Episodios

  • Before the symptoms: The why and how of type 1 diabetes screening
    Oct 14 2025

    In Episode 56 of Think Like a Pancreas—The Podcast, Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services, is joined by Gary Scheiner for a conversation on preventing type 1 diabetes.

    With improved access to screening tools, they explore the implications for people living with diabetes and their families.

    Gary shares the latest research and treatment options, highlighting how these advances can lead to better outcomes for those at risk of developing, or those diagnosed with, type 1 diabetes.

    MEET YOUR HOST AND HER GUEST

    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. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

    Gary Scheiner is an award-winning CDCES Fellow, Masters-level Exercise Physiologist who received his diabetes training with the world-renowned Joslin Diabetes Center. He serves on the faculty of Children With Diabetes and is an active volunteer for the American Diabetes Association, Juvenile Diabetes Research Foundation, Diabetes Sisters and Setebaid Diabetes Camps. Gary serves on the clinical advisory boards for several diabetes device manufacturers and pharmaceutical companies, while bringing together an incredible team of experts with his company, Integrated Diabetes Services.

    WHAT YOU’LL LEARN:

    ✔️ Who should be screened for type 1 diabetes.

    ✔️ How you or your loved ones can be screened.

    ✔️ Beta cell bubble-wrap strategies.

    ✔️ Next steps after screening.

    CHAPTERS:

    00:14 Welcome and introductions

    02:00 Understanding the stages of developing type 1 diabetes

    10:05 Who should be screened for type 1 diabetes?

    14:15 The best age to consider screening

    15:56 You’ve been screened for type 1 diabetes. What’s next?

    21:33 Monitoring and insulin production preservation strategies

    26:54 Medical intervention options to prevent stage 3, type 1 diabetes

    35:43 To screen or not to screen is a personal decision

    RESOURCES MENTIONED

    Integrated Diabetes Services offers consulting services to individuals and families who test positive for antibodies. Call 610-642-6055 for details.

    Most commercial labs such as Labcorp and Quest Diagnostics are equipped to perform antibody testing. Just ask your physician for a prescription the next time you have annual lab work.

    At-home test kits can be obtained from TrialNet. Free screening kits are available at TrialNet sites or through the mail for first-degree relatives of people with T1D ages 2–45, or second-degree relatives ages 2–20. Call 800-425-8361 for details. https://www.trialnet.org/

    ASK is a free T1D antibody screening service for children, available through the Barbara Davis Center for Diabetes: www.askhealth.org

    For a variety of resources on the T1D screening process, visit www.type1tested.com

    CONNECT WITH US

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    SUBSCRIBE AND REVIEW

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    MORE GREAT EPISODES LIKE THIS

    The Quest for a Cure: A Diamyd In the Rough

    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.

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    43 m
  • Bouncing Back from Diabetes Burnout--Strategies from Experts Who’ve Been There
    Oct 7 2025

    In Episode 55 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Mental Health Clinician, Anna Sabino speaks with James van der Meulen about diabetes burnout.

    Together they share their stories of living with diabetes since childhood. They explained how they have learned to recognize and work through the mental challenges that come with this journey.

    MEET YOUR HOST AND HER GUEST

    Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. She is a graduate of Syracuse University with a dual degree in psychology and child and family studies. She earned her Masters in Social Work from Washington University in St. Louis. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.

    Anna’s greatest passion is helping individuals and families build a sense of confidence and comfort with their diabetes management.

    James van der Meulen has been living with type 1 diabetes since he was four years old. He has successfully managed his diabetes through university and law school. He is now a successful corporate lawyer in South Africa.

    WHAT YOU’LL LEARN:

    ✔️ Diabetes is not one size fits all

    ✔️How to deal with diabetes interfering with daily demands.

    ✔️ Give yourself grace. You cannot expect perfection every day.

    ✔️ Burnout is part of being human

    CHAPTERS

    00:12 Welcome and introductions

    03:04 The immense mental challenge of living with type 1 diabetes

    04:13 How James deals with burnout

    10:07 The Role of Technology in Diabetes Management

    12:40 Understanding both your own role and that of technology significantly enhances your mental wellbeing.

    14:21 Your diabetes burnout will vary

    17:13 Burnout is the gatekeeper to other mental health issues

    18:46 Parents must recognize burnout in their children

    19:51 The mental challenge of managing your own diabetes care

    24:23 How to avoid burnout as a parent of a child with diabetes

    28:50 Grief for parents is a normal part of the process.

    32:33 Learning to master self-doubt

    RESOURCES MENTIONED

    IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application

    Watch the full-length episode Coping with Burnout in Diabetes Management: Strategies for Success

    CONNECT WITH US

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    SUBSCRIBE AND REVIEW

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    MORE GREAT EPISODES LIKE THIS

    Coping with Burnout in Diabetes Management: Strategies for Success

    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.

    Más Menos
    40 m
  • Trio Open-Sourced Insulin Delivery: The Good, The Challenging, and The Differences
    Sep 30 2025
    In Episode 54 of Think Like a Pancreas—The Podcast, the Trynamic Trio of Dana Roseman, Tavia Vital, Jennifer Smith, and Kathryn Alvarez share their thoughts on the Trio Open-sourced Insulin Delivery System. Hear the challenges that they faced as users and how they learned from their experiences to better help their clients at Integrated Diabetes Services. MEET YOUR HOSTS Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. 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. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. 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. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. 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. She strives to be an expert resource on intensive diabetes management options. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. WHAT YOU’LL LEARN: ✔️ The value of learning the Trio language. ✔️Valuable information found onscreen. ✔️ Trio requires more extreme experimentation than Loop. ✔️The value of Trio for teens and athletes. CHAPTERS 00:11 Welcome and disclaimer 00:36 Meet the Try-namic Trio 02:26 Starting Trio in a refreshed state 03:41 Favourite Trio Features 08:53 Trio + Steroids = Great blood sugar control 10:18 The Freedom of Unannounced Meal Bolus 16:58 Tighter Standard Deviation with Trio 18:23 How to basal test with Trio 22:05 Who should use Trio? 25:14 Recap RESOURCES MENTIONED IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w Trio: An Open Source Overview https://integrateddiabetes.com/diy-services-support/ https://integrateddiabetes.com/what-is-a-hybrid-closed-loop-system/hybrid-closed-loop-comparisons-options/ https://integrateddiabetes.com/some-technology-updates-from-the-diabetes-world/ https://integrateddiabetes.com/6-top-tips-for-open-source-diy-diabetes-management/ CONNECT WITH US 🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any ...
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    28 m
  • The Burden of Diabetes and Self-Advocacy
    Sep 23 2025

    In Episode 53 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Kristi Paguio and Dr. Paula Diab discuss the invisible burden of living with diabetes and the vital role of self-advocacy.

    Kristi shares her experiences as both a patient and a clinician, while Paula provides insights as a doctor. Their conversation highlights the need for better education, preparation, and understanding when working with people with diabetes, as well as tips for both medical staff and patients.

    MEET YOUR HOSTS

    Dr Paula Diab PhD, CDCES 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. She earned her undergraduate medical degree from the University of Cape Town in 2000 and then returned to her home province of KwaZulu-Natal to establish her career and continue her post-graduate studies. She is certified as a Diabetes Care and Education Specialist in the US.

    Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies).

    Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes. She has experience working with adults, children, athletes, pregnancy, and weight management.

    Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.

    WHAT YOU’LL LEARN:

    ✔️How much diabetes training many medical professionals receive.

    ✔️Tips to make the most out of your next diabetes appointment.

    ✔️ How to shift your mindset when managing your diabetes.

    ✔️The importance of context over data for physicians.

    CHAPTERS

    00:12 Welcome and Introductions

    01:49 The highlighting the invisible burdens of diabetes

    02:31 The barriers a person with diabetes faces to manage their care

    05:28 The reality of diabetes education for general physicians

    06:31 Navigating a perceived lack of empathy in diabetes care

    08:30 The role of self-advocacy in diabetes management

    10:12 Clinician anxiety

    10:31 Words matter when talking to patients

    13:05 The healthcare system is not set up for chronic illness management

    15:38 How to get the most out of a visit with your clinician

    19:44 Creating an advocacy team to help when you can’t

    23:42 How to improve conversations with healthcare providers

    RESOURCES MENTIONED

    Diabetes is the ULTIMATE Ultramarathon

    CONNECT WITH US

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    SUBSCRIBE AND REVIEW

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    MORE GREAT EPISODES LIKE THIS

    Coping with Burnout in Diabetes Management: Strategies for Success

    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.

    Más Menos
    33 m
  • Maximizing Your Workout! Nutrition and Exercise Strategies for People with Diabetes
    Sep 16 2025

    In Episode 52 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Jennifer Smith and Dana Roseman discuss the critical relationship between nutrition, exercise, and diabetes management. They explore how to effectively manage blood sugar levels during physical activity, the importance of individualized approaches to insulin and exercise, and the role of hydration and nutrition in optimizing performance. The conversation emphasizes the need for planning and understanding one's body to achieve successful outcomes in exercise and diabetes management.

    MEET YOUR HOSTS

    Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. 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. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.

    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. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

    WHAT YOU’LL LEARN:

    ✔️How to overcome the fear of new exercise routines.

    ✔️The importance of healthy blood sugar targets for exercise performance.

    ✔️ To use insulin rather than constantly feeding your insulin.

    ✔️The value of hydration and post-exercise nutrition.

    ✔️ Whole foods should be prioritized over supplements for nutrition..

    CHAPTERS

    00:11 Welcome and Introduction

    00:59 Fueling for exercise with Jennifer and Dana

    03:57 Blood glucose levels impact performance levels

    05:34 Fasted Exercise: Strategies and Benefits

    07:26 Insulin and Fueling Strategies for exercise

    09:51 Understanding your needs for food, insulin, and exercise

    13:27 The impact of the type of exercise on your blood sugar levels

    17:21 Hydration and Its Impact on Performance

    18:44 Fueling tips for endurance athletes

    22:51 Low blood volume vs low blood sugar

    24:00 Post exercise tips

    28:38 The Role of Whole Foods vs Supplements

    31:00 Final thoughts on exercise and diabetes management

    RESOURCES MENTIONED

    Diabetes, Nutrition, and Wellness with Dana Roseman and Jennifer Smith

    https://www.podbean.com/eas/pb-njy66-190feba

    CONNECT WITH US

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    SUBSCRIBE AND REVIEW

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    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.

    Más Menos
    33 m
  • Book it! Diabetes publishing is alive, but is it well?
    Sep 9 2025

    In Episode 51 of Think Like a Pancreas—the Podcast, host Gary Scheiner speaks with Victor Van Beuren, director of book operations for the American Diabetes Association.

    Victor shares how he moved from a career in geology to publishing in the diabetes space was a natural evolution. He highlights the importance of effective scientific communication to both individuals and clinicians.

    Victor also shares with Gary how to identify trustworthy sources of information amid online clutter and what to consider if you want to get your diabetes story published.

    Meet Your Host and His Guest

    Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation.

    Victor Van Beuren, MS, has dedicated more than 38 years to the publishing world. While publishing has shaped his career, his work with the American Diabetes Association over the past decade and a half has transformed it into his mission.

    What you’ll learn:

    ✔️The importance of effective scientific communication

    ✔️The evolution of book publishing in a digital age.

    ✔️ How to find reputable diabetes publications.

    ✔️The steps involved in publishing your diabetes book.

    ✔️The importance of a good hook for your diabetes book

    ✔️ Publishing is a business

    Chapters:

    00:15 Welcome and introduction

    00:57 Meet Victor

    3:40 How a geologist became an American Diabetes Association book publisher.

    7:00 The importance of sharing medical information in a way that everyone can understand

    7:56 ADA’s new focus in consumer publishing

    14:02 Finding trustworthy authors and publications

    17:00 Modern publishing options

    18:20 Tips for book marketing

    26:30 The value of communication

    Resources Mentioned:

    Joslin Diabetes Center

    Practical CGM

    Think Like a Pancreas—The Fourth Edition

    Connect with Us

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    Subscribe and Review

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    More great episodes like this

    Think Like a Pancreas—The Book

    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.

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    34 m
  • Excelling in Sports with Type 1 Diabetes
    Sep 2 2025

    In Episode 50 of Think Like a Pancreas—The Podcast, host Gary Scheiner spends time with former professional athlete, Gary Forbes and 12 year-old Elliot to discuss “Excelling in Sports with Type 1 Diabetes”.

    They each share personal stories of their diagnoses, the challenges they faced, and how they manage their diabetes while competing at high levels in sports.

    Meet Your Host and His Guest

    Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation.

    Gary Forbes is a former pro basketball player turned entrepreneur and advocate. He now leads SOLE SURVIVORS LLC, empowering others to thrive through adversity. Living with Type 1 Diabetes, Gary has used his platform to raise awareness and inspire strength both on and off the court. Through speaking, writing, and strategic leadership, he connects the lessons of sports to life and business.

    Elliot is 12 years old and has been living with type 1 diabetes for the past two years. He currently uses an open-sourced automated insulin delivery system to help him manage his diabetes both on the basketball court and on the baseball field.

    What you’ll learn:

    ✔️Personal resilience and support systems play a key role in overcoming challenges.

    ✔️Using technology like CGMs and insulin pumps can enhance diabetes management.

    ✔️Blood sugar levels significantly affect athletic performance.

    ✔️Communication with coaches and teammates is essential for managing diabetes during sports.

    ✔️Traveling and competing can present unique challenges for athletes with diabetes.

    ✔️Learning from failures in diabetes management is important for growth.

    ✔️Understanding nutrition is vital for performance and blood sugar control.

    ✔️Maintaining a positive attitude and confidence is crucial for success.

    Chapters

    00:15 Welcome and disclaimer

    01:43 Meet Gary Forbes

    04:26 Meet Elliot

    05:35 Diabetes management tools used by Elliot and the Garys

    08:31 Were Elliot or Gary Forbes discouraged from competing in high level sports because of diabetes?

    12:43 The added preparations when playing sports with type 1 diabetes

    14:52 Dealing with coaches and support staff during competition

    15:40 Traveling and Competing with Type 1 Diabetes

    17:38 Tips to manage your glucose levels while playing sports

    23:37 Learning from Failures in Diabetes Management

    26:22 The Advantages of having diabetes

    28:57 Advice for individuals competing in sports with type 1 Diabetes

    Resources Mentioned:

    The Sole Survivors

    Gary Hall

    Connect with Us

    🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com

    Subscribe and Review

    If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

    Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

    More great episodes like this:

    Diabetes is the ultimate ultramarathon

    Next Level Diabetes Management: Austin’s Experience with Android APS Technology

    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.

    Más Menos
    35 m
  • Type 2 Meds for People with Type 1 diabetes
    Aug 26 2025
    In Episode 49 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Integrated Diabetes Services clinician, Dr. Paula Diab. Together they discuss the off-label use of type 2 diabetes medications in type 1 patients. Paula and Gary describe the hormonal balance necessary for blood sugar management and how the off-label use of medications like metformin, GLP-1 receptor agonists, and SGLT2 inhibitors can help. During their conversation, they emphasize the importance of patient education and informed discussions with healthcare providers regarding medication options. Meet Your Host and His Guest Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care & Education, ADCES Fellow, Masters-level Exercise Physiologist, and person living with type 1 diabetes since 1985, Gary was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. He trained at the Joslin Diabetes Center and has dedicated his career to helping others live well with diabetes through education, advocacy, and innovation. Dr Paula Diab PhD, CDCES 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. Despite carrying the burden of being the only member of the IDS clinical team without type 1 Diabetes, her skills and passion for diabetes care & education are exemplary (she did successfully manage her own gestational diabetes during her pregnancies). What you will learn: ✔️ The role of other hormones in managing type 1 diabetes ✔️How biguanides, SLGT-2 inhibitors, and GLP-1s work in people with diabetes. ✔️What is double diabetes? ✔️ The safety of metformin use for people with diabetes ✔️ How to safely use SLGT-2s when you have diabetes ✔️ The benefits of GLP-1s. Chapters 00:11 Welcome and introduction 02:19 Gary Scheiner--ADCES Fellow 02:50 Meet Dr. Paula Diab 05:20 The hormones involved in diabetes management 09:19 Why are there so few medications available to manage type 1 diabetes? 11:27 Understanding off-label use of diabetes medication 14:44 Type 2 diabetes medications that are prescribed off-label to people with type 1 diabetes 28:17 The best candidates for biguanides, SLGT-2 inhibitors, or GLP-1s use. 30:57 What to do if your doctor is uncomfortable prescribing drugs off-label? Resources Mentioned REMOVAL Trial https://pubmed.ncbi.nlm.nih.gov/28615149/ DEPICT study – SGLT2 inhibitors (dapaglif) in T1D https://pubmed.ncbi.nlm.nih.gov/30352894/ EASE study – SGLT2 inhibitors (empaglif) in T1D https://pubmed.ncbi.nlm.nih.gov/30287422/ Liraglutide (GLP-1 RA) Trials in T1D https://www.thelancet.com/journals/landia/article/PIIS2213-8587%2815%2900436-2/abstract Semaglutide (Weekly GLP-1 RA) Trials in T1D https://pubmed.ncbi.nlm.nih.gov/39794615/ Connect with Us 🔵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/how-to-start-the-process/ , or email info@integrateddiabetes.com Subscribe and Review If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! More Great Episodes like this 🔷Entreprenism in the Diabetes Space 🔷Turning a No into a YES! Winning over your insurance company 🔷Diabetes is the Ultimate Ultramarathon 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.
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    36 m