Think Like A Pancreas...The Podcast!

Dr. Paula Diab and Anna Sabino, MSW, CDCES, discuss why the holiday season hits differently when you're managing diabetes and weight simultaneously.

Food is also your medication. You may feel a need to explain your needs, and manage other’s expectations. This can be isolating and exhausting!

Together they explore why the biology behind overeating during lows, the psychology of comfort eating, and the social pressure of food-centered gatherings create a perfect storm for people living with diabetes.

Learn practical strategies like texting ahead before a party, offering to bring the dessert, and using the phrase "this is important to me because," to improve your holiday experience. Remember that the season is meant to be enjoyed, not survived.

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are.

Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.

✔️People with type 1 diabetes have an Amilyn deficiency. This means that they are lacking the feedback in their body that triggers satiety and explains their success when using GLP-1s.  

✔️ Food is equated with welcoming, comfort, and health.

✔️Focus on what is going well, when everything seems to be going wrong.

00:00 Navigating Weight Management During the Holidays

06:05 The Science Behind the Extremely Complicated Relationship Between Diabetes and Food

07:26 Distress and Comfort Food Over the Holiday Season

10:29 When Fear Makes Us Hide

14:36 Focus on Maintaining Healthy Habits Over The Holidays Rather than Starting Something New

16:13 Planning for Success with Text Messages, Boundaries, and Shared Burdens

23:24 Managing Holiday Stress in All Forms

27:06 Setting Healthy Boundaries, Sharing, and Be Kind to Yourself

30:31 Reworking Your Relationship with Food

Weight Management For People Living with Diabetes

  https://www.type1university.com/weight-management-for-people-living-with-diabetes/

Wait…Is that True? Building Immunity to Diabetes Misinformation

   https://youtu.be/TQbizStOv-Q?si=Kh4L1tCNNTtrtlih

Beyond Blood Sugars…Mindfulness and Stress Relief for Type 1 Diabetes

  https://youtu.be/9xOGdr4m8zI?si=mjffz3x-IgSzujkq

Time out for Caregivers

  https://integrateddiabetesservicesscheduling.as.me/Time-Out-For-Caregivers

Mom’s Night Out

  https://diabetes-connections.com/moms-night-out-events/

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services on TikTok and Instagram as well as @integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

You've seen it. A viral post claiming cinnamon lowers blood sugar. A keto influencer swearing they "don't need insulin anymore." A comment section full of people saying the same thing — so it must be true, right?

In episode 115 of Think Like a Pancreas—The Podcast, Katlyn Agosta (RN, APRN, CDCES) sits down with Kiera Jones (RN, CDCES) to break down why diabetes misinformation is so persuasive, what it actually looks like in the wild, and — most importantly, how to build your own immunity to it.

Kiera delivers a practical framework you can use the next time your feed tells you something that sounds too good (or too scary) to be true.

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida.

Kiera Jones MPH, BSN, RN, CDCES, is a registered nurse and diabetes educator who believes that effective diabetes education begins with an empathetic understanding of each person's lived experience and the systemic factors that influence their health. By recognizing these complexities, she strives to provide education that validates people’s experiences, addresses their individual needs, and empowers them to make informed decisions.

Her interest in the intersection of diabetes education and health communication inspired her graduate research in public health, which explored how diabetes-related misinformation spreads, why misleading health claims can be persuasive, and strategies for building resilience against misinformation. Through her work, Kiera hopes to help people better recognize misleading health information and confidently navigate an increasingly complex digital landscape.

✔️ What captures our attention is not compatible with scientific evidence and sadly, it is impossible to make scientific evidence as attractive as misinformation. Misinformation is anything that does not match scientific consensus.

✔️ It is easy to say that a study showed X, but not all research is the same. Not all studies carry the same validity or necessarily show causality.

✔️ When someone is talking in absolutes and “always”, there is probably some level of misinformation to the communication.

00:00 Welcome and Introduction

04:15 Why is diabetes misinformation so pervasive in social media?

07:05 The pitfalls of the availability of so much information online.

11:24 What does misinformation look like?

15:50 Avoiding extreme claims

19:42 Misinformation often preys on people’s frustrations with their diabetes management.

23:02 5 Strategies to pause and evaluate social media claims.

29:41 How to bring these topics up to your healthcare provider

34:15 Kiera’s closing thoughts diabetes misinformation on social media.

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services on TikTok and Instagram as well as @integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In Episode 114 of Think Like a Pancreas—The Podcast, host Gary Scheiner, MS, CDCES, sits down with his longtime friend Phil Southerland. What began as a school project became an inspiring business that empowers people with diabetes through sport.

Listen as Phil shares hard-won lessons from 44 years with type 1 diabetes and decades of endurance training. Hear why high blood sugar during exercise may not be the enemy you thought it was, how he uses a microdose of a GLP-1 medication and an SGLT2 inhibitor to keep his basal needs stable regardless of training load, and what happened when he put glucagon in an insulin pump.

Tune in for a candid conversation about challenging assumptions, pushing physical limits, and finding new ways to thrive with diabetes.

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

Phil Southerland is a lifelong advocate for people living with diabetes. He is the CEO and Co-Founder of Team Novo Nordisk, leading the world’s first all-diabetes professional cycling team.  He is also the Founder and President of the Team Type 1 Foundation, a non-profit dedicated to creating awareness, providing education, and instilling hope in individuals and families impacted by diabetes around the world.

✔️Being active and moving in any way helps your metabolism and improves your glucose control no matter who you are or what your starting weight is.

✔️ When exercising with diabetes, you must plan and prepare for the unexpected, because diabetes will sometimes simply head in the opposite direction.

✔️The perfect range to exercise may be much higher than you think, but hydration may be the key to avoiding dangerous situations.

00:00 It Started as a Class Project and Went on To Change Lives

05:00 Empowering People with Type 1 Diabetes Through Sport

07:12 Riding Across the Unites States of America

13:07 How Phil Keeps His Glucose in Range During Long Bike Races

17:58 What is the Optimal Blood Glucose Level for Peak Performance?

19:34 The Role of Hydration

20:11 Dosing Strategies for Bicycle Racing

24:20 The Science of Diabetes and Exercise

25:17 Why Phil Would NOT Give Away His Diabetes

29:35 Phil’s Dream for Himself and Team Novo Nordisk

31:17 Phil Southerland’s Hero

https://www.teamnovonordisk.com/teammembers/phil-southerland/

https://www.teamnovonordisk.com/

https://www.facebook.com/TeamNovoNordisk

https://www.instagram.com/teamnovonordisk

https://www.tiktok.com/@team_novo_nordisk

https://x.com/teamnovonordisk

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services on TikTok and Instagram as well as @integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

In this episode of Think Like a Pancreas: The Podcast, Certified Diabetes Care and Education Specialists Dana Roseman, Jennifer Smith, and Tavia Vital tackle a question every person with type 1 diabetes eventually faces: who will help manage your care as you age — and do they actually know how?

Learn why starting the conversation early matters, what your spouse, adult children, or close friends really need to understand about insulin, hypoglycemia, glucagon, and CGM follow apps, and how to spot the warning signs of cognitive decline before a small problem becomes a hospital visit. From building a backup care team to knowing when simpler diabetes technology is the safer choice, they share practical tips for protecting independence and health.

Whether you live with type 1 diabetes or support someone who does, this episode will help you plan ahead with confidence and give your loved ones the tools they need to help, without taking over.

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique.

✔️As people live longer with Type 1 diabetes, there becomes a greater need to put in place systems to help them when certain diabetes-related tasks become more of a challenge either physically or cognitively.

✔️ Today you must plan for a future that once didn't exist. Tavia recalls being diagnosed when life expectancy was roughly 12 years — and the gift of now being able to plan for cognitive decline, care teams, and fifty more years with T1D.

00:00  An Introduction to Aging Gracefully with Type 1 Diabetes

03:05 It Can Be Hard to Trust Someone Else to Push Your Buttons

05:02 Starting Early Conversations With the Very Basics

09:39 Adjusting Your Care and Targets

12:18 Transitioning Your Care Plan Across Your Aging Journey

13:56 Sharing an Understanding of your Tools and Access to Technology

15:38 Diabetes is a LOT. Your Caregiver May Need a Back-up

18:06 A Guide to Diabetes for Caregivers

22:51 Creating a Checklist of Needs for your Loved One with Diabetes

23:36 When You Need to Start Lightening The Load

25:58 Creative Ways to Get Support or Offer Support

33:00 Start Talking Today to Feel Confident Tomorrow

34:41 Aging with Diabetes is a Wonderful Concern to Have

Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes

  https://Integrateddiabetesservices.podbean.com/e/empowered-aging-with-type-1-diabetes/

Download the T1D Caregivers’ Guide

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. SAB Biotherapeutics is running the SAFEGUARD clinical study testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression.

In this episode of Think Like a Pancreas—The Podcast, host Gary Scheiner sits down with SAB Biotherapeutics CEO, Sam Reich to discuss what this study means for people with stage 3 type 1 diabetes, who can enroll, and why studies like these are so important.

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

Sam Reich is the Chief Executive Officer of SAB Biotherapeutics. Mr. Reich holds a Bachelor of Arts degree with High Honors in Biochemistry from Clark University, cum laude, Phi Beta Kappa, where he received the Margaret Comer award, presented to the top graduating student in the Biological Sciences. He later attended the University of Pennsylvania where he was a Doctoral Candidate in the lab of Jean Bennett. He left prior to defending his thesis to found Acuity Pharmaceuticals, Inc., receiving a Master of Science. He is listed as an inventor on 14 U.S. patents and more than 50 worldwide patents related to the first uses of siRNA as therapeutics.

SAB Bio is a clinical-stage biopharmaceutical company focused on advancing research for people living with type 1 diabetes. Its mission is to dramatically redefine what it means to be diagnosed with type 1 diabetes by developing a medicine to change the course of disease, not just treat symptoms. 

A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. The SAFEGUARD clinical study is testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. People between 5 and 17 years old may qualify to participate.

Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

✔️Preserving beta cell functioning can make diabetes management much easier for people living with type 1 diabetes.

✔️Taking part in clinical studies not only helps research move forward but also allows you to take your place in history.

00:00 Welcome

01:44 Meet Sam Reich

03:11 SAB = Saving All Beta Cells?

03:54 Plainly Speaking, What is SAB-142?

06:28 How does SAB-142 Differ from other drugs on the market?

08:30 The SafeGuard Study

13:52 Eligible Candidates for the SafeGuard Study

15:05 What’s it in for you to Participate?

17:03 Prise Study

19:08 Debunking the Cure Conspiracy

22:12 When Can We Start Using SAB 142?

SafeguardStudy.com or call 1-844-763-1890

From Crisis to Control. How T1D Screening Saves Lives

  https://Integrateddiabetesservices.podbean.com/e/how-t1d-screening-saves-lives/

https://www.breakthrought1d.org/for-the-media/press-releases/breakthrough-t1d-awards-grant-to-support-prise-hatg-study-of-sab-142-in-stage-3-type-1-diabetes/

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 111 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Marketing Director Barb Wagstaff sits in the host seat to introduce the newest IDS clinician, Katlyn Agosta, MSN, APRN, FNP-C, CDCES.

Diagnosed with type 1 diabetes at 15 with a blood sugar of 538 mg/dL, Katlyn brings 24 years of lived experience to the team. From rolling NPH and regular insulin into one syringe to pumping with Tandem’s Control-IQ, Katlyn shares her diagnosis story, how it led to an incredible career, and the philosophy that guides her care: life first, diabetes second.

Barb Wagstaff has been a member of the diabetes community since March 17, 2000, when her two-year-old son was diagnosed with type 1 diabetes. Her guiding philosophy of “I am not a medical professional, I just play one in real life”  was a way of life. She educated herself to keep her son safe, devoured research, asked hard questions, and shared everything she learned with a community that needed it just as much as she did. Now, as IDS’s first Director of Marketing, her mission is to share the extraordinary expertise inside Integrated Diabetes Services with every person who needs it.

Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida

✔️ Katlyn embraced an attitude of “how do I do it and let’s get it done” which has helped her stay healthy for 24 years.

✔️ What worked for you when you were 16 may no longer be right for you at 36 and what was working at 36 may not work at 66.

00:00 Introduction and Welcome 

02:30 Meet Katlyn Agosta

06:14 Insulin Delivery Choices and Gary Scheiner’s Influence

07:54 Diabetes is NOT Katlyn’s First Priority

08:42 Why Katlyn Loves Being a Clinician

10:49 Is Katlyn the Right Clinician for You?

12:48 Your Diabetes Changes with Time

13:55 Little Known Facts About Katlyn

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Meet the IDS Team

   https://youtu.be/pQ2fjbDAWcs

Meet the IDS Team—Part 2

   https://youtu.be/qPQ9HwvowEU

Meet the IDS Team—Part 3

   https://youtu.be/gVmx3h1mnjg

A First Book for Understanding Diabetes—16th Edition

  https://www.childrensdiabetesfoundation.org/t1d-resources/pink-panther-books

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 110 of Think Like a Pancreas—The Podcast, Anna Sabino and Dana Roseman help families navigate one of the biggest back-to-school questions for children with type 1 diabetes: how much independence is realistic at each age and stage?

For many families, a new school year feels like a fresh start—a chance to reset routines, build confidence, and help kids gradually develop the self-advocacy skills they will need both in and out of the classroom.

In this conversation, Anna and Dana break down what children can reasonably manage from kindergarten through college, and how parents can support independence without constant texting, overcorrecting, or chasing perfect numbers.

They also share practical guidance for getting through the messy first six weeks of school, avoiding big diabetes-management changes too soon, and letting kids learn from mistakes in a safe, supportive way. If you are parenting a child with type 1 diabetes, this episode offers reassurance, perspective, and realistic strategies for helping your child grow into greater independence—one school year at a time.

SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890

Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.

Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

✔️ Type “You” Diabetes—Everyone will manage diabetes differently. Moms will deal with things differently than Dads. Dads will manage differently than the child. No one is necessarily  “wrong”, it is just different.

✔️ Do NOT make major changes to your child’s diabetes care during the first six weeks of school. This is a time of learning and re-establishing routines.

00:00 The Fresh Energy of a New School Year

03:04 Age and Stage Expectations: What Children Can Realistically Handle.

09:27 The Shifting of Diabetes Care is Child Specific

13:59 Guiding Problem-solving

15:59 Managing the First 6 Weeks of Back-to-School

21:34 Your Child Will Manage Their Diabetes Their Way

23:36 They Will Make Mistakes

25:00 Empowering Your Child with Type 1 Diabetes

30:07 Final Tips

https://integrateddiabetes.com/its-back-to-school-for-parents-too/

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 109 of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss the final chapter of his book Think Like a Pancreas.

From technology to social supports, learn the members of Gary’s diabetes dream team (a dietician, physician, exercise physiologist, and mental health specialist) much more.

Discover new trusted communities, financial assistance options, how to spot unreliable advice from uncredentialed online coaches, and where to access free tools like the Diabetes Bites newsletter.

Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are.

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

✔️ In-person groups like Grown Up T1Ds, volunteer organizations, and peer networks reduce stress and keep people engaged.

✔️ Stick with credentialed professionals and established, tested organizations; treat advice from uncredentialed online "coaches" with caution.

00:00 Introduction and Welcome

02:00 Gary’s Diabetes Dream Team

03:50 Technological Devices to Consider

06:29 Social Supports

08:46 Financial Support

09:15 How the Resource Landscape Has Changed

11:54 Steering Clear of Bad Advice

13:50 Other Valuable Resources

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

Grown up T1D:  A Festivus for the Rest of Us

  https://Integrateddiabetesservices.podbean.com/e/grownup-t1ds-a-festivus-for-the-rest-of-us/

Breakthrough T1D

  https://www.breakthrought1d.org

American Diabetes Association

  https://diabetes.org

Sign up for Diabetes Bites

  https://integrateddiabetes.com/think-like-a-pancreas-the-podcast-august-2026-schedule-2/

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In episode 108 of Think Like a Pancreas—The Podcast, host Tavia Vital, RN, CDCES, sits down with author Gary Scheiner to discuss Chapter 9 of Think Like a Pancreas. Together, they take an honest look at the highs and lows that affect everyone living with diabetes and offer practical guidance for handling them safely.

Throughout the conversation, Gary and Tavia emphasize that perfection is not the goal. Mild, infrequent highs and lows are a normal part of life with diabetes but understanding how to respond can make those moments less overwhelming.

Listen to learn why dextrose is often the preferred treatment for hypoglycemia, what to expect after using glucagon, why extreme highs and lows should be rare, and when frequent episodes may be a sign that it is time to reassess your diabetes management plan.

Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique.

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

✔️Speed matters when you are low. Consider foods that spike your blood sugar levels.

✔️ Highs and lows are normal, but if you are experiencing continuous high or low blood glucose levels, it is time to speak to someone about making changes in your diabetes management.

00:00 Welcome and Introduction

03:57  Even the “Experts”  Have Highs and Lows

06:00 How NOT to Treat “Hypos from Hell”

08:47 Why Dextrose

11:50 The Real Dangers of Low Blood Glucose

14:23 What to Expect After Glucagon

16:26 Explaining a High Blood Sugar

18:11 But My Blood Glucose Level is Supposed to Rise

21:40 Diabetic Ketoacidosis (DKA) and Final Takeaways

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

https://integrateddiabetes.com/ids-packages/

Coping with Burnout in Diabetes Management: Strategies for Success

  https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-diabetes-management/

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

In this episode of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss chapter eight of his book Think Like a Pancreas.

This chapter looks at the daily challenges of living with diabetes and the many things that can influence blood glucose levels. From coffee to aging, mental exertion to weight changes, Paula and Gary share how some diabetes detective" work can effectively improve self-management.

Listen to learn more from this insightful chapter from Think Like a Pancreas.

Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are.

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

✔️ Managing type 1 diabetes is about the nearly impossible task of maintaining the equivalent of one teaspoon of sugar in your blood despite the many variables working against you.

✔️ Treat glucose management like detective work, looking beyond food and insulin to identify patterns across all these variables so adjustments can be made proactively.

00:00 Introduction and Welcome

03:24 Why Identical Days Produce Different Glucose Results

05:17 A Never-ending List of Variables

07:50 Surprising Things That Impact on Glucose Levels

12:23 Body Rhythms and Their Impact on Blood Sugars

18:53 Medications that Raise Glucose Levels

23:06 If you can predict it, you can prevent it

Think Like A Pancreas - 4th edition

  https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.