 00:56:41.599 --> 00:56:42.159 Come on. 00:56:42.400 --> 00:56:51.280 So I used to before my powerlifting training session, I used to need a unit of insulin on an empty stomach just to cover the deadlifting and the squatting. 00:56:51.519 --> 00:56:58.719 Well, it's funny because that's where I was thinking of heading, but I mean, now through this conversation, I've got some steps to deal with. 00:56:58.880 --> 00:57:04.400 First one is oh my god, I'm gonna say this out loud is getting rid of caffeine in my diet. 00:57:04.639 --> 00:57:05.039 Yeah, yeah. 00:57:05.360 --> 00:57:06.000 You and we both. 00:57:06.320 --> 00:57:06.960 Oh my god. 00:57:07.360 --> 00:57:09.519 The headache we're gonna have over the next couple of days. 00:57:09.760 --> 00:57:13.519 I know, but then you have to go to zero, but just reduce it a smidge. 00:57:13.679 --> 00:57:14.159 You don't understand. 00:57:14.320 --> 00:57:15.599 Oh no, no, no, no, no, no, no, no. 00:57:15.679 --> 00:57:16.559 There's no smidge with John. 00:57:16.880 --> 00:57:18.960 No, I need a bigger smidge than most people need a smidge. 00:57:19.199 --> 00:57:20.000 John needs a bucket. 00:57:20.079 --> 00:57:20.559 Yeah, I do. 00:57:20.639 --> 00:57:21.360 But okay. 00:57:21.440 --> 00:57:24.800 Well, you know, I go down from 20 cans to four cans. 00:57:25.039 --> 00:57:27.039 Yeah, I mean, the here's the reality. 00:57:27.119 --> 00:57:29.199 I I've been a career scientist, so I get it. 00:57:29.280 --> 00:57:32.639 And I I don't like trying to change too many variables at once. 00:57:32.719 --> 00:57:35.519 So caffeine is definitely gonna be step one. 00:57:35.920 --> 00:57:46.079 Um I like the idea of basal insulin because that speaks to me with just, you know, if the baseline is high, you know, regardless of what I'm doing, the baseline is high. 00:57:46.239 --> 00:57:49.039 You know, whether it spikes or dips, it's the baseline is high. 00:57:49.280 --> 00:57:51.360 So I I like that concept as well. 00:57:52.000 --> 00:58:00.079 Um I uh oh so uh we're definitely doing this again because I still have a bajillion. 00:58:00.400 --> 00:58:01.360 Yeah, there's a lot of questions here. 00:58:01.679 --> 00:58:03.039 But I do want to give a shout out. 00:58:03.280 --> 00:58:06.320 I mean, you're prolific on on the interwebs. 00:58:06.480 --> 00:58:08.639 Um, you've written a couple books. 00:58:08.800 --> 00:58:16.800 There's one book that I can't seem to find that I kind of want to, I I definitely want to buy, but it just I saw a short of yours just thumbing through it. 00:58:16.880 --> 00:58:19.599 And it it looks like it's almost like a tip a day. 00:58:19.760 --> 00:58:22.559 It's like Oh,

yeah, we're publishing it next week. 00:58:22.719 --> 00:58:23.440 Oh, it's not out yet. 00:58:23.599 --> 00:58:26.480 That would be why you guys buy because I live in the future before. 00:58:27.119 --> 00:58:28.000 I can't all right. 00:58:28.079 --> 00:58:29.440 So I'm getting first in line there. 00:58:29.519 --> 00:58:46.800 Because you know, sometimes, you know, it's I'm sure you could sit down at the beach and read it, you know, in in one sitting, but it the reality is that there are those days that it would just be nice to be able to grab something and open thumb to a random page and be like, Oh yeah, that that yeah, that. 00:58:47.280 --> 00:58:47.679 Yeah. 00:58:47.920 --> 00:59:08.000 And you know, it's not just tips like because I've had a publishing company once try to get me to do diabetes tips where it's like eat more fiber, you know, and but it's really also explaining diabetes science, like why some exercise raises your blood sugar, but we break it down so that you know you're not reading a whole chapter every day and it's easy. 00:59:08.320 --> 00:59:08.559 Yeah. 00:59:08.880 --> 00:59:12.880 Like what what is what is your background? 'Cause I mean you're not a medical professional, right? 00:59:12.960 --> 00:59:14.480 I mean you don't you're not even dancing too. 00:59:14.880 --> 00:59:26.320 I got pushed into having to learn this, honestly, because when I was nineteen and I was going from not taking care of myself to trying to compete in powerlifting. 00:59:26.400 --> 00:59:32.400 I I joined a gym to just try to lose weight and I was walking and I started doing yoga and I started getting pretty strong. 00:59:32.480 --> 00:59:42.639 And this girl said, You should talk to my boyfriend about powerlifting because my bench press was uh I'd gotten up to using a a plate on each side pretty quickly. 00:59:42.960 --> 00:59:43.440 Nice, right? 00:59:43.679 --> 00:59:45.920 And and that stands out in the gym, right? 00:59:46.000 --> 00:59:47.440 When a girl is doing that. 00:59:47.679 --> 00:59:54.239 Um and so I started training in powerlifting, and I didn't understand. 00:59:54.400 --> 01:00:04.960 This is 20 years ago, I did not understand why it was spiking my blood sugar so much, why I was so sensitive to insulin hours later, and my blood sugars were all over the place. 01:00:05.039 --> 01:00:09.679 And CGMs did not exist, you know, Libre and Dexon, that wasn't a thing. 01:00:09.920 --> 01:00:16.239 And I went to the endocrinologist, my first appointment ever with an adult endocrinologist, and I asked him for help. 01:00:16.400 --> 01:00:20.639 I said, I'm gonna be competing in six months at my first powerlifting meet. 01:00:20.960 --> 01:00:21.760 Can you help me? 01:00:21.920 --> 01:00:23.440 And he laughed at me. 01:00:24.159 --> 01:00:24.800 Oh, wow. 01:00:25.039 --> 01:00:28.960 He literally just laughed at me because I looked like a chubby little girl. 01:00:29.199 --> 01:00:33.039 I looked like a chubby little girl, and he thought it was whatever. 01:00:33.280 --> 01:00:44.639 And so I started reading my friend's exercise physiology textbook from who was in med school, and six months later I set like 10 records in my first paralyzing meet. 01:00:44.880 --> 01:00:45.679 I really hope you sent it up. 01:00:46.960 --> 01:00:47.920 Yeah, I hope you send it up. 01:00:48.719 --> 01:00:54.480 There was a newspaper article about it, and a nurse practitioner there definitely put it on the boat before honestly. 01:00:55.360 --> 01:00:58.559 He cared so little about me, I doubt he even remembered who I was. 01:00:58.960 --> 01:01:00.159 Yeah, probably, but yeah. 01:01:00.480 --> 01:01:19.360 But so that is it was really um total revenge and being pissed that led me to start learning about exercise science in a way that I'm I went to school for journalism, but I just discovered that I really like um explaining that complicated stuff because I don't like frilly, fluffy, extra. 01:01:19.920 --> 01:01:23.280 No, you're uh here, we've never met. 01:01:23.360 --> 01:01:27.360 This is the first conversation we've ever had, and I I need to say these things out loud. 01:01:27.599 --> 01:01:30.079 You're a really great science explainer. 01:01:30.719 --> 01:01:59.280 You you're you tend there's zero fluff in the things you do talk about, and you're not and you're not in that echo chamber which is frustrating as hell to someone looking for information because so many people are saying pretty much the exact same things, and I feel like that they just are you know they're solidifying the stereotypes, they're doing a disservice to the people that really it's not a one-size-fits-all anything, right? 01:01:59.519 --> 01:02:00.960 No, we've had that conversation. 01:02:01.280 --> 01:02:08.320 Yeah, it's I I I I echo on both intended and not intended with what John just said. 01:02:08.639 --> 01:02:18.400 One of the things, because I'm in education, is I look for people to work with that they can explain it to everybody. 01:02:18.639 --> 01:02:20.960 And that's what I've loved about this conversation. 01:02:21.360 --> 01:02:34.639 You could easily, I am sure, you know, speak the language, but the ability to talk to people, I love that that's what we've gotten out of this because some of the things you've said, John and I are looking at each other like, oh shit. 01:02:34.880 --> 01:02:39.119 I know right, you know, these episodes where I just like, oh, yeah. 01:02:39.360 --> 01:02:46.239 I mean, the changes that we have to start instituting for ourselves, you know, some of the podcast is to help everybody. 01:02:46.400 --> 01:02:53.440 I mean, you know, it's there there's that sort of lack out there, and we try to bring people in that can help masters athletes. 01:02:53.599 --> 01:02:56.559 Some of it is very self-serving for John Matthew for me. 01:03:00.079 --> 01:03:05.519 It's there's things that we've learned that we've sort of changed in in what we do. 01:03:05.679 --> 01:03:13.360 And I

love the fact that you have been able to say it to us to the point where it's like, you know, Scott, you're just being an asshole. 01:03:13.679 --> 01:03:14.400 Knock it off. 01:03:14.960 --> 01:03:16.239 Listen to me when I say that. 01:03:16.400 --> 01:03:17.440 No, I don't. 01:03:17.679 --> 01:03:18.880 But I don't like you, John. 01:03:19.119 --> 01:03:19.679 Oh, that's true. 01:03:19.760 --> 01:03:20.320 That's fair. 01:03:20.559 --> 01:03:21.039 Well, Jinger. 01:03:21.679 --> 01:03:29.519 You know, also I just gotta add that the the medical system, um what what am I thinking of? 01:03:29.920 --> 01:03:39.360 They underestimate how much patients are capable of learning and how much science we do need to learn if they were to explain it in plain language. 01:03:39.440 --> 01:03:41.840 And that really affects diabetes. 01:03:42.159 --> 01:03:43.840 Yeah, but I but I get that. 01:03:44.000 --> 01:03:50.159 I mean, I sit in waiting rooms and you see those people that are clearly the woe is me, I need a pill. 01:03:50.480 --> 01:03:50.800 Yeah. 01:03:51.280 --> 01:03:55.760 You know, so yeah, it's we're we're it's not universally accepted. 01:03:56.239 --> 01:03:57.440 No, yeah. 01:03:57.760 --> 01:04:00.159 Well, Ginger, I appreciate your time. 01:04:00.400 --> 01:04:01.360 We appreciate your time. 01:04:01.679 --> 01:04:02.079 Most definitely. 01:04:02.400 --> 01:04:03.679 We're definitely gonna do this again. 01:04:03.840 --> 01:04:09.039 I think Scott and I may find ourselves transitioning to video, so maybe we'll do a video chat. 01:04:10.159 --> 01:04:10.639 Wait a minute. 01:04:10.719 --> 01:04:12.320 That's the first time you've said that out loud. 01:04:12.639 --> 01:04:15.199 That's because I got a I got a studio pillow. 01:04:15.280 --> 01:04:17.280 Like cool lights all over them. 01:04:17.360 --> 01:04:17.920 I'm working on it. 01:04:18.079 --> 01:04:18.800 I'm working on it. 01:04:18.960 --> 01:04:26.079 Uh Ginger, before I let you go, uh tell us where we can find you on all the interwebs and your socials and whatnot. 01:04:26.320 --> 01:04:30.000 Yeah, and please highlight the name of the forthcoming book. 01:04:30.960 --> 01:04:31.280 Okay. 01:04:31.679 --> 01:04:40.800 So um diabetesnerd.com, diabetes nerd on YouTube, diabetes nerd on Instagram, the the new book. 01:04:40.960 --> 01:04:42.639 Oh my gosh, can I even remember it? 01:04:43.039 --> 01:04:44.239 It's every day. 01:04:44.480 --> 01:04:46.960 It's called Every Day with Diabetes. 01:04:47.199 --> 01:04:50.960 365 tips for living with type one and type two. 01:04:51.199 --> 01:04:52.480 Yeah, I'm excited for the book. 01:04:52.559 --> 01:04:56.400 And if you don't have diabetes and you're listening, but there's someone in your life, buy it for them. 01:04:56.559 --> 01:04:57.360 Yeah, definitely. 01:04:57.599 --> 01:05:03.440 Because it's such a weird disease that yeah, it's it's a mystery even when you have it. 01:05:03.599 --> 01:05:03.840 Yep. 01:05:04.000 --> 01:05:11.920 So, I mean, the more information you can get from people like Ginger or from books and and whatnot, get the hell out. 01:05:12.400 --> 01:05:12.800 Get the hell. 01:05:13.360 --> 01:05:14.159 Thank you, Ginger. 01:05:14.400 --> 01:05:20.960 I'll give you back the rest of your day to uh go eat some healthy snacks without uh fake sugars and bullshit sugar. 01:05:22.239 --> 01:05:22.559 Yeah. 01:05:22.880 --> 01:05:24.880 Once again, guys, great to meet you. 01:05:25.199 --> 01:05:27.039 I am John and I'm still Scott. 01:05:27.280 --> 01:05:27.840 Thanks, everybody. 01:05:27.920 --> 01:05:28.480 Bye bye. 01:05:28.639 --> 01:05:28.960 Bye. 01:05:29.360 --> 01:05:30.239 Thanks for listening. 01:05:30.400 --> 01:05:38.400 If you enjoyed this episode and you'd like to help support the podcast, please share it with others, post it on your social media, or leave a review. 01:05:38.639 --> 01:05:44.400 To catch all the latest from us, you can follow us on Instagram at Masters Athlete Survival Guide. 01:05:44.559 --> 01:05:45.440 Thanks again. 01:05:45.599 --> 01:05:48.000 Now get off our lawn, you damn kids.