Latest / The Healthy Diabetic / #380: Insulin Resistance vs. Insulin Sensitivity - Once I Understood This, I Learned That Perfection Is An Illusion

Transcript

#380: Insulin Resistance vs. Insulin Sensitivity - Once I Understood This, I Learned That Perfection Is An Illusion · The Healthy Diabetic

• 0:14
  SPEAKER_00: Once I really started thinking about insulin resistance versus insulin sensitivity with diabetes and blood sugar in general, like everything made sense to me.
• 0:24
  SPEAKER_00: Everything makes sense to me now while we have so much disease, why autoimmune conditions are on the rise.
• 0:30
  SPEAKER_00: Our food system's jacked up.
• 0:33
  SPEAKER_01: I was so fixated on the matter at hand, right?
• 0:37
  SPEAKER_01: That I just had it it it's like my de my diabetes kind of left my body and it was just kind of sitting there on the side waiting for me to react.
• 0:46
  SPEAKER_00: Welcome back.
• 0:47
  SPEAKER_00: This is a healthy diabetic podcast.
• 0:49
  SPEAKER_00: I'm your host, Coach Ken Kenniss.
• 0:51
  SPEAKER_00: If you don't know much about my story, I was diagnosed with type 1 diabetes at the age of 25 in 2007, and I'm the founder of Simplifying Life with Diabetes, a diabetes health coaching company that bridges the gap between your medical team and the daily complexities you face every single day living with this condition.
• 1:09
  SPEAKER_00: I truly believe that every single one of us living or caring for someone with type 1 diabetes only has one job, and that's to figure out what's going to work for you.
• 1:19
  SPEAKER_00: If you're looking for new perspectives and new ideas on how to live with diabetes, you've come to the right place.
• 1:25
  SPEAKER_00: As always, before we get started, please remember that nothing that you hear on this podcast should be considered medical advice or otherwise.
• 1:31
  SPEAKER_00: Please always consult your medical team before making any changes to your diabetes management.
• 1:37
  SPEAKER_00: Okay.
• 1:38
  SPEAKER_00: I got Graham today.
• 1:39
  SPEAKER_00: Graham's back as always.
• 1:41
  SPEAKER_00: He's here two days a week.
• 1:42
  SPEAKER_00: We love that.
• 1:43
  SPEAKER_00: Graham, what's up, man?
• 1:44
  SPEAKER_00: How you doing?
• 1:45
  SPEAKER_02: Good.
• 1:45
  SPEAKER_02: How are you?
• 1:46
  SPEAKER_00: I'm good, man.
• 1:48
  SPEAKER_00: How's life?
• 1:48
  SPEAKER_00: How's diabetes?
• 1:49
  SPEAKER_00: How's everything going?
• 1:51
  SPEAKER_01: Good.
• 1:53
  SPEAKER_01: Let's keep it general for a second.
• 1:55
  SPEAKER_01: It's August 31st.
• 1:57
  SPEAKER_01: Correct.
• 1:57
  SPEAKER_01: So football season is around the corner.
• 2:00
  SPEAKER_00: Correct.
• 2:01
  SPEAKER_01: Are you excited?
• 2:02
  SPEAKER_00: I'm always excited for football.
• 2:05
  SPEAKER_01: Are you excited more for the fall or are you excited for football?
• 2:09
  SPEAKER_00: Oh God.
• 2:09
  SPEAKER_00: Uh probably for football, for sure.
• 2:12
  SPEAKER_00: I mean, if honestly, if football was in the spring or if it was in the summer or the wintertime, I would love that season no matter what.
• 2:20
  SPEAKER_00: So I do like fall, but mostly because of football.
• 2:24
  SPEAKER_01: Football is such an American identity.
• 2:26
  SPEAKER_01: It's such an American identity.
• 2:28
  SPEAKER_01: Of course it is.
• 2:29
  SPEAKER_01: And I love and you know, I'm 40 and I've traveled a lot, and you hear, you know, you have the highs and the lows of that identity, but man, when you're when it's August 31st, it's like it doesn't matter who you are.
• 2:43
  SPEAKER_01: Like it's just exciting, it's fun, it's different.
• 2:45
  SPEAKER_00: You know, it's uh well it's a special, it's a special day for me.
• 2:49
  SPEAKER_01: Well, this is what I think I this is what I find into like looping into life.
• 2:55
  SPEAKER_01: Fandom, when it runs so strong, you literally reset the year, and it is a brand new year every single year.
• 3:03
  SPEAKER_01: It does not matter how bad your team was the year before, when you're oh and oh and nothing has happened for six months, you genuine you you truly believe anything can happen.
• 3:16
  SPEAKER_01: And like the proof is in the pudding, you know, Indiana winning last year.
• 3:20
  SPEAKER_01: Nobody could have ever predicted something like that.
• 3:22
  SPEAKER_01: Even like this, you know, I was talking about like the Seattle Seahawks.
• 3:26
  SPEAKER_01: Ever since their Super Bowl, they've gone through a whole restructuring of ownership and all this stuff.
• 3:32
  SPEAKER_01: Like, in a way, they're they're kind of a small market team, you know, and uh hopes were high for everybody else.
• 3:39
  SPEAKER_01: But I I don't know.
• 3:41
  SPEAKER_01: There's nothing like there's nothing like as I said, it's the beginning of the fall.
• 3:45
  SPEAKER_01: You're oh and uh you are you're oh you have you're zero and zero.
• 3:48
  SPEAKER_01: There's nothing to argue against you or for you.
• 3:51
  SPEAKER_01: So I don't know.
• 3:52
  SPEAKER_01: It is such a fun, it is such a fun thing, I have to say.
• 3:55
  SPEAKER_01: I do.
• 3:55
  SPEAKER_00: Yeah, fall is fun, man.
• 3:57
  SPEAKER_00: And and it is, I mean, football is an American, like, you know, American thing.
• 4:02
  SPEAKER_00: And I feel like there's a lot of sports that are great.
• 4:05
  SPEAKER_00: I mean, there is all over the world, right?
• 4:07
  SPEAKER_00: There's tons of sports that is just amazing to the culture, to the population.
• 4:14
  SPEAKER_00: But in America, man, there's nothing like football.
• 4:16
  SPEAKER_00: Like, there's just there's just nothing like football.
• 4:19
  SPEAKER_00: On both levels, on the college level, on the high school, well, no, on three levels.
• 4:23
  SPEAKER_00: High school football, college football, and pro football.
• 4:28
  SPEAKER_00: Like it is it's huge.
• 4:29
  SPEAKER_00: It and it and it's really interesting to think about there's only two days out of the week that football is not happening.
• 4:39
  SPEAKER_00: From now, yeah, from this week, it's beautiful, from this week until February.
• 4:46
  SPEAKER_01: Yeah.
• 4:46
  SPEAKER_00: Almost the end of February.
• 4:48
  SPEAKER_01: Yeah.
• 4:48
  SPEAKER_00: And even by then's every single day except for Tuesday and Wednesday.
• 4:52
  SPEAKER_01: But even by then, you know, there's this weird point like in October where all we're all four major sports too, right?
• 5:00
  SPEAKER_01: You have Yeah, yeah, yeah.
• 5:02
  SPEAKER_01: You're wrapping up baseball, football is just beginning, and bait and basketball and hockey are starting.
• 5:08
  SPEAKER_01: Uh let's play a quick let's play a quick game.
• 5:11
  SPEAKER_00: People always say there's one more reason why today, and I don't think you know this.
• 5:18
  SPEAKER_00: Maybe you do know this.
• 5:19
  SPEAKER_00: There's one more reason why today, August 31st, is a very special day.
• 5:23
  SPEAKER_02: For diabetes.
• 5:25
  SPEAKER_00: No, just do you know why?
• 5:27
  SPEAKER_02: Is it your birthday?
• 5:28
  SPEAKER_02: Yes.
• 5:29
  SPEAKER_01: Is it really?
• 5:30
  SPEAKER_01: Half one.
• 5:31
  SPEAKER_01: How did you guess that?
• 5:32
  SPEAKER_01: How did you guess that?
• 5:33
  SPEAKER_01: You guessed that.
• 5:33
  SPEAKER_01: I was like, well, the most dick-headed thing I could say is, is it your birthday?
• 5:37
  SPEAKER_01: And have a forgot.
• 5:38
  SPEAKER_01: I didn't know, so congrats on another year.
• 5:43
  SPEAKER_01: Happy birthday.
• 5:44
  SPEAKER_00: 44 people.
• 5:45
  SPEAKER_00: How do my how am I 44?
• 5:47
  SPEAKER_00: How am I 40?
• 5:49
  SPEAKER_01: Let me hit some some quick math.
• 5:50
  SPEAKER_01: 82?
• 5:52
  SPEAKER_00: Yep.
• 5:53
  SPEAKER_01: Right.
• 5:54
  SPEAKER_00: Yep, 82.
• 5:55
  SPEAKER_01: August 31st.
• 5:56
  SPEAKER_01: Dude, so you're a cusp, you're a cusp birthday.
• 5:59
  SPEAKER_01: You're you're like, you could have been older or you could have been younger than everybody, right?
• 6:05
  SPEAKER_01: I wanna let's play a quick game.
• 6:06
  SPEAKER_01: Let's play a quick game.
• 6:07
  SPEAKER_01: Everybody loves to play this.
• 6:08
  SPEAKER_01: Of like of all the sports, what's something you you know, anybody like you know, what's one thing like the common person could do?
• 6:16
  SPEAKER_01: Could you hit a baseball, could you throw a football, could you like of of all the sports, what do you think it would be as a college athlete, the most difficult to be a type one diabetic?
• 6:28
  SPEAKER_01: Like of all of all the of all the main sports we're talking, what would what would pull the what would pull the hardest on on your on your you know on everything?
• 6:37
  SPEAKER_01: Considering you're also not to cut you off, but you know, when you're starting college at 17 or 18, you're still a hormone, you know, you're you're still yeah.
• 6:47
  SPEAKER_01: So you could be growing and changing, and like what do you think about it?
• 6:50
  SPEAKER_00: I think I think that the the way I think about this has nothing to do with the diabetes management piece.
• 6:58
  SPEAKER_00: I mean, yeah, there's probably sports that are a little bit more challenging to to manage through diabetes with diabetes, but I would say the more challenging uh is the sports that focus on impact.
• 7:13
  SPEAKER_00: Like you actually being impacted, like hockey, okay, like wrestling, football.
• 7:19
  SPEAKER_00: Maybe you can put soccer in there, but I don't know, across, right?
• 7:24
  SPEAKER_00: Things that you actually have to impact another human being, because you know, if you're wearing a pump, now that that pump is in risk of being ripped off, or you know, like you're not only working with the hormonal piece of managing diabetes during the during the games, during practice, but you're also managing the trauma of the impact, right?
• 7:45
  SPEAKER_00: Because that trauma, that potentially will raise your blood sugar as well.
• 7:50
  SPEAKER_00: So I think I think for me, I think that is probably the more challenging sports.
• 7:56
  SPEAKER_00: Not that, Andrew, not that sports in general is challeng is not challenging living with diabetes, because they are.
• 8:02
  SPEAKER_00: I just feel like it would be really challenging to do diabetes, especially on pumps, when you're thinking about an a sport that you're working through impact.
• 8:14
  SPEAKER_01: Well, what do you think um what do you think rehab would look like?
• 8:18
  SPEAKER_01: Say, say if someone say a college athlete diabetic went down for six weeks and had to be immob e completely immobile, like how how difficult would that be on your on your on your on your blood sugar and your like your It'd be very difficult.
• 8:33
  SPEAKER_01: Do you think doubling you'd be essentially doubling the insulin by the time to six weeks or it depends on the person, right?
• 8:38
  SPEAKER_00: Because and it would be tip it would depend on how long it would take them to become more insulin resistant because they don't have exercise introduced to it to increase insulin sensitivity.
• 8:49
  SPEAKER_00: So what are the factors that are involved there that are in our control because we can't do shit about the things that are out of our control, like hormones.
• 8:57
  SPEAKER_00: So the things that would be in our control to help to continue to help us not be insulin resistant are the things that athletes, especially high school athletes, and I would say probably even college athletes that are not division one, not an elite pro at an elite program, would be the nutrition, the sleep, hydration, not being drunk all the time, like those are the things that are going to impact insulin resistance compounded over time, right?
• 9:25
  SPEAKER_00: So this is why the exercise piece, the movement piece, the performing at a high level, the participating in multiple sports at a young age is so important because if those things aren't in alignment, which for most people they're not, if those things aren't in alignment, at least the exercise, at least you're playing this like teeter-totter thing with like insulin resistance and insulin sensitivity because you don't necessarily have everything in alignment with your nutrition, you don't necessarily have every alignment in alignment with your with your sleep.
• 10:00
  SPEAKER_00: Hopefully you do with your hydration.
• 10:02
  SPEAKER_00: If you're in college, I mean, let's be honest, college students were gonna drink, like we're gonna involve ourselves with with extracurricular activities like that, hang out with our friends, we're dating, relationships, all that stuff.
• 10:17
  SPEAKER_00: So I think the exercise piece in those two populations, middle school, a young age, and performing in in college is very, very important.
• 10:29
  SPEAKER_00: Not that it's not more important for an adult that's just living, like a general population adult that's just living their life, but I think that for the athlete, it becomes really, really important because you're not just sitting around not doing anything.
• 10:46
  SPEAKER_01: Have you had have you ever had a client, ever had a diabetic client or someone like that going through rehab and and and and working on them?
• 10:53
  SPEAKER_00: I'm not a diabetic client.
• 10:54
  SPEAKER_00: I've had multiple clients that I've worked with going through rehab from an injury, being a strength coach, but not a diabetic person.
• 11:03
  SPEAKER_01: So just a random question.
• 11:05
  SPEAKER_01: How how well does a high-level athlete do when they're being told that they gotta be out for four or five weeks and like minimal mobile like I mean, is it a mental, like, does it become a mental check for yeah?
• 11:18
  SPEAKER_01: It's a mental thing for anybody.
• 11:20
  SPEAKER_01: Well, but explain why.
• 11:22
  SPEAKER_01: Like, explain from your standpoint.
• 11:23
  SPEAKER_01: I I know why I would guess, but why, like why?
• 11:26
  SPEAKER_00: Like, why is it a mental thing?
• 11:28
  SPEAKER_01: What what is the what is the biggest challenge?
• 11:30
  SPEAKER_01: Does it be that you have that you are literally you have nothing to do, or is it because that's not it?
• 11:36
  SPEAKER_00: If you're if you are an elite athlete, whether you're in the pros, whether you're at the heck division three, two, or one college, whether you are a multi-sport athlete or a single sport athlete in high school, middle school, for the most part, that person is there to win.
• 11:54
  SPEAKER_00: That person's there to play.
• 11:56
  SPEAKER_02: Okay.
• 11:56
  SPEAKER_00: Like, who wants to sit on the sidelines?
• 11:58
  SPEAKER_00: No one wants to sit on the sidelines.
• 12:01
  SPEAKER_00: Like when I got injured and tore my ACL like in college, like that was the worst.
• 12:06
  SPEAKER_01: And I also injury, not the in not the injury, was just sitting, sitting, it was sitting knowing that I'm not gonna get in the game.
• 12:15
  SPEAKER_00: Right?
• 12:15
  SPEAKER_00: It's sitting knowing I'm not gonna get in the game.
• 12:18
  SPEAKER_00: And then going into my junior year, where I I tore my ACL the day before spring conditioning for football started, the year before, right?
• 12:30
  SPEAKER_00: So I I got surgery in spring, in the summer, like I went through all the rehab, I brought myself back, I was better than ever.
• 12:39
  SPEAKER_00: I was probably better than I was because I put so much time and energy into it.
• 12:44
  SPEAKER_00: I was probably better than I was before the injury, but that whole next year, they basically redshirted me because I really wasn't good enough yet to be a hundred percent on varsity.
• 12:57
  SPEAKER_00: So they basically redshirted, and I I literally spent the whole season watching games on the sidelines, still going to practice, but I had to basically watch everything because they weren't gonna put me in the game.
• 13:09
  SPEAKER_00: That was hard.
• 13:10
  SPEAKER_00: Being at practice every day, working your ass off, working really hard to come back.
• 13:14
  SPEAKER_00: That was hard.
• 13:16
  SPEAKER_00: So you ask me like, what is it?
• 13:19
  SPEAKER_00: It's it's the fact that you can't get on the field or the court.
• 13:23
  SPEAKER_00: That's what it is.
• 13:24
  SPEAKER_00: There's I mean, we could talk about all the other aspects to it of like the pain, the the the challenge of trying to come back, the you know, will you come back the same?
• 13:34
  SPEAKER_00: Like, yeah, you know, do you have the right support in your therapy around you?
• 13:39
  SPEAKER_00: Like, you know, like it all those things are real things.
• 13:43
  SPEAKER_00: Like, you know, you're going through all this trauma and is your blood sugars okay?
• 13:47
  SPEAKER_00: Like 100%.
• 13:49
  SPEAKER_00: But if we're talking about the number one mental piece for me is I can't get on the field.
• 13:54
  SPEAKER_00: I can't get on the court.
• 13:55
  SPEAKER_00: I'm just sitting on the sidelines watching in a pair of crutches or like whatever.
• 13:59
  SPEAKER_00: Or I'm dressed, but I'm being redshirted.
• 14:02
  SPEAKER_00: Like, it's yeah, it's I think that's the number one piece.
• 14:06
  SPEAKER_00: Is you you just literally can't get on the field.
• 14:08
  SPEAKER_00: That's the mental piece.
• 14:09
  SPEAKER_01: How how have your do you have any existing pain?
• 14:13
  SPEAKER_00: No.
• 14:13
  SPEAKER_00: Not in my knee or my my Achilles, no.
• 14:17
  SPEAKER_01: And uh if you if you did, if you did, what what like what what would your what would a protocol for you be?
• 14:22
  SPEAKER_01: Like would you do like physical are you like, would it be like a physical therapy type thing?
• 14:26
  SPEAKER_01: Like this much.
• 14:27
  SPEAKER_00: If I had pain now or if I had to do it.
• 14:30
  SPEAKER_01: That's another thing I that's another thing I like.
• 14:31
  SPEAKER_01: I would I've never had a chance to ask you as a diabetic.
• 14:35
  SPEAKER_01: Do you take idiprofen?
• 14:37
  SPEAKER_00: I take nothing.
• 14:38
  SPEAKER_01: What like or what if you were like if you were like if you had like if you had pain, like would you take like what would you take?
• 14:44
  SPEAKER_00: It depends on the pain.
• 14:45
  SPEAKER_00: Like if you're talking about right after surgery, that's a different story because you have in your day-to-day life.
• 14:51
  SPEAKER_01: Like in your day-to-day life.
• 14:54
  SPEAKER_00: My pain is not high enough that I that warrants me, whether diabetes pain or physical pain, it the pain that I have doesn't warrant me taking a dang thing.
• 15:07
  SPEAKER_00: And I don't want to take anything.
• 15:09
  unknown: Okay.
• 15:09
  SPEAKER_00: I don't want to take any, I don't want to take a leave.
• 15:11
  SPEAKER_00: I don't want to take ibuprofen.
• 15:12
  SPEAKER_00: I don't want to take none of that stuff.
• 15:14
  SPEAKER_01: But those are but those are like things that you have at your house.
• 15:16
  SPEAKER_00: Like if you had like if you had like I actually don't even know if we have any uh any Advil Ibuprofen.
• 15:22
  SPEAKER_00: I don't think if we have I don't think we have any of that stuff right now.
• 15:24
  SPEAKER_02: Okay.
• 15:25
  SPEAKER_00: And if and if we were having that stuff, or it if we were to get that stuff, it was it would be for I mean, shoot, I don't even know what.
• 15:33
  SPEAKER_00: Because we just don't you we we just don't really use it that much.
• 15:36
  SPEAKER_01: Okay.
• 15:37
  SPEAKER_00: Right?
• 15:38
  SPEAKER_01: So So what is yeah, what is what does that what effect does that have on a diabetic?
• 15:45
  SPEAKER_01: Like, because I know I know like there are people that take like let's say let's be on the opposite, because there are people that are out there.
• 15:51
  SPEAKER_01: There are people that have migraines or headaches or they have pain from this and that, they they they take things more often.
• 15:57
  SPEAKER_01: Like I know that could damage your it could like damage your liver, right?
• 16:01
  SPEAKER_01: Is that the that's the main issue with film like that?
• 16:03
  SPEAKER_00: I mean again, you you taking so let let's let's look at the short the the short term versus the long term.
• 16:12
  SPEAKER_00: Right?
• 16:13
  SPEAKER_00: I'm gonna use two different examples, right?
• 16:15
  SPEAKER_00: So the short-term easy thing to recognize is females, especially young females, but females taking ibuprofen or avvil or some type of you know anti-inflammatory or or pain medication that's you know on the lower side for menstruation for you know when they're having cramps or something.
• 16:34
  SPEAKER_00: It's a good one, right?
• 16:36
  SPEAKER_00: So like that stuff will be used sometimes.
• 16:39
  SPEAKER_00: And I don't know the biological effects on that, but I do know that when you look at the long term now, if you're constantly on that stuff, okay, compound it over time, and it's not the same for everybody.
• 16:51
  SPEAKER_00: Compounded over time, it can damage the the kidneys.
• 16:54
  SPEAKER_00: I think it's the kidneys and the liver, or it might be just be the liver.
• 16:57
  SPEAKER_00: Again, I'm not a doctor, but that's why like I don't like medications.
• 17:02
  SPEAKER_00: That's why I try to take more of a holistic approach to it.
• 17:06
  SPEAKER_00: Is this something that I can get past?
• 17:08
  SPEAKER_00: Is this pain low enough?
• 17:11
  SPEAKER_00: Or even if it is high enough, is this something that I can get past with living my life and do the normal things?
• 17:18
  SPEAKER_00: Just because me personally, I don't like to take medications.
• 17:22
  SPEAKER_00: But if I rolled my ankle or busted my toe or broke a bone, okay, I'm I might take some ibuprofen just to take the edge off a little bit.
• 17:32
  SPEAKER_00: But I'm not doing it all the time.
• 17:34
  SPEAKER_00: It's not compounded over time.
• 17:36
  SPEAKER_01: If if someone were in a situation where, say it's even a type someone with type two that has had a lot of injuries and they're on a lot of pain medication, what what is is that would that require more or less insulin?
• 17:50
  SPEAKER_01: Would that rec is that a is that even anything that it goes into the thought process of that?
• 17:54
  SPEAKER_00: Is there like if you're if if you have pain, like is it gonna lower your insulin consumption?
• 18:01
  SPEAKER_01: Is that say say you were say you were in your sixties or seventies and you had a lot of pain and you did require like you took you took something for pain because of Yeah, for whatever reason.
• 18:12
  SPEAKER_01: You've had a something it's been rough on your body.
• 18:14
  SPEAKER_01: Like is your Is there a correlation with how those two are working?
• 18:19
  SPEAKER_00: I don't know what the correlation is or if there is a correlation.
• 18:22
  SPEAKER_00: All I can think, all I can say is to what my perspective would be.
• 18:26
  SPEAKER_00: The thing that we have to remember, whether we're taking ped pain medication, whether we have physical pain or emotional or emotional pain or trauma, that specific pain threshold, whatever that threshold is, has the potential to raise insulin resistance because the body wants to run away from pain.
• 18:47
  SPEAKER_00: So when you have a physical trauma, physical pain, you break your ankle, you tear your ACL, whatever it is.
• 18:53
  SPEAKER_00: That's a specific trauma that will raise inflammatory response.
• 18:58
  SPEAKER_00: Inflammatory response raises insulin resistance.
• 19:02
  SPEAKER_02: Got it.
• 19:02
  SPEAKER_00: Now, again, we're we're talking about a shitload of inflammatory response to really make this huge, huge, huge, huge impact.
• 19:10
  SPEAKER_00: It's it's the compounded amount of inflammatory response over time that we have to be cautious of.
• 19:18
  SPEAKER_00: I break my ankle, I'm gonna have an inflammatory response.
• 19:22
  SPEAKER_00: Like I'm gonna use some ice and call it a day, right?
• 19:25
  SPEAKER_00: Go to the doctor, maybe I have to have surgery, maybe I have to go through physical therapy.
• 19:29
  SPEAKER_00: That's completely different than having crazy inflammatory response over decades of your life because you eat shitty food.
• 19:37
  SPEAKER_00: That's a completely different thing.
• 19:39
  SPEAKER_00: Or you played college football, or you played football and had a bunch of concussions.
• 19:45
  SPEAKER_00: That's trauma over time.
• 19:47
  SPEAKER_00: And that trauma, I I don't know the stats, I don't know the research behind it, but does that brain trauma go away over time when you don't constantly are having that stuff?
• 19:58
  SPEAKER_00: If now you're feeding the brain good nutrients and allowing the healing process to happen, does this the does the impact of that CTE decrease or go away?
• 20:10
  SPEAKER_00: I have no idea.
• 20:12
  SPEAKER_00: Right?
• 20:12
  SPEAKER_00: But that that's how I kind of think about life, right?
• 20:15
  SPEAKER_00: When I have trauma, how can is this a is this a minor trauma that's just happening in the moment that's that completely will go away after time?
• 20:24
  SPEAKER_00: Or is this a psychological thing that's happened over time, i.e., my parents getting divorced at five years old and having to deal with that my whole entire childhood?
• 20:32
  SPEAKER_00: That is a crazy amount of trauma, psychological trauma, that will 100% over time increase insulin sensitive or insulin resistance.
• 20:42
  SPEAKER_00: Right?
• 20:42
  SPEAKER_00: It is it is a specific trauma.
• 20:45
  SPEAKER_00: So emotional and physical trauma can drive insulin can drive inflammatory response, which is going to drive insulin resistance.
• 20:53
  SPEAKER_00: Where where we where a lot of where I think what I think happens is if you're an avid exerciser, if you do eat a lot of good quality foods, if you do get a lot of sleep, if you are very hydrated and not drinking all the time, and like if you're live having good healthy life a good healthy lifestyle, that's where you can bridge the gap on all that trauma.
• 21:20
  SPEAKER_00: Right?
• 21:20
  SPEAKER_00: Someone that lives a very good healthy lifestyle but has a lot of past psychological trauma, maybe that they can, you know, keep that stuff under wraps for a long period of time.
• 21:32
  SPEAKER_00: And maybe at some point it snaps, maybe it doesn't.
• 21:35
  SPEAKER_00: But the the this I I just I just once I really started thinking about insulin resistance versus insulin sensitivity with diabetes and blood sugar in general, like everything made sense to me.
• 21:48
  SPEAKER_00: Everything makes sense to me now while we have so much disease, why autoimmune conditions are on the rise, our food systems jacked up, right?
• 21:57
  SPEAKER_00: Like all of the most of a most of America and most of the world doesn't exercise.
• 22:04
  SPEAKER_00: A lot of so much of the world are sanitary individuals.
• 22:08
  SPEAKER_00: So much of so much of the US and so much of the world have dealt with crazy emotional trauma.
• 22:14
  SPEAKER_00: All of that stuff compacted over decades of your life.
• 22:17
  SPEAKER_00: It's no wonder that people at 40, th really 30s, 40s, 50s are getting type 1 diabetes now.
• 22:26
  SPEAKER_00: Because we know that trauma is a big trigger.
• 22:29
  SPEAKER_01: Hmm.
• 22:30
  SPEAKER_01: That's so incredibly interesting.
• 22:32
  SPEAKER_01: It's so incredibly interesting, fascinating to hear you say that about again, emotional, physical, the levels of it.
• 22:42
  SPEAKER_01: I don't know if you've ever had something happen when something crazy was h like absolutely crazy, whether it's positive or negative, but you know, for me it was it was negative, but I was like, I think I was experiencing so many emotions, and I looked at my blood sugar one time and it was like 30.
• 23:01
  SPEAKER_01: And I didn't even I had no idea.
• 23:04
  SPEAKER_01: I had no idea because I was so fixated on the the matter at hand, right?
• 23:10
  SPEAKER_01: That I just had it it it it's like my d my diabetes kind of left my body and it was just kind of sitting there on the side waiting for me to react.
• 23:19
  SPEAKER_00: Yeah.
• 23:20
  SPEAKER_00: As and and you're in in that state, you're in fight or flight.
• 23:26
  SPEAKER_01: Yeah, I was in a fight or flight kind of thing.
• 23:28
  SPEAKER_00: That's that's what it is, right?
• 23:29
  SPEAKER_00: You're in fight or flight, right?
• 23:30
  SPEAKER_00: So your body can take the trauma in a short time frame, it can take that and still be able to maintain existence.
• 23:39
  SPEAKER_00: Yeah.
• 23:40
  SPEAKER_00: Survival.
• 23:41
  SPEAKER_00: Even at 30.
• 23:42
  SPEAKER_00: Isn't that crazy?
• 23:42
  SPEAKER_00: Because any other time that you go to 30, you're like, oh my god, I'm about to die.
• 23:46
  SPEAKER_00: Yep.
• 23:47
  SPEAKER_00: Right?
• 23:47
  SPEAKER_00: But you can be because you're in fight or flight, you can take it.
• 23:51
  SPEAKER_02: Yep.
• 23:51
  SPEAKER_00: Not saying people that we should be at 30 or be in a low state and try to be in fight or flight.
• 23:57
  SPEAKER_00: That's not where it's like.
• 23:58
  SPEAKER_01: Another one, just being a human, I was not driving, but I was involved in a car accident, and you know, we were passengers, and the squad came and Sammy's like, dude, you're 26.
• 24:08
  SPEAKER_01: And I was like, I feel perfect, man.
• 24:10
  SPEAKER_01: I and and then that was a weird thing.
• 24:13
  SPEAKER_01: Like, I don't know if you've ever been really, really low but incapable of eating.
• 24:17
  SPEAKER_01: I think that's probably the most horrifying thing for me in my diabetes, is that is whether you're sick or something, but you're low.
• 24:26
  SPEAKER_01: I don't know, that's it.
• 24:27
  SPEAKER_01: Low, low, and you can't even stomach the thought of getting something down.
• 24:32
  SPEAKER_01: That to me is that's when panic.
• 24:34
  SPEAKER_01: That's the only thing at time I think I've panicked with diabetes is is a moment like that.
• 24:38
  SPEAKER_00: So yeah, and and I would also say like the treatment process, I mean, because uh us creating a solution to that, because I know a lot of people deal with that.
• 24:48
  SPEAKER_00: You're so low and you you you can't eat anything, right?
• 24:51
  SPEAKER_00: That's why liquids are so important, right?
• 24:54
  SPEAKER_00: And that's why what?
• 24:55
  SPEAKER_00: Like why what?
• 24:56
  SPEAKER_00: Oh my god.
• 24:57
  SPEAKER_00: It's exactly right.
• 24:58
  SPEAKER_00: Dude, I know.
• 24:59
  SPEAKER_00: It's because you can just drink it instead of trying to eat it and get it down, right?
• 25:03
  SPEAKER_00: You're so right.
• 25:04
  SPEAKER_01: Right, no truer words, no truer words have ever been said about diabetes and orange.
• 25:09
  SPEAKER_01: Uh from from day one, it was those little bluebird cans of orange, like always have orange, like it it it it is very, very true.
• 25:18
  SPEAKER_01: Have have you ever um if to ask you a psychological question?
• 25:24
  SPEAKER_01: When I'm or somebody is going low and they're panicking because they're so low, are you panicking because of what you're feeling, or are you panicking because of what you've been told?
• 25:36
  SPEAKER_01: Like are you panicking at the at the at the fear of, oh, I've been told XYZ and it's gonna be embarrassing if I pass out and if I call the squad, or or are you really are you really actually, what's the word, attacking the feeling that you're experiencing that that tunnel that like we've all I don't know if you've ever blacked out, you know, that like you're going down a hallway and you're you're losing your vision or whatever.
• 25:58
  SPEAKER_01: So go you you know my question.
• 26:00
  SPEAKER_01: Go ahead.
• 26:00
  SPEAKER_01: Go ahead.
• 26:01
  SPEAKER_00: Yeah.
• 26:01
  SPEAKER_00: I would say it's both.
• 26:03
  SPEAKER_00: I would honestly say it's both.
• 26:04
  SPEAKER_00: I say I think that one moves into the other.
• 26:08
  SPEAKER_00: Right.
• 26:08
  SPEAKER_00: So in that state being in fight or flight, because again, that's what that's a state that you're that your body's trying to go into, is fight or flight, it's trying to be get into survival mode.
• 26:19
  SPEAKER_00: In in that state, the the symptoms come on because of the biological factors that are happening, I think.
• 26:26
  SPEAKER_00: Because of the biological factors that are happening, it heightens all the senses, it heightens the anxiety, it heightens all the stuff, all the stuff.
• 26:34
  SPEAKER_02: Okay.
• 26:34
  SPEAKER_00: The question becomes if you were never told about the consequences or the complications that could happen from Lowe's, yeah, would you still react in the same way?
• 26:46
  SPEAKER_02: Yeah.
• 26:47
  SPEAKER_00: I have no idea.
• 26:48
  SPEAKER_00: I have no idea.
• 26:49
  SPEAKER_00: But it's an interesting thing to think about, right?
• 26:51
  SPEAKER_00: Because the biological process of you becoming getting into survival mode and the anxiety that comes with that, all that stuff, is going to also push you to get to, oh my God, I'm gonna die.
• 27:06
  SPEAKER_00: Oh my god, I might pass out.
• 27:07
  SPEAKER_00: Oh my god, if I had to call the squad.
• 27:09
  SPEAKER_00: I remember what that felt like last time.
• 27:11
  SPEAKER_00: My friends, my family members, my coworkers had to call the squad because they had I needed support, right?
• 27:17
  SPEAKER_00: I I just don't want to be in that situation.
• 27:19
  SPEAKER_00: Like now all the all the crazy stories, all the fear comes into play, right?
• 27:25
  SPEAKER_00: So you have the anxiety, you you have the biological process, you have the anxiety, and then comes the fear because you can't control the fear in that moment.
• 27:32
  SPEAKER_00: It's hard to control the fear in that moment.
• 27:34
  SPEAKER_00: It's hard, it it is, it's just hard.
• 27:36
  SPEAKER_00: And the lower you are, and the more the more biological factors that are happening, the more symptoms that are happening, the higher the anxiety, and the higher the fear.
• 27:47
  SPEAKER_00: So I think it's I think it's a it's a compounding thing that role like you know the biological process of being low will funnel into the fear process of you spinning out of control in your brain.
• 28:00
  SPEAKER_01: Yeah.
• 28:00
  SPEAKER_01: Well, I think it's also, and you can never do this while and there have been studies upon studies upon studies of what panic is, what's happening when someone's panicking.
• 28:10
  SPEAKER_01: But the simplest question is the funniest question.
• 28:14
  SPEAKER_01: What are you afraid of?
• 28:15
  SPEAKER_01: You know, in that moment, what are you afraid of?
• 28:18
  SPEAKER_01: And I've thought this a thousand times when I'm really, really low.
• 28:22
  SPEAKER_01: I was like, it's just gonna be really embarrassing to have to tell my wife, like, hey, come like in almost nine times out of ten, I think of that's exactly what it was.
• 28:32
  SPEAKER_01: My fear was what other people are gonna think.
• 28:36
  SPEAKER_01: So it's like, you know, it's like jumping out, it's like jumping out and surprising somebody and then like, oh God, I'm a I'm scared.
• 28:44
  SPEAKER_01: Like we said, well, what are you afraid of?
• 28:45
  SPEAKER_01: You're like, well, you just you you snuck up on me.
• 28:48
  SPEAKER_01: Like you you just ran up on me.
• 28:49
  SPEAKER_01: Like that's my human trigger, versus like, what if somebody just started chasing you?
• 28:55
  SPEAKER_01: Like right now, you're on the street and you start running, and and for one minute, and then someone stops you, they're like, Are you afraid?
• 29:01
  SPEAKER_01: And you're like, Yes, I'm afraid.
• 29:02
  SPEAKER_01: Like, well, what are you afraid of?
• 29:04
  SPEAKER_01: Like, I bet you 10 different people would have had 10 different answers, you know?
• 29:09
  SPEAKER_01: It wouldn't be just the simple someone's chasing me.
• 29:12
  SPEAKER_01: It would be, if he's chasing me, and right, and and and what is it, does it have something to do with his appearance?
• 29:20
  SPEAKER_01: Does it have something to do with the speed he was running?
• 29:23
  SPEAKER_01: Does it have it was it, you know what I mean?
• 29:25
  SPEAKER_01: It becomes a very, very different question.
• 29:28
  SPEAKER_01: Is that and you're laughing because I think, like I said, like that's the that's what I always want to do is like break down the fear.
• 29:35
  SPEAKER_01: What what are we afraid of?
• 29:36
  SPEAKER_01: What are we really afraid of?
• 29:38
  SPEAKER_01: And where does that come from?
• 29:39
  SPEAKER_00: Because it because I like I said, it's a compounding thing that happens.
• 29:43
  SPEAKER_00: You're you're in survival mode, and these compounding things happen, right?
• 29:48
  SPEAKER_00: If you didn't have the fear, you wouldn't get to the third part of this.
• 29:52
  SPEAKER_00: Right?
• 29:53
  SPEAKER_00: You would just be like, crap, I got the symptoms.
• 29:56
  SPEAKER_00: Okay.
• 29:56
  SPEAKER_00: Crap, okay, let me go deal with this.
• 29:58
  SPEAKER_00: Or hey, I need support.
• 29:59
  SPEAKER_01: Or hey, how often is fear created in reality, though?
• 30:04
  SPEAKER_00: What do you mean?
• 30:05
  SPEAKER_01: Think about it.
• 30:06
  SPEAKER_01: Think about it.
• 30:08
  SPEAKER_01: You it will almost never happen in your life that someone will chase you down the street, but everybody has thought about what I would do if someone chased me down the street.
• 30:18
  SPEAKER_01: Every diabetic has thought of what's the worst thing that's gonna happen, and it never it it dude, it's two, so yeah, so there's never comes.
• 30:28
  SPEAKER_00: But it's two things there's two things that create the fear.
• 30:31
  SPEAKER_00: There's two things that there, there's one or two things, or maybe even both, that creates the fear.
• 30:37
  SPEAKER_00: Okay.
• 30:38
  SPEAKER_00: The first is past experience.
• 30:40
  SPEAKER_00: Did you have a past experience that created a traumatic event for you?
• 30:46
  SPEAKER_00: That is going to bring up fear like crazy every single time that you're in a situation that you feel like that same thing's gonna happen, right?
• 30:54
  SPEAKER_00: I.e.
• 30:55
  SPEAKER_00: I had a really, really bad low.
• 30:57
  SPEAKER_00: And yeah, and it was I felt like I was gonna die.
• 31:02
  SPEAKER_00: And I was by myself.
• 31:04
  SPEAKER_00: But they didn't, or they didn't.
• 31:05
  SPEAKER_00: Hold on, hold on, stop.
• 31:07
  SPEAKER_00: Okay, and and and I and I think I'm gonna die.
• 31:11
  SPEAKER_00: And I was by myself, and I had to call the ambulance for myself, or I was with people, and I had to call I mean, we're talking like a serious traumatic event, not just the low, but a serious traumatic event, right?
• 31:23
  SPEAKER_00: That's that's one thing.
• 31:24
  SPEAKER_00: That's the experience.
• 31:26
  SPEAKER_00: The experience is the first one.
• 31:28
  SPEAKER_00: The second one is what we've learned from the outside world, right?
• 31:34
  SPEAKER_00: Do you think that people would be scared of someone chasing them up down the streets if they didn't watch Halloween when they were when they were younger, or they didn't watch a horror movie, or they didn't watch something where someone was being chased down the street and dies and someone kills them?
• 31:52
  SPEAKER_00: So that's what the fear is.
• 31:53
  SPEAKER_01: That's what you're saying.
• 31:54
  SPEAKER_00: It's from the outside world, right?
• 31:57
  SPEAKER_00: Do you think that we would have the fear that we're going to lose a limb or that we're gonna pass out and die if our doctors never told us, hey, if you go low, you can't go low because you could potentially die.
• 32:12
  SPEAKER_00: Do you think that fear would be present?
• 32:14
  SPEAKER_00: No, because we would know any we would know no different.
• 32:17
  SPEAKER_02: You're right.
• 32:18
  SPEAKER_00: Right?
• 32:19
  SPEAKER_00: So that that's where the fear comes from.
• 32:22
  SPEAKER_00: Our own personal traumatic events or experiences or our own perception of that fear or that emotion that's coming up, but then also from the outside world.
• 32:35
  SPEAKER_00: Where did we learn that fear from?
• 32:38
  SPEAKER_00: Who told us that?
• 32:40
  SPEAKER_00: Did we see it or did we experience it watching it?
• 32:44
  SPEAKER_00: Right?
• 32:44
  SPEAKER_00: Because that's the other thing.
• 32:45
  SPEAKER_00: It might not have happened to us, but we could we could 100% experience a best friend, a sibling, right?
• 32:53
  SPEAKER_00: A best friend, a sibling, someone that we had to call the ambulance on because they had a hypoglycemic episode.
• 33:00
  SPEAKER_00: We we had to give them, you know, their glucagon or whatever because they had a hypoglycemic episode.
• 33:08
  SPEAKER_00: That could also create the fear of going low and the fear in that moment that pops up.
• 33:15
  SPEAKER_00: 100%.
• 33:16
  SPEAKER_00: 100% it could.
• 33:18
  SPEAKER_00: So your own personal experience and the experience of the world around you are the two ways that create the fear of anything.
• 33:27
  SPEAKER_00: Of anything that we fear.
• 33:29
  SPEAKER_01: It's funny, and you say, you know, to to loop back to what you said, the inflammatory response it could cause.
• 33:37
  SPEAKER_01: The only time that I've ever had to call the squad or have the call or or have the squad called on me, I do think the person with me saved my life because I was alone in my parents' basement.
• 33:49
  SPEAKER_01: Like back in the day when we like we were it's my best friend, to you know, one of my best friends to this day.
• 33:55
  SPEAKER_01: And he happened to be down there with me.
• 33:57
  SPEAKER_01: Like, I don't know that I would have survived.
• 33:59
  SPEAKER_01: So I do think a mechanism was created in me that comes on at night.
• 34:03
  SPEAKER_01: My my nights are when I I've talked about this, you know, I don't I don't eat till late, so my blood sugars kind of tend to run high during the night.
• 34:11
  SPEAKER_01: That's always been, you know, nighttime highs has always been my my thing, but it probably is some which is another thing.
• 34:21
  SPEAKER_01: This is another thing that it that becomes reality, is a subconscious, a subconscious creation that you're not even really aware of, but you've kind of like what you said, you've lived through something and so much time passes that it just becomes the norm for you.
• 34:36
  SPEAKER_01: You don't you don't know any other way.
• 34:38
  SPEAKER_01: You don't you don't think of it any other way.
• 34:40
  SPEAKER_01: That's just how it is for you.
• 34:42
  SPEAKER_01: And it's funny to hear though, like you said, that becomes something yet I guess they used we probably overuse the word trauma, but a trauma in the sense that, yeah, it's it's not going anywhere.
• 34:54
  SPEAKER_01: I I always like to think of it in that sense.
• 34:56
  SPEAKER_01: Like trauma is something that it's not going anywhere.
• 34:59
  SPEAKER_01: Like that thought is is a you could relive it, you could relive it any moment you close your eyes, you know.
• 35:06
  SPEAKER_00: So I get it, you know, I do, and I but but you can be guided past the trauma, not still not holding on to your emotions.
• 35:16
  SPEAKER_01: Point, but my point is, my point is, yeah, like, yeah, yeah, yeah, yeah, yeah.
• 35:20
  SPEAKER_01: Yes, what you said, but that you will probably in time do things that are a must say, like I said, a subconscious where you're not even realize you're doing a response to it, like But that's why, but that's why the whole purpose of hiring a psychologist, hiring a mental health professional, yeah, hiring a coach that understands how to get you past those, right?
• 35:46
  SPEAKER_00: That that's the that is the job of that individual because it because you're you're acting as a guide to get them past what triggers them, to understand what triggers them.
• 35:58
  SPEAKER_00: So then they understand and they're aware, like, okay, I'm being triggered by this specific thing or the specific emotion.
• 36:07
  SPEAKER_00: Now I have the tools to be able to deal with it.
• 36:10
  SPEAKER_00: Yes, we're we're not, I'm not saying that maybe you can get rid of the trauma.
• 36:15
  SPEAKER_00: Maybe the trauma is always going to be there.
• 36:18
  SPEAKER_00: But the difference is how you how you manipulate the emotions that come on and how you kind of are able to move past them and not let them take hold and and and get power over you.
• 36:31
  SPEAKER_01: Let me uh just just we'll entertain this concept and I'll tell it a some a somewhat personal story, just to give you an idea though.
• 36:41
  SPEAKER_01: Right now, my thing lately is I I keep having dreams with my dad.
• 36:47
  SPEAKER_01: Okay, so my dad who passed away like five years ago, and uh it wakes the problem with it is that it wakes me up because it's like intense and it's like holy shit, and you know, I think a lot of people, I've heard stories like some people will never dream with people that you've lost, like like it's just not something that happens to people.
• 37:08
  SPEAKER_01: So I'm also trying to appreciate it, and like the hardest one I tell my wife is remembering.
• 37:13
  SPEAKER_01: I I I just I never end up remembering what it's about, but I'm waking up a lot.
• 37:18
  SPEAKER_01: Like I'm waking, it's let's not say it's let's for the for the sake of this argument, let's say it's it's interrupting my sleep, it's starting to interrupt my sleep.
• 37:27
  SPEAKER_01: That's what I say.
• 37:27
  SPEAKER_01: Like, there are subconscious thoughts where no matter what, you are I'm not saying it's out of your control, but sometimes a memory is like in a in a way, in a way, this is like the personal side of it, is like I'm almost like, you know, maybe because my I think my dad died pretty quickly.
• 37:44
  SPEAKER_01: Like he kind of like got sick and died.
• 37:45
  SPEAKER_01: Like, I'm having conversations I meant to have with him, type of thing.
• 37:49
  SPEAKER_01: Even if they're weird, like you know, I was telling my wife that I had a dream a couple nights ago that my dad was recommending my sister and I go to fat camp.
• 37:59
  SPEAKER_01: And like it was like weird shit.
• 38:03
  SPEAKER_00: Were you fat in the dream?
• 38:05
  SPEAKER_01: No, that's like the funny part.
• 38:06
  SPEAKER_01: Like, it was never a part of our lives where that was a thing.
• 38:10
  SPEAKER_01: And like, yeah, but it's the one dream that I had I'm like laughing and I'm remembering it, but like it doesn't really fucking make any sense, right?
• 38:17
  SPEAKER_01: But there are nights, there are nights where we're having like intense arguments or where like a decision has to get made.
• 38:24
  SPEAKER_01: And like I don't know if you've ever been in a dream where you gotta make a decision and you're like, dude, like I didn't think I was gonna be in this point in my life, and this is crazy.
• 38:32
  SPEAKER_01: Like, I I didn't it I you're just feeling the emotion of a major decision, and it I don't know, it wakes you because you also have to pee, and then you're like, Let me check my blood sugar, and it just so that's just something I that's like an example that I, you know, and I'm laughing about it, it's fun, but I go back to what I said subconsciously.
• 38:51
  SPEAKER_01: I I think the more time passes and the more you think about your traumas or or something that weighs on you, you know.
• 39:00
  SPEAKER_02: Yeah, but true.
• 39:01
  SPEAKER_01: These things are really, really hard to control.
• 39:04
  SPEAKER_01: The brain is our brains are crazy.
• 39:06
  SPEAKER_01: Our brains are fucking crazy, dude, you know.
• 39:09
  SPEAKER_00: Yeah, it's the I think the really interesting piece to that, Graham, though, is that when when you think about subconscious thought, right?
• 39:19
  SPEAKER_00: You know, I'm not a psychologist, I'm not a a neurospecialist, this doctor.
• 39:24
  SPEAKER_00: We'll just converse.
• 39:25
  SPEAKER_00: When when you think about the subconscious thoughts, you don't have tons of subconscious thoughts when you're awake.
• 39:34
  SPEAKER_00: Subconscious thoughts might drive decisions based off of habits, based off of trauma, based off of different things.
• 39:42
  SPEAKER_00: Subconscious thoughts would could 100% drive decisions, but you don't you don't have a lot of time during the day, and thus maybe you're getting into a very deep mental state of you know, do you know, actually meditating or whatever it is, you don't get in you don't get into ton of tons of subconscious thoughts.
• 40:02
  SPEAKER_00: But when your brain is basically shutting off, the subconscious takes over when you're sleeping.
• 40:10
  SPEAKER_00: It's heightened, it's alive.
• 40:13
  SPEAKER_00: It's right, so which is why you have all of these different types of dreams that you're just like you would never even think about in a million years when you're awake.
• 40:21
  SPEAKER_00: Because the subconscious thoughts are like they're they they have the room to be like the dominant presence in your brain, where they're kind of pushed back a little bit when you're awake and you're dealing with your day because you're just going about your day.
• 40:36
  SPEAKER_00: That's how I think about subconscious thoughts, and that's why I think it's really interesting the the research that's being done on sleep and the subconscious, you know, your subconscious being when you are sleeping, and why so many people have been able to recall things while they're sleeping and while they're in that state, you know?
• 40:56
  SPEAKER_00: Because the subconscious stores a lot of different things, right?
• 41:00
  SPEAKER_00: It's so it it's an it is a very interesting thing to think about for sure.
• 41:06
  SPEAKER_01: I'm just annoyed because I spend my day stressed out, and then I go to bed and I'm like just as stressed out.
• 41:10
  SPEAKER_01: I'm like, what the fuck?
• 41:11
  SPEAKER_01: But why are you stressed out, man?
• 41:13
  SPEAKER_00: Like that that's a thing.
• 41:14
  SPEAKER_00: You wake up, so it's like if if you when you wake up and you realize that you have that that and as an as an example, you have that gym with your dad.
• 41:22
  SPEAKER_00: You're saying things to your dad that you maybe didn't get to say or that you wanted to say or whatever, it's like, oh my god, that feels so good that I got to say that stuff.
• 41:30
  SPEAKER_01: Yeah.
• 41:31
  SPEAKER_00: Even though it is my subconscious going through this practice of doing it, even though that's not maybe happening in reality when I'm awake, but it's happening on the in a different reality when I'm asleep.
• 41:46
  SPEAKER_02: Yeah.
• 41:47
  SPEAKER_00: Right?
• 41:47
  SPEAKER_00: So it it's a and I would probably say that people could say that that type of that type of dream is also a therapeutic thing.
• 41:56
  SPEAKER_01: Yeah.
• 41:57
  SPEAKER_00: To your subconscious mind.
• 41:58
  SPEAKER_01: It could go both ways.
• 41:59
  SPEAKER_01: There's something that uh something that we always talk about with like OCD.
• 42:04
  SPEAKER_01: It's like called stacking, or it's like people with like anxiety deal with it.
• 42:07
  SPEAKER_01: It's called stacking, where you just one thing, like you have one memory, and while you're in that memory, you're trying you think about this, and then then you start to think about that, and then this, and then then then it's just it's layers on top of layers where you don't even know where you start.
• 42:23
  SPEAKER_01: You don't even know where the stressful thought came from, but you know, it's you wake up and I'm like, oh, my dad, and then I think, oh, you know, I don't know.
• 42:32
  SPEAKER_01: It's just another thought.
• 42:33
  SPEAKER_01: I don't know.
• 42:34
  SPEAKER_01: In some regards, it's that, or it's you know, it's affecting if it's affecting my sleep, you know, less sleep, poor quality.
• 42:40
  SPEAKER_01: I don't want that.
• 42:41
  SPEAKER_01: You know, I want I want good sleep, good quality type of thing.
• 42:45
  SPEAKER_00: So no, it's just it's but I would also say that that that dream, this is what I truly believe about dreams.
• 42:54
  SPEAKER_00: That dream is happening for a reason.
• 42:57
  SPEAKER_00: Those subconscious thoughts are happening for a reason, right?
• 43:02
  SPEAKER_00: Well, I don't think you're just gonna have a dream about your dad and be able to say all these things that you didn't get to say before he died or want to like connect with him again for no reason.
• 43:13
  SPEAKER_01: Yeah, I don't know.
• 43:15
  SPEAKER_01: I guess I'm not looking I wasn't thinking of it that way.
• 43:17
  SPEAKER_01: I wasn't looking for an answer.
• 43:19
  SPEAKER_01: I think, but I want to go back to something you said that and I tie this back to diabetes.
• 43:24
  SPEAKER_01: I wanna I I made the decision about this a long time ago.
• 43:28
  SPEAKER_01: I I wanna be every night I go to bed, I want to be at peace with what I did for the day.
• 43:33
  SPEAKER_01: I wanna be at peace with how I took care of myself.
• 43:36
  SPEAKER_01: It's you know, no regret, no regrets, man.
• 43:39
  SPEAKER_01: Like it really No regrets.
• 43:42
  SPEAKER_01: No regrets, dude.
• 43:43
  SPEAKER_01: Like uh it's you know, and I think that though this is funny that we're talking about like life and this, but it's a it's the perfect crossroad of the two.
• 43:52
  SPEAKER_01: It's you know, like you you're always gonna have the memory and the thought of your your dad who passed away when you're thirty five.
• 43:58
  SPEAKER_01: Your dad raised you, you loved him, blah blah blah.
• 44:00
  SPEAKER_01: You don't need to have every decision I make weighing on me at the end of the day about my diabetes.
• 44:06
  SPEAKER_01: If I fucked up, I fucked up, I move on.
• 44:08
  SPEAKER_01: If I was a problem, I need to attack it as a problem.
• 44:12
  SPEAKER_01: I need to get a team together.
• 44:14
  SPEAKER_01: I gotta go see a doctor.
• 44:15
  SPEAKER_01: I gotta talk to somebody.
• 44:16
  SPEAKER_01: You know, if I I wear emotions on my sleeve, so I get emotional with the diabetes, the highs and the lows.
• 44:22
  SPEAKER_01: Dude, take a breath at the end of the night, be at peace with every everything you did for the day, and don't carry that with you.
• 44:29
  SPEAKER_01: And I think that's been a really, really, really, really, really, really healthy thing that I decided to do.
• 44:35
  SPEAKER_01: And it's why I say, you know, diabetes sucks, but I would take it over a lot of other things because you could choose that mental and mental perseverance, and that's what I chose to do.
• 44:45
  SPEAKER_01: And people that aren't even aware of that about me can see that.
• 44:49
  SPEAKER_01: They're like, dude, you're obviously not letting it get the best of you.
• 44:51
  SPEAKER_00: You're just Yeah, it's living your life, which is what you should do.
• 44:54
  SPEAKER_01: Yeah.
• 44:55
  SPEAKER_01: Yeah.
• 44:55
  SPEAKER_00: Right.
• 44:56
  SPEAKER_00: So I I think that's the biggest the biggest point to all of it, or the diabetes piece, at least, and trauma and emotional for fatigue and emotional trauma.
• 45:04
  SPEAKER_00: Like at the end of the day, like we have to be able to put boundaries and things in place where when that when those stories and those emotional and those emotional stories come up, we we understand how to handle them.
• 45:20
  SPEAKER_00: They don't affect us and make us now distrust all everything or put us in this you know rat race of emotions that we're trying to now navigate on top of navigating life, on top of navigating all the stuff in life, on top of navigating the diabetes decisions.
• 45:37
  SPEAKER_00: And like that's a lot to deal with.
• 45:40
  SPEAKER_00: It just it's a lot to deal with when you're when you're thinking about having to navigate not just your life and the decisions and and all of the trauma and the injuries and like all the things that you would have to do no matter what, but now you add diabetes on top of it.
• 45:58
  SPEAKER_00: That that's a lot to take.
• 46:00
  SPEAKER_00: It's a lot to take.
• 46:01
  SPEAKER_00: And and the one thing I will say is I love that Graham is talking about is being able to reflect in some way at some point, right?
• 46:10
  SPEAKER_00: Whether that's daily, whether that's every couple days, whether that's weekly.
• 46:16
  SPEAKER_00: Okay, I hope you're not taking more than a week in between reflections of how you are doing personally, because asking yourself how you're doing personally is going to bring up things, right?
• 46:28
  SPEAKER_00: How am I doing?
• 46:29
  SPEAKER_00: How how how did the day go?
• 46:31
  SPEAKER_00: Uh day went pretty good.
• 46:33
  SPEAKER_00: Okay.
• 46:33
  SPEAKER_00: What happened?
• 46:34
  SPEAKER_00: Oh, well, I didn't pre-bulse here, I didn't do this, I didn't exercise, I didn't now all the things come out of what actually really happened.
• 46:41
  SPEAKER_00: Or you're saying that to yourself because you're saying that to yourself because that that is the fear piece, or that's the piece that you think that you did but you or that you didn't do, but you wish you should do, right?
• 46:56
  SPEAKER_00: So it's it's I don't know, man.
• 46:58
  SPEAKER_00: It's it's a catch-22 of like, how can you what things do you have to put in place to be able to get you past the emotions when they happen?
• 47:07
  SPEAKER_00: And that's easier said than done, man.
• 47:09
  SPEAKER_00: Compounding amount of things, compounding amount of wins over time is going to make you more confident in anything.
• 47:18
  SPEAKER_00: Sports, life, career, the way you work with your kids, your own health, your diabetes.
• 47:26
  SPEAKER_01: Do you think it's true to say with diabetes to expect the unexpected?
• 47:32
  SPEAKER_00: 100%.
• 47:33
  SPEAKER_01: Okay.
• 47:33
  SPEAKER_01: Okay.
• 47:34
  SPEAKER_01: Why I just I I wonder if people would argue against that in the same like, no, the idea is to be consistent and remaining.
• 47:40
  SPEAKER_00: But but diabetes isn't consistent.
• 47:42
  SPEAKER_00: So even thinking about that is I don't feel like it has much base in reality.
• 47:49
  SPEAKER_00: What?
• 47:49
  SPEAKER_00: And the reason the reason I what?
• 47:52
  SPEAKER_00: What now I Graham is sneezing like crazy.
• 47:56
  SPEAKER_00: What what it wait, go back to what you just said.
• 47:59
  SPEAKER_00: Diabetes is not a consistent thing.
• 48:01
  SPEAKER_01: Okay, okay, go ahead.
• 48:02
  SPEAKER_00: It doesn't, it it doesn't work the same every single day.
• 48:05
  SPEAKER_00: Like things happen.
• 48:07
  SPEAKER_00: That's why there's 42 plus factors, that's why there's tons of different variables that you have to go through when you're making diabetes decisions.
• 48:14
  SPEAKER_00: There's the mental piece, there's the physical piece, there's there's the emotional piece, there's trauma, there's there's diabetes is not a consistent thing.
• 48:23
  SPEAKER_00: So for us, for us to sit here and say, oh, well, it's the same every single day, or it should be the same every single day, you should be able to make these decisions with with no problem, like blah, blah, blah, blah.
• 48:34
  SPEAKER_00: Have consistency and lots of habits that allow you to do all that stuff, that's not based on reality.
• 48:39
  SPEAKER_00: And yes, pillar three of the five pillars of diabetes success is 100% consistency and routines.
• 48:47
  SPEAKER_00: But that's that has more to do with what you can put in place in your management to set you up for success and less to do with the emotional piece.
• 48:56
  SPEAKER_00: Because the emotional piece, you have to you have to feel confident in what's going on in the first place to be able to get through the emotional piece.
• 49:05
  SPEAKER_00: Have you ever seen someone have heard of someone who is in who's struggling emotion or is struggling with their diabetes, but they're, you know, they don't wear any feelings on their shoulders.
• 49:17
  SPEAKER_00: They're emotionally, they're in super alignment.
• 49:20
  SPEAKER_00: Like, I've never seen someone like that.
• 49:24
  SPEAKER_00: Typically, if someone is having a really hard time with their diabetes management, it's it's somewhat because of the emotions of not doing maybe the right things, or maybe not taking the right approach to their life, or thinking they should do something, or not being able to read the trends or read the data, or not being able how to un knowing how to understand how to make the decisions, those things put us in that state.
• 49:51
  SPEAKER_00: Not the other way around.
• 49:53
  SPEAKER_01: So I'm not failing.
• 49:55
  SPEAKER_01: I'm not failing if every day isn't the same.
• 49:57
  SPEAKER_00: No, it doesn't ha it's not supposed to be the same every single day.
• 50:00
  SPEAKER_00: If it is, fucking high five.
• 50:05
  SPEAKER_00: Okay, but it doesn't it doesn't have to be here's the analogy I would use to this.
• 50:14
  SPEAKER_00: Because we're we're really talking about one thing here when we talk about it it being consistent every single day.
• 50:20
  SPEAKER_00: We're talking about perfection.
• 50:21
  SPEAKER_00: We are straight talking about being perfect and your blood sugars and you getting exercise every single day, like your the decisions that you're making.
• 50:29
  SPEAKER_00: We're talking about being perfect.
• 50:31
  SPEAKER_00: I've lived with this condition for a long time.
• 50:33
  SPEAKER_00: Graham, you've lived it for it longer than I have.
• 50:35
  SPEAKER_00: Perfection, I feel like, is an illusion with diabetes.
• 50:39
  SPEAKER_00: It's not supposed to be perfect.
• 50:42
  SPEAKER_00: I think it is better to have confidence and trust in yourself and the decision that you're making than every single one of those confident decisions coming out in a perfect manner.
• 50:54
  SPEAKER_00: Of course we'd want it all to be perfect.
• 50:57
  SPEAKER_00: Of course we'd want every single decision that we make to come out exactly the way we want it.
• 51:03
  SPEAKER_00: I don't go high when I eat this food and I've done all the things that I'm supposed to do.
• 51:09
  SPEAKER_00: I don't go low when I'm exercising, because I've done all the things that I'm supposed to do.
• 51:13
  SPEAKER_00: That's just not the reality.
• 51:15
  SPEAKER_00: Some things you can do that you can do everything the way you're supposed to do it.
• 51:19
  SPEAKER_00: Everything the way that it worked yesterday and the day before that, and the day before that, but it still doesn't it doesn't work today.
• 51:25
  SPEAKER_00: That's diabetes.
• 51:27
  SPEAKER_00: Diabetes is not consistent.
• 51:30
  SPEAKER_00: So 100% to answer your original question, if you live with type 1 diabetes, and I would probably argue with type 2 diabetes as well, diabetes in general, you should learn to expect the unexpected.
• 51:44
  SPEAKER_00: But it's about how you react to the unexpected.
• 51:48
  SPEAKER_00: How do you what do you have in your toolbox that can help you get past the unexpected and not allow it to put you in a in a deeper dis in a deeper state of, I don't want to say depression, but a deeper state of like an emotional turmoil.
• 52:04
  SPEAKER_00: Wow.
• 52:06
  SPEAKER_00: Thank you.
• 52:07
  SPEAKER_00: Thank you.
• 52:07
  SPEAKER_00: Turmoil.
• 52:08
  SPEAKER_00: Thank you.
• 52:10
  SPEAKER_00: Okay, that that's what this is all about.
• 52:12
  SPEAKER_00: It's not about being perfect.
• 52:14
  SPEAKER_00: Because it's not supposed to be perfect, it's not going to be perfect.
• 52:16
  SPEAKER_01: The fun in it, it's not there's there's not meant to be any, there's not meant to be.
• 52:20
  SPEAKER_01: And it's not even meant to be a contest, right?
• 52:22
  SPEAKER_00: But think of but but let's let's let's let's take this to the hypothetical.
• 52:26
  SPEAKER_00: Let's let's just take this in a different direction, right?
• 52:28
  SPEAKER_00: Because we're talking about something that's really a very impactful thing of understanding that this is not supposed to be perfect and that we do need to expect the unexpected.
• 52:38
  SPEAKER_00: But let's take it on the other, let's take it on the flip side.
• 52:41
  SPEAKER_00: How amazing would it be if you could look at a food and know exactly how much to dose, know exactly how much pre-bulch you should take.
• 52:49
  SPEAKER_01: I had that dream often.
• 52:51
  SPEAKER_00: Right?
• 52:52
  SPEAKER_00: You go and exercise and you know that either you need a little bit of insulin on board or you or you shouldn't have insulin on board.
• 53:00
  SPEAKER_01: You're you're suggesting magic.
• 53:02
  SPEAKER_01: Uh a magic.
• 53:02
  SPEAKER_01: No, no, no.
• 53:03
  SPEAKER_00: I'm not suggesting, I'm not just suggesting magic because these situations actually happen sometimes.
• 53:08
  SPEAKER_00: It's just they don't happen all the time.
• 53:11
  SPEAKER_00: But imagine if any decision that you made, it would turn out exactly the way it's supposed to every single time.
• 53:21
  SPEAKER_00: That's perfection.
• 53:23
  SPEAKER_00: But unfortunately, that does not exist in tight diabetes management.
• 53:27
  SPEAKER_00: It just doesn't.
• 53:28
  SPEAKER_00: Because there's so many other factors and so many other variables that are out of our control, or maybe we just haven't been up against yet and we don't know how to deal with it.
• 53:38
  SPEAKER_00: This condition is not about perfection.
• 53:41
  SPEAKER_00: I believe it is 100% more important to be about trust and confidence in your decisions.
• 53:50
  SPEAKER_00: Because once you do those things, once you have complete belief in yourself and you trust in your decisions, nothing else matters.
• 53:58
  SPEAKER_00: Yes, you might be pissed off when you made a decision and it didn't work out the way you wanted to, but you're able to walk away and live your life and it doesn't bother you.
• 54:06
  SPEAKER_00: It's like, oh shoot, all right, I'll do it differently next time.
• 54:08
  SPEAKER_00: That's the way it should be.
• 54:10
  SPEAKER_00: So we're not talking perfection.
• 54:11
  SPEAKER_00: It can't, it can't, at least right now in diabetes management, I don't think that we can have perfection and still have sustainability of living a great, healthy life.
• 54:21
  SPEAKER_00: Because the the pursuit of being I've been in it.
• 54:25
  SPEAKER_00: I've been in it myself.
• 54:27
  SPEAKER_00: The pursuit of perfection pulls you towards diabetes fatigue and diabetes burnout because there's so much going on.
• 54:35
  SPEAKER_00: And when you're not perfect for whatever reason, you really get on yourself.
• 54:41
  SPEAKER_01: I I would argue this though.
• 54:44
  SPEAKER_01: There is power, there's a lot of power in saying everything I'm up against, and I did the best that I could.
• 54:53
  SPEAKER_01: Truly did the best that I could.
• 54:55
  SPEAKER_01: You could feel you could feel every night like But that's not perfection.
• 54:59
  SPEAKER_00: Well But you're not talking about perfection.
• 55:01
  SPEAKER_00: You're talking about a state of being of how you are managing the emotions and managing how you are living.
• 55:08
  SPEAKER_00: That's that's the emotional piece to it.
• 55:11
  SPEAKER_00: That's the tool that you have in your arsenal, right?
• 55:14
  SPEAKER_01: That we finished go I would argue to say, why not?
• 55:18
  SPEAKER_01: Why not say what?
• 55:20
  SPEAKER_01: Why not say with everything I'm up against, and I'm truly doing the best that I can, I'm making it look damn good.
• 55:26
  SPEAKER_01: I call that you can call that perfection.
• 55:28
  SPEAKER_01: Every every each and every like it's but I think it needs to be more contained.
• 55:32
  SPEAKER_01: It has to be like what I said.
• 55:34
  SPEAKER_01: Put it in a little box, do it every night.
• 55:36
  SPEAKER_00: Like I had a That's consistency, that's not perfection.
• 55:40
  SPEAKER_01: I had a perfect day executing the plan I put forth for my person myself.
• 55:45
  SPEAKER_00: Yeah, okay.
• 55:46
  SPEAKER_00: You had a perfect day.
• 55:48
  SPEAKER_01: That was to that's then I just proved you wrong.
• 55:51
  SPEAKER_01: That's perfection.
• 55:52
  SPEAKER_01: I had for the goals that I've set for the goals that I've set forth and being up against everything I'm up against and making it look easy, and knowing I did my best, and I every decision I made from like the things I ate to the things I drank, you executed it perfectly.
• 56:08
  SPEAKER_00: Okay, here's the caveat to this.
• 56:11
  SPEAKER_00: Okay.
• 56:12
  SPEAKER_00: If you executed everything perfectly, as of your sta what you're stating, are your blood sugars at your target and where they're supposed to be, according to what your your numbers are?
• 56:25
  SPEAKER_01: Well, it's like everything in life, everybody has a bug.
• 56:27
  SPEAKER_01: No, no, no, no, it's not a good thing.
• 56:29
  SPEAKER_00: No, it's a yes or no question.
• 56:32
  SPEAKER_00: Yes, it is, because you're talking about perfection, dude.
• 56:35
  SPEAKER_00: And diabetes, what is perfection?
• 56:37
  SPEAKER_01: Perfection No, you say with the blood sugars.
• 56:39
  SPEAKER_01: I know I agree with your right.
• 56:40
  SPEAKER_01: I agree.
• 56:41
  SPEAKER_01: You're right, you're right.
• 56:43
  SPEAKER_00: No, no, no.
• 56:44
  SPEAKER_00: This definition is a perfect blood sugar.
• 56:46
  SPEAKER_00: No, no, no, no.
• 56:47
  SPEAKER_00: What I'm saying is, is if you're saying that of all the things that you're up against in what in a day, you executed the the plan to perfection, does that mean that your blood sugars are perfect?
• 57:01
  SPEAKER_02: Yes.
• 57:02
  SPEAKER_00: So, okay, so not all days are a perfect day.
• 57:06
  SPEAKER_00: But that's what we're talking about.
• 57:08
  SPEAKER_00: Because diabetes perfection to me means that it's perfect every single day.
• 57:16
  SPEAKER_00: Okay.
• 57:17
  SPEAKER_00: That's what di that's what perfection is.
• 57:19
  SPEAKER_00: That there's there's you don't ever waver.
• 57:22
  SPEAKER_00: Every decision comes out the way you want it.
• 57:25
  SPEAKER_00: That's perfection.
• 57:26
  SPEAKER_00: What you're talking about is super powerful, but uh but I don't consider it perfection.
• 57:31
  SPEAKER_00: I call I consider that trust and belief.
• 57:34
  SPEAKER_00: This is the function.
• 57:35
  SPEAKER_01: This goes back to the little opening question I asked you.
• 57:38
  SPEAKER_01: It's it's a perfectly executed game plan, and you have a winning record and a little you have you have a you have your wins and your losses.
• 57:46
  SPEAKER_01: You're gonna have a record at the end of the day.
• 57:48
  SPEAKER_01: It's like Yeah, that's great.
• 57:50
  SPEAKER_01: So how about take it as a month, take like it's gonna about to be September.
• 57:54
  SPEAKER_01: The month of September, you have 30 days to execute the plan perfectly.
• 57:59
  SPEAKER_01: At the end of the day, I I would like to be like any other team, I want to be more than 50%.
• 58:05
  SPEAKER_01: You know, I want to be 17 and 13, 18 and 12, like type of thing.
• 58:10
  SPEAKER_01: It could be Yeah.
• 58:11
  SPEAKER_00: But if you have losses, it's how you look.
• 58:14
  SPEAKER_00: If you have losses, is that perfection?
• 58:16
  SPEAKER_00: Yes, of course you're perfect on the days that it worked out.
• 58:19
  SPEAKER_00: In a way, we're kind of saying the same thing.
• 58:21
  SPEAKER_00: I'm just saying it's the pursuit of the We're not we're not saying the same thing at all.
• 58:24
  SPEAKER_01: It's the pursuit.
• 58:25
  SPEAKER_01: I feel motivated.
• 58:26
  SPEAKER_00: The pursuit is the problem.
• 58:28
  SPEAKER_00: The pursuit of perfection, for you, Graham, it works really well.
• 58:33
  SPEAKER_00: I've told you this before.
• 58:35
  SPEAKER_00: It works really well because that's the way you live your life.
• 58:39
  SPEAKER_00: That's what you've been able to accomplish.
• 58:40
  SPEAKER_00: That that that's your personality.
• 58:42
  SPEAKER_00: That's what everybody's doing.
• 58:44
  SPEAKER_00: Nobody's looking to get a B plus.
• 58:46
  SPEAKER_00: Dude, but do you know how many people are out there that would be really happy with a C because most of the time they're a D or an F.
• 58:55
  SPEAKER_00: Most of the time they don't get it right.
• 58:56
  SPEAKER_00: Most of the time they're at 200.
• 58:58
  SPEAKER_00: Most of the time they're at 250 plus.
• 59:00
  SPEAKER_00: Their A1C is almost 10.
• 59:02
  SPEAKER_00: We're talking about life and diabetes here, though, bro.
• 59:05
  SPEAKER_00: Like, but we're talking about we're talking about specifically diabetes.
• 59:08
  SPEAKER_00: Okay, okay.
• 59:09
  SPEAKER_00: What you're saying is super important, and I'm I'm I'm so happy that we're talking about it.
• 59:14
  SPEAKER_00: I'm just disagreeing with you on what the what the meaning of perfection actually is, and that we can't go towards we our whole entire life can't be about perfecting diabetes and being perfect at diabetes.
• 59:28
  SPEAKER_00: Because, again, I've done it myself.
• 59:31
  SPEAKER_00: It's a fast track to diabetes fatigue and diabetes burnout, which I would say 70% of people that are maybe not 70%, I'm not gonna make up numbers.
• 59:42
  SPEAKER_00: A lot of people, we'll just say a lot of people, are dealing with diabetes fatigue and diabetes burnout.
• 59:50
  SPEAKER_00: Because they're trying to either be perfect or because they're just trying to make decisions and they're not working out, because they don't have the support and the guidance to understand how to make those decisions work out.
• 1:00:01
  SPEAKER_02: Sure.
• 1:00:01
  SPEAKER_00: So what you're saying is really important, but I wouldn't call it perfection because perfection to me is that 30 days of September that every single day was perfect.
• 1:00:12
  SPEAKER_00: That's perfection.
• 1:00:13
  SPEAKER_02: I get it.
• 1:00:14
  SPEAKER_02: That's fair.
• 1:00:15
  SPEAKER_00: What you're saying is is confidence and trust.
• 1:00:19
  SPEAKER_00: You have those days that those game plan.
• 1:00:21
  SPEAKER_01: It's a game plan.
• 1:00:22
  SPEAKER_00: Those days that you that the game plan, you ran the game plan to perfection, that's because you trusted the process.
• 1:00:30
  SPEAKER_00: And you had confidence in the decisions.
• 1:00:33
  SPEAKER_00: The days that it that you didn't do all of the game plan and it didn't work out the way you wanted it to, it's because you either made a decision in the whim and didn't think about all the factors and variables, or because you made the decision based off of how you made it yesterday, or the day before, or the last time you came up against that decision, and it just didn't work the same way, right?
• 1:00:58
  SPEAKER_00: That and that doesn't mean it's a bad thing, but that but that's not perfection.
• 1:01:02
  SPEAKER_00: You still trusted the decision, you still were confident in making the decision, and that's what I think that it it that's more important than the pursuit of perfection, because the idea of perfection means that you can't make a mistake.
• 1:01:19
  SPEAKER_00: And when you make a mistake, now hell breaks loose.
• 1:01:22
  SPEAKER_00: The floodgates open, the stories come into play, the emotions come into play.
• 1:01:26
  SPEAKER_00: I'm so bad at this, I can't do this.
• 1:01:29
  SPEAKER_00: That's what we're trying to avoid.
• 1:01:31
  SPEAKER_00: That's why I think the pursuit of perfection is not a real thing.
• 1:01:35
  SPEAKER_00: It can't be.
• 1:01:36
  SPEAKER_00: It just can't be.
• 1:01:37
  SPEAKER_00: To me.
• 1:01:38
  SPEAKER_01: I, you know, you learn a lot, you don't learn a lot at a at a young age when you're more, you know, your brain is growing.
• 1:01:46
  SPEAKER_01: I I think a funny thing that we used to do in diabetes are the blood sugar logbooks.
• 1:01:51
  SPEAKER_03: Yeah.
• 1:01:51
  SPEAKER_01: Because and I'm doing it now, like I'm obsessed with physical.
• 1:01:55
  SPEAKER_01: Like, I I gotta have physical.
• 1:01:57
  SPEAKER_01: Like, I'm and I know I'm a little old school in this.
• 1:01:59
  SPEAKER_01: I do think what people have lost recently, though, is the idea of looking back on things.
• 1:02:04
  SPEAKER_01: So, like, that's one like trick that I use like in life.
• 1:02:08
  SPEAKER_01: It's like I do, you know, like if you're gonna have a metric set for yourself, like set the metric and stick to it and and and take the time to take notes on it and then look back on set notes.
• 1:02:19
  SPEAKER_01: So I only bring that up because I I don't find that to be an issue with me, the whole giant concept of diabetes.
• 1:02:27
  SPEAKER_01: Like it, you could break it down, as I say, with if you write your blood sugars down, like you could break it down day by day and say, okay, like how do we alter here and there?
• 1:02:37
  SPEAKER_01: And that was another thing that was taught to me in the hospitals.
• 1:02:40
  SPEAKER_01: Though they taught you to be afraid of a lot of things, it was like the idea of a game plan.
• 1:02:45
  SPEAKER_01: Like, you know, if if you're gonna be a student and an athlete and and and you're gonna have hobbies, and you, you know, you're a son and a you're a son and a brother and your cousin, and you got all these elements of your life, of your identity, well, you're also a diabetic, and add that to the game plan of life, you know?
• 1:03:04
  SPEAKER_01: Yeah.
• 1:03:05
  SPEAKER_01: Yeah.
• 1:03:07
  SPEAKER_01: The only difference is it's every day versus like, you know, I have art class on Monday.
• 1:03:11
  SPEAKER_01: Well, we have diabetes every day of the week.
• 1:03:13
  SPEAKER_00: So But you live life every single day.
• 1:03:15
  SPEAKER_00: Do you still wake up, take a shower, brush your teeth, eat food?
• 1:03:18
  SPEAKER_00: Correct.
• 1:03:18
  SPEAKER_00: But that's what I use, leave the house.
• 1:03:20
  SPEAKER_00: Like, you still do that every single day.
• 1:03:22
  SPEAKER_01: And that's a good point, though, too, is like, I want to like, I know I'm tough on myself and tough on people.
• 1:03:27
  SPEAKER_01: Remember, this isn't your fault.
• 1:03:29
  SPEAKER_01: Like, you weren't you didn't do anything to cause this.
• 1:03:32
  SPEAKER_01: This is now your power.
• 1:03:34
  SPEAKER_01: It's now powerful for you to overcome it.
• 1:03:38
  SPEAKER_01: And the hardest but greatest thing is it's every day.
• 1:03:42
  SPEAKER_01: So get through every day, and that's just it's just, you know, it's it's proof of being diligent.
• 1:03:48
  SPEAKER_01: It's proof of like, I don't know, it's just diabetes seems like a go, it just seems like a daily go.
• 1:03:53
  SPEAKER_01: I say this all the time.
• 1:03:54
  SPEAKER_01: It's just a daily goal to accomplish something, just like making your bed every morning.
• 1:03:57
  SPEAKER_01: It's a chance to have something awesome every day that you you only are perfect because you're telling yourself you're perfect.
• 1:04:05
  SPEAKER_01: So Ken cracked me, yes.
• 1:04:07
  SPEAKER_01: I'm just telling myself that, but it's confidence.
• 1:04:11
  SPEAKER_02: But that's it works for you.
• 1:04:13
  SPEAKER_01: Yeah, that's what I'm saying.
• 1:04:14
  SPEAKER_01: If that brings more confidence and taking better control and not being then that's what it should be what you should be looking to achieve here.
• 1:04:22
  SPEAKER_00: Yes.
• 1:04:23
  SPEAKER_00: If everyone was like you, we'd be sitting here saying, Oh, we're striving for perfection, but everyone's not like you.
• 1:04:32
  SPEAKER_00: And so many people are allow the emotions to dictate their decisions, allow the fear to dictate their decisions.
• 1:04:42
  SPEAKER_00: So I want to meet, I'm meeting people where they are and making it realistic.
• 1:04:46
  SPEAKER_02: Sure.
• 1:04:47
  SPEAKER_00: For for not just me and Graham, but for all of humanity, all of the people that live with type 1 diabetes.
• 1:04:55
  SPEAKER_00: Whether you're three months old or whether you're 60, 70, 80, 90, 100, doesn't matter who who it is.
• 1:05:03
  SPEAKER_00: The idea of perfection, in my experience, brings about one thing over time.
• 1:05:09
  SPEAKER_00: Unless you are maybe someone like Graham who thrives on the pursuit of perfection.
• 1:05:15
  SPEAKER_00: In my experience, trying to be perfect in life and trying to be perfect in your diabetes leads to diabetes burnout.
• 1:05:25
  SPEAKER_00: And that's the number one place that we don't want to be because it's really challenging to get away to come out of it, depending on what state that you're in, right?
• 1:05:36
  SPEAKER_00: I feel like there's different states of diabetes burnout.
• 1:05:39
  SPEAKER_00: You can have technology burnout, like Graham used to do like Graham did.
• 1:05:43
  SPEAKER_00: That's why he got off the CGM.
• 1:05:45
  SPEAKER_00: You can have diabetes burnout, you could have emotional burnout, you could have all kinds of different types of burnout, but when you're allowing diabetes to take you to that place, it's it's just not a good place to be.
• 1:05:57
  SPEAKER_00: It's just not.
• 1:05:58
  SPEAKER_00: You can't manage your condition, you can't manage your health, and you can't manage your life in that state.
• 1:06:04
  SPEAKER_00: So I don't want people to be in that state.
• 1:06:06
  SPEAKER_00: And that's why these conversations exist.
• 1:06:09
  SPEAKER_00: That's why me and Graham bicker all the time.
• 1:06:11
  SPEAKER_00: That's because we're we're we're challenging each other.
• 1:06:14
  SPEAKER_00: We're hopefully giving you a different perspective on how to think about diabetes and manage your condition.
• 1:06:22
  SPEAKER_00: I hope this was insightful.
• 1:06:25
  SPEAKER_00: Man, these deep, these deep things, man, about mental health and about things that the brain goes through, like, they get me.
• 1:06:34
  SPEAKER_00: Get me going.
• 1:06:36
  SPEAKER_01: Happy birthday too, bro.
• 1:06:37
  SPEAKER_00: Thank you, man.
• 1:06:38
  SPEAKER_00: Thank you.
• 1:06:39
  SPEAKER_01: Are you going out or anything?
• 1:06:41
  SPEAKER_00: No, I'm gonna watch the girls tonight.
• 1:06:42
  SPEAKER_00: I gotta get the podcast episode ready for tomorrow.
• 1:06:45
  SPEAKER_00: It's a good one, guys.
• 1:06:46
  SPEAKER_00: So if you are listening to this whenever this is gonna this episode is gonna come out, make sure you go listen to Diabetes Confessions Part 2.
• 1:06:55
  SPEAKER_00: That's what's coming out tomorrow.
• 1:06:56
  SPEAKER_00: So it's gonna be a really good one.
• 1:06:59
  SPEAKER_00: I believe it's a little bit more about fear, if I remember right.
• 1:07:03
  SPEAKER_00: I could be wrong.
• 1:07:04
  SPEAKER_00: But go listen to Diabetes Confessions Part two.
• 1:07:08
  SPEAKER_00: It's out on Tuesday, September 1st.
• 1:07:13
  SPEAKER_00: So if you're finding this later on, which you will, because this episode will be out before after the first, but go look at that episode.
• 1:07:21
  SPEAKER_00: It's it's a good one.
• 1:07:22
  SPEAKER_00: Cool.
• 1:07:23
  SPEAKER_00: Everybody, thank you so much for listening.
• 1:07:25
  SPEAKER_00: As always, please make sure that you're following, liking the page, leave a comment.
• 1:07:28
  SPEAKER_00: If you're on a platform that allows you to leave a comment for this episode, we really hope that you enjoyed this episode.
• 1:07:33
  SPEAKER_00: Let us know how you, if you enjoyed it, what you thought, give us your perspective on you know how you're dealing with your mental health or how you're dealing with fear and and all the things that are going on in your life.
• 1:07:45
  SPEAKER_00: And uh, yeah, I really hope that you're will stay tuned and listen to the previous episodes.
• 1:07:52
  SPEAKER_00: There's a lot of them.
• 1:07:53
  SPEAKER_00: So there's a lot of episodes dive through of me and Graham bickering, talking, and us talking to other people and other guests, and just listening to me talk about stuff that I want to talk about too.
• 1:08:06
  SPEAKER_00: So there's a lot of stuff, a lot of content, a lot of things going on.
• 1:08:09
  SPEAKER_00: So thank you so much, everybody, and we will see you next time.