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What happens when you do everything right, but the numbers keep telling you something is wrong? In this deeply personal episode of The Cutover, Lawrence Spector shares how months of warning signs, rising blood sugar, and a type 2 diabetes diagnosis eventually led to the real answer: LADA, often called type 1.5 diabetes. He reflects on the shock of starting insulin, losing his father during the same difficult period, and learning that effort alone cannot fix a plan built on the wrong diagnosis. Drawing from 25 years in engineering, Lawrence connects health, leadership, and system failures through one powerful lesson: when the plan stops working, question the diagnosis. He also shares how life with LADA has become manageable, even if the condition is always present.
Episode highlights:
(1:20) Episode 1.5: LADA and the “off by one” error
(1:28) Early warning signs that were easy to explain away
(2:52) Rising A1c levels and the first diabetes warnings
(3:58) When the numbers stopped matching the plan
(4:35) The type 2 diabetes misdiagnosis
(5:06) The ZNT8 antibody test that confirmed LADA
(6:18) Starting insulin for the first time
(7:31) Losing his father while adjusting to a new diagnosis
(8:18) Lessons from treating the body like a system
(9:29) Why failed plans should make us question the diagnosis
(10:10) Learning to live with LADA, insulin pumps, and CGMs
(11:14) Managing hard days while becoming a new dad
(11:36) Why “type 1.5” is the perfect off-by-one diagnosis
(12:19) Preview of the next episode
If you enjoyed this episode, follow the podcast, leave a review, and share it with someone who might find it helpful. Want to stay connected or learn more? Find me through the links and contact information below.
Youtube: @LawrenceSpector, @the-cutover
Facebook: https://www.facebook.com/lawrence.spector/, https://www.facebook.com/people/The-Cutover-with-Lawrence-Spector/61594426252229/
Instagram: @lawrence.spector
LinkedIn: https://www.linkedin.com/in/lawrencespector/
Twitter/X: @SpectorLS
Bluesky: @lawrencespector.bsky.social, @thecutover.bsky.social
What happens when life changes in a way you can’t roll back? Lawrence Spector shares the personal moment that changed his life: being diagnosed with LADA, also known as type 1.5 diabetes. Drawing on 25 years of leading engineering teams, Lawrence connects life’s biggest turning points to major system cutovers at work. There is a before, an after, and a moment when going back is no longer possible. He shares how an initial sense of relief gave way to a new reality, why positivity can sometimes become denial, and what it takes to adapt when there is no playbook. This episode introduces the heart of The Cutover: honest stories about hard moments, what became clear afterward, and lessons you can actually use.
Episode highlights:
(0:00) Intro
(0:55) Why life-changing moments resemble major system cutovers
(1:19) The diagnosis that changed everything
(1:59) Learning the real diagnosis was LADA, or type 1.5 diabetes
(2:28) Facing daily injections for life
(3:44) What The Cutover podcast is about
(4:08) The four questions behind every episode
If you enjoyed this episode, follow the podcast, leave a review, and share it with someone who might find it helpful. Want to stay connected or learn more? Find me through the links and contact information below.
Youtube: @LawrenceSpector, @the-cutover
Facebook: https://www.facebook.com/lawrence.spector/, https://www.facebook.com/people/The-Cutover-with-Lawrence-Spector/61594426252229/
Instagram: @lawrence.spector
LinkedIn: https://www.linkedin.com/in/lawrencespector/
Twitter/X: @SpectorLS
Bluesky: @lawrencespector.bsky.social, @thecutover.bsky.social
From the publisher's feed
What happens when the system you knew stops working, and there’s no rollback?
The Cutover: Stories of When the Switch Flipped is a podcast about the defining moments that…
Hosted by Lawrence Spector, an engineering leader with 25 years of experience building and leading teams across industries including finance, defense, telecom, medical devices, gaming, cybersecurity, and AI, The Cutover takes an engineering concept and applies it to something much more personal.
In technology, a cutover is the moment a new system goes live. Months of preparation lead to one point of no return. Life has cutovers too, but unlike at work, there’s usually no rehearsal, rollback plan, or war room waiting when they happen.
Each week, Lawrence shares a story from his own journey or sits down with founders, engineers, leaders, and builders to examine one real moment when something changed. The decision they almost didn’t make. The diagnosis they didn’t expect. The failure that forced a new direction. The opportunity that opened one door while closing another.
These aren’t highlight reels. They’re stories about what someone believed before, what actually happened, what became clear afterward, and what they would do differently now.
Because sometimes the most important part of the story isn’t where you ended up.
It’s the moment the switch flipped.