Think Like A Pancreas...The Podcast!

Holidays do not not have to derail your weight loss journey.

Meals with family don’t have to end up with everyone asleep on the couch after turkey.

This week on Think Like a Pancreas—The Podcast, Dr. Paula Diab talks to Gary Scheiner about keeping active when your regular routine disappears. How do you find time to move when your house is filled with people or you are spending hours in an airport?

The short answer? You make your health a priority and find creative ways to get moving.

Listen and learn how Gary turns half-time into fun time, how Paula’s post-Christmas nap became a battle of nations, and how with planning and re-framing, you can stay active throughout this holiday season.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️Staying active is an attitude.

✔️We can find activity in unexpected places like that power shopping trip you have planned,

✔️Fitness Trackers can be great for showing us where we have achieved unexpected exercise and motivate us to be active when we are a little too sedentary.

CHAPTERS:

00:00 Welcome and Introductions.

03:22 Its Not Easy Balancing Exercise and Diabetes During the Holidays.

06:09 Attitude is Everything.

08:07 Redefining What Counts as Exercise.

10:41 Short Bursts Beat Not Moving.

13:19 The Value of Group Activities.

15:03 Activity Trackers Can Motivate You.

18:15 Take an Activity Break During Halftime.

19:44 Creating Indoor Options When the Weather Won’t Cooperate.

21:30 Find Activities that are FUN!

23:09 Make Focusing on Healthy Movements Part of Your Daily Routine.

24:16 The Optimal Time To Exercise for Weight loss.

29:04 Family Fun Time Creates Lasting Memories

31:04 Don’t Go From the Couch Potato to Extreme Athlete Right Away.

32:47 Final Thoughts.

RESOURCES:

Weight Management for People Living with Diabetes

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

More Than Willpower. Diabetes, Weight and Holiday Mental Health

https://www.podbean.com/eas/pb-a2ka7-1b8d1d0

Taking Diabetes on the Road

https://www.podbean.com/eas/pb-dqz68-1ac5920

CONNECT WITH US:

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services onTikTok and Instagram as well as @integrateddiabetesserviceson Facebook

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

SUBSCRIBE AND REVIEW:

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.

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.

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

MEET YOUR HOSTS:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️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.

CHAPTERS:

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

RESOURCES:

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

CONNECT WITH US:

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services onTikTok and Instagram as well as @integrateddiabetesserviceson Facebook

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

SUBSCRIBE AND REVIEW:

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.

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

MEET YOUR HOST AND HER GUEST

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ 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.

CHAPTERS:

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.

RESOURCES:

Think Like A Pancreas - 4th edition

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

CONNECT WITH US:

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services onTikTok and Instagram as well as @integrateddiabetesserviceson Facebook

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

SUBSCRIBE AND REVIEW:

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.

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

MEET YOUR HOST AND HIS GUEST

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️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.

CHAPTERS:

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

RESOURCES:

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

CONNECT WITH US:

🔵Website: integrateddiabetes.com

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

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

SUBSCRIBE AND REVIEW:

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.

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

MEET YOUR HOSTS

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️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.

CHAPTERS:

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

RESOURCES:

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

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

MEET YOUR HOST AND HIS GUEST:

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.

SPONSORED BY:

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 https://safeguardstudy.com or call 1-844-763-1890

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️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.

CHAPTERS:

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?

RESOURCES:

https://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/

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

MEET YOUR HOST AND HER GUEST:

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

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ 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.

CHAPTERS:

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

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

RESOURCES:

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

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

SPONSORED BY:

SAB Bio. Learn more about the SAFEGUARD clinical study at https://safeguardstudy.com or call 1-844-763-1890

MEET YOUR HOSTS:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ 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.

CHAPTERS:

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

RESOURCES:

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

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ 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.

CHAPTERS:

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

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/

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️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.

CHAPTERS:

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

RESOURCES:

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/

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ 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.

CHAPTERS:

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

RESOURCES:

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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 106 of Think Like a Pancreas—The Podcast, Jennifer Smith, RD, CDCES, sits down with author Gary Scheiner to unpack the key to a successful bolus.

Together, they break down the six key factors discussed in Chapter 7 of Think Like a Pancreas that go into every dosing decision. Learn how insulin-to-carb ratio, correction dose, glucose trend and direction, insulin on board, physical activity, and timing all work together to help create a well-timed bolus. Together, these factors form a practical, real-world approach to the math—and the mindset—behind dosing insulin well.

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. 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, 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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ Eating for a person with type 1 diabetes requires mathematical gymnastics.

✔️The perfect bolus won’t give perfect results every time, but it will put you in a position to succeed.

CHAPTERS:

00:00 Introduction and Welcome

01:52 The Steps to Figuring out a Bolus Dose

03:36 Insulin to Carb Ratio

7:24 Bolusing for All of the Components of Your Plate

08:53 The Correction Dose

10:41 Adjusting Your Bolus Based on the Direction of Your Blood Sugar

12:00 Insulin On Board

15:26 Physical Activity

19:20 Mastering the Timing of Your Insulin

22:41 The Value of Experimentation

25:24 Recap

RESOURCES:

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

Basal insulin may not get the attention that bolus doses do, but it's the foundation every diabetes management plan is built on. In this bonus episode of Think Like a Pancreas—The Podcast, Jennifer Smith talks with author, Gary Scheiner and breaks down what basal insulin does, why needs vary throughout the day (and from person to person), and how to tell if your dose is right.

You'll learn how to evaluate basal insulin using fasting blood sugar patterns, the difference between testing basal on injections versus insulin pumps, and why most people's basal needs make up 40–50% of their total daily insulin and much more.

Whether you're on multiple daily injections or a pump, this episode will help you understand the "why" behind basal insulin dosing so you can build a stronger foundation for the rest of your diabetes management.

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. 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, 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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ Basal insulin needs are not flat or the same across all times of day.

✔️ If your basal is set properly, your blood glucose values should be stable throughout the night.

CHAPTERS:

00:00 Introduction and Welcome

01:46 Your Basal is Your Foundation

04:10 How to Establish Your Correct Basal Dose of Insulin

05:31Basal Insulin on MDI vs an Insulin Pump

09:46 When Short Term Basal Rate Changes are Required

13:23 Finetuning Your Basal Rates

15:56 Recap

RESOURCES:

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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, Jennifer Smith sits down with author, Gary Scheiner to discuss chapter five of his book Think Like a Pancreas.

They break down the difference between basal and bolus insulin and then share why they are important and how they each work. Listen to learn more insights into this fundamental chapter from Think Like a Pancreas.

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. 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, 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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ Before anything else, ensure that you have your basal insulin set properly. It is the foundation on which all of your settings are built.

✔️ There can be a lot of value in using the right bolus insulin for the right situation.

CHAPTERS:

00:00 Introduction and Welcome

03:11 The Restrictive Approaches of Insulins Past

04:46 Understanding Foundation Insulin

06:16 Is Your Basal Dose Correct?

07:48 The Differences in Basal Insulin Options

09:36 The Limitations of Injected Basal Insulin

11:53 The Basal/Bolus Approach

RESOURCES:

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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 bonus episode of Think Like a Pancreas—The Podcast, Katlyn Agosta talks to author Gary Scheiner about the Three Keys to Diabetes Management. Listen to know what you need in your diabetes toolbox to successfully manage your diabetes. Understand the skills that will serve you well over the years, and hear just how important attitude is in maintaining your over all health.

MEET YOUR HOST AND HER GUEST:

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.

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️Patterns require changes to your diabetes care, occurrences do not.

✔️Attitude, the right tools, and skills all work together to create optimal diabetes management.

CHAPTERS:

00:00 Welcome and Introductions

01:39 The Goal of Diabetes Management

02:42 The Three Keys to Diabetes Management

06:05 The Tools For Optimal Diabetes Care

12:14 The Skills Required

16:53 The Importance of a Positive Attitude

21:13 Gary’s Favourite Diabetes Tool

23:02 The Value of a Good Clinician

RESOURCES:

Think Like A Pancreas - 4th edition

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

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

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

Understanding insulin is the foundation everything else in diabetes management builds on. In this episode of Think Like a Pancreas--the Podcast, Tavia Vital is joined by author, Gary Scheiner to break down the basics. They talk about how insulin actually works in the body (Gary's "key and lock" analogy), the difference between type 1 and type 2 diabetes, and why some people can have features of both at once.

You'll learn the real purpose of basal insulin versus bolus insulin, why "waking up with a good number" doesn't necessarily mean your basal dose is right, and how the major factors — food, stress hormones, physical activity, and insulin — work together to raise or lower blood sugar.

Whether you're newly diagnosed or just want a refresher on the fundamentals, this episode lays the groundwork for everything else covered in Think Like a Pancreas.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️There are many types and sub-types of diabetes.

✔️ There are at least 11 different classes of medications for lowering glucose levels.

✔️ Basal insulin should keep blood glucose levels flat, while bolus insulin is used to cover food that is eaten.

CHAPTERS:

00:00 Welcome and Introduction

02:43 The Types of Diabetes

10:12 What Kind of Diabetes Do I Have?

11:48 Things That Impact Blood Glucose

17:26 The Role of Basal Insulin

19:12 Bolus Insulin

20:13 The Job of Insulin in the Body

22:16 Adjusting Insulin

24:38 The Most Important Chapter in Think Like a Pancreas

RESOURCES:

Think Like A Pancreas - 4th edition

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

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

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

Chapter two of Think Like a Pancreas examines the motivation behind good glucose control.

In this special episode, Dr. Paula Diab talks to author Gary Scheiner about the value of good glucose management now. Listen to learn why short-term benefits like better mood, energy, and focus are much more motivating than the fear of complications 20 years away, and why perfectionism has no place in diabetes management.

MEET YOUR HOST AND HER GUEST:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ The threat of complications that may occur in 20 years does not motivate improved glucose control.

✔️ Glucose control that is too tight can take a toll on your physical and emotional health.

✔️ About half of complication risk relates to blood sugar; the rest relates to genetics, lifestyle, environment, and unknown factors. Glucose management is the one piece within your control.

CHAPTERS:

00:00 Introduction and Welcome

02:23 The Positive Aspects of Diabetes Management

06:59 Why Short-Term Benefits Motivate More than Long-Term Complication Fears

12:49 The Impact of Poor Glucose Management

15:40 The Benefit of Proper Glucose Management

16:59 Learning from the Data

19:15 Closing Thoughts

RESOURCES:

Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky

https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

Welcome to the 100th episode of Think Like a Pancreas—The Podcast! To mark this momentous occasion, we are launching a special series inspired by the book that started it all. Join us twice a week for the next five weeks, as we share insights from each chapter of this incredible book.

In this episode, Katlyn Agosta, MSN, APRN, FNP-C, CDCES, sits down with author Gary Scheiner, MS, CDCES, FADCES, to talk about his diagnosis story, how it shaped his life, and how it changed his career path.

During their conversation, Gary reflects on his 1985 type 1 diagnosis and how management has evolved from "guillotine" finger-poke devices, exchange diets, and NPH insulin. Katlyn also shares her diagnosis story as well, and together they highlight the progress in diabetes care and discuss irreplaceable value of human insight in diabetes management.

MEET YOUR HOST AND HER GUEST:

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.

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ Every insulin user has a backstory worth hearing. Gary shares his story for readers to better understand that he truly does understand what he is talking about.

✔️ Both Gary and Katlyn emphasize that despite advances in technology (including AI), diabetes management remains deeply personal, and one-on-one care is central to how IDS works with patients.

CHAPTERS:

00:00 Introduction and Welcome

01:19 Meet Gary Scheiner

03:47 Registered Nurse vs Nurse Practitioner. What is the Difference?

06:39 Gary’s Diagnosis and Care Changes Over Time

11:18 The Exchange Diet vs Carb Counting

14:52 “Fast” Acting Insulin

16:18 Discovering Diabetes Self-Management

18:27 The Value of a Clinician Over AI

20:06 Katlyn’s Diagnosis Story

23:33 Closing Thoughts

RESOURCES:

Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky

https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r

Think Like A Pancreas - 4th edition

https://integrateddiabetes.com/store/think-like-a-pancreas-4th-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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.

This is the final episode in the series, Type 1 Diabetes and Pregnancy: A Complete Guide for Women — Preconception to Postpartum.

In part three, Jennifer Smith and Tavia Vital talk about Labor, Delivery, and the Postpartum Journey for women with type 1 diabetes.

They cover building a written labor and delivery plan to share with your care team, deciding whether to self-manage insulin during delivery or hand it over to the hospital protocol, and preparing a partner as a backup safety net. They break down how IV insulin differs from pump or injection insulin, and how induction, spontaneous labor, and C-sections each affect blood sugar differently.

The conversation moves into newborn blood sugar basics, the importance of switching to a new postpartum insulin plan within about an hour of delivering the placenta, and how breastfeeding — especially in the first two weeks — can cause significant glucose drops. Jenny and Tavia also highlight two often-overlooked postpartum risks--thyroid dysfunction (which affects roughly 1 in 4 women with type 1 diabetes) and the difference between normal "baby blues" and postpartum depression, encouraging women not to navigate any of it alone.

MEET YOUR HOSTS:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ It is important to have a plan created for labour and delivery that includes the role of your birthing partner. It is equally important to remember that you can change that plan once you are experiencing labour.

✔️ Cutting carbs in the final 2–4 weeks of pregnancy can help "train" baby's pancreas not to overproduce insulin, reducing the risk of newborn hypoglycemia after delivery.

✔️ About 1 in 4 women with type 1 diabetes develop postpartum hyperthyroidism, sometimes with no prior thyroid history — watch for hair loss, jitteriness, elevated resting heart rate, and frequent bowel movements.

CHAPTERS:

00:00 Introduction and Welcome

02:41 Building Your Labor and Delivery Plan with Your Care Team

09:05 Sharing Your Glucose During Delivery

10:33 Planning Your Insulin Protocol for Delivery

14:41 Educating Your Birthing Partner on Your Diabetes Management

20:17 Understanding IV Insulin vs Infused/Injected Insulin

23:27 Planning for Spontaneous Birth vs Induction vs C-Section

26:37 Post Delivery Insulin Needs for Baby

32:24 Post-Partum Insulin Plan

36:21 Curveballs: Preeclampsia and Steroids During Delivery

38:17 Glucose Needs While Breastfeeding

45:08 The Return of the Menstrual Cycle

46:36 Increased Risk of Thyroid Problems Post-Partum

52:51 Post-Partum Depression vs Baby Blues

57:31 Carrying Your Learning Forward

RESOURCES:

Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy

https://youtu.be/o9LM3veYmiY

Type 1 Diabetes and Pregnancy: Changes through the Trimesters

https://youtu.be/_5sWX-lJ8s4

Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management

Pregnancy with Type 1 Diabetes--The Book and The Authors

https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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 part two of our three-part series, Type 1 Diabetes and Pregnancy: Changes Through the Trimesters, Jennifer Smith and Tavia Vital share what to expect after conception.

They debunk common misconceptions and offer an honest look at what to expect now that you are expecting.

From the value of continuous glucose monitor (CGM) data to changing insulin needs, nausea, hypoglycemia, and DKA, Jenny and Tavia share their clinical and personal experiences with the adjustments needed for diabetes management throughout pregnancy.

MEET YOUR HOSTS:

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.

KEY TAKEAWAYS AND HIGHLIGHTS:

✔️ Early pregnancy often brings a temporary insulin resistance spike, followed by a drop to as low as 1/3 of pre-pregnancy doses by roughly week 6–8.

✔️Hypoglycemia unawareness becomes more common in pregnancy — glucagon (including micro-dosing) and ketone strips should be on hand, not just "somewhere in a drawer."

✔️By third trimester, insulin needs can triple compared to pre-pregnancy doses.

✔️Ketone testing is advised any time insulin has been suspended for a while, after a suspected site/pump failure, or when glucose won't come down as expected — DKA can occur at lower glucose levels than the traditional teaching suggests.

CHAPTERS:

00:00 The Role of Technology in Diabetes Management

08:07 Finding the Right Tech Fit

14:44 Navigating the First Trimester

22:32 Dealing with Nausea

24:50 Hypoglycemia Unawareness

29:02 18-21Week Insulin Adjustments…Again.

31:47 The role of Protein in Pregnancy

35:01 The Third Trimester

39:12 Adjunct Pregnancy Therapies

40:38 DKA Risk During Pregnancy

44:11 The Conversations to Have With Your Healthcare Team During Your Pregnancy

RESOURCES:

Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy

https://youtu.be/o9LM3veYmiY

Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management

Pregnancy with Type 1 Diabetes--The Book and The Authors

https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl

https://www.youtube.com/watch?v=p7eimb20zcI

https://www.youtube.com/watch?v=fDPHdTAaT4o

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/appointments/ or email info@integrateddiabetes.com

SUBSCRIBE AND REVIEW:

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.