Latest / The Healthy Diabetic / #377: What Are The Two Most Important Things That Keep Your Blood Sugar Stable?

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#377: What Are The Two Most Important Things That Keep Your Blood Sugar Stable? · The Healthy Diabetic

• 0:14
  SPEAKER_04: Welcome back.
• 0:16
  SPEAKER_04: This is episode number three hundred and seventy-seven of the Healthy Diabetic Podcast.
• 0:22
  SPEAKER_04: I'm Coach Ken.
• 0:23
  SPEAKER_04: If you don't know much about my story, I was diagnosed with type 1 diabetes in the age of 25 in 2007.
• 0:29
  SPEAKER_04: 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 of living with diabetes every single day between your doctor's appointments.
• 0:42
  SPEAKER_04: Today, Graham's with me.
• 0:44
  SPEAKER_04: If you don't know much about Graham or about our stories, we're two type ones with pretty much 50 years of lived diabetes experience.
• 0:52
  SPEAKER_04: And we really hope that this episode and this conversation inspires you to think differently about how you're managing this condition.
• 1:00
  SPEAKER_04: Before we start, as always, please remember that nothing that you hear on this podcast should be considered medical advice or otherwise.
• 1:06
  SPEAKER_04: Please always consult your medical team before making any changes to your diabetes management.
• 1:13
  SPEAKER_04: Okay, here we go.
• 1:14
  SPEAKER_04: Graham, what's up, man?
• 1:15
  SPEAKER_04: How are you?
• 1:16
  SPEAKER_01: How many retakes?
• 1:17
  SPEAKER_01: How many retakes do I do compared to how many retakes you do?
• 1:21
  SPEAKER_04: I don't you don't do any retakes because you don't you don't record.
• 1:25
  SPEAKER_04: You just show up and record, man.
• 1:27
  SPEAKER_04: What are you talking about?
• 1:30
  SPEAKER_04: Yeah.
• 1:32
  SPEAKER_01: I could go on like a long tangent and be like, nah, delete that.
• 1:36
  SPEAKER_04: You should.
• 1:36
  SPEAKER_04: If there's something you feel like should be deleted.
• 1:39
  SPEAKER_01: No, I think it makes me proud.
• 1:41
  SPEAKER_01: I did I I guess I stand behind uh I guess I stand behind everything I say, right?
• 1:47
  SPEAKER_01: What are it's funny that I bring that up.
• 1:50
  SPEAKER_01: What are some what are some non-conventional college lessons you learned?
• 1:57
  SPEAKER_01: Like what are some things that you learned in college that you didn't that you didn't expect to learn?
• 2:03
  SPEAKER_01: Like in college, like growing up, like your your formidable years.
• 2:08
  SPEAKER_01: Like everybody forwards.
• 2:14
  SPEAKER_04: I know what you mean.
• 2:14
  SPEAKER_01: When did you grow up?
• 2:15
  SPEAKER_01: When did you grow up?
• 2:16
  SPEAKER_01: College, high school, like when did you start doing laundry?
• 2:19
  SPEAKER_01: When did you start doing laundry?
• 2:20
  SPEAKER_04: That's starting.
• 2:21
  SPEAKER_04: But are we are we constituting laundry as growing?
• 2:24
  SPEAKER_01: Yes.
• 2:25
  SPEAKER_01: That that's we're gonna go off that.
• 2:27
  SPEAKER_01: We're gonna go.
• 2:29
  SPEAKER_01: Okay.
• 2:29
  SPEAKER_04: Then yes, it was college when I started doing my own laundry.
• 2:31
  SPEAKER_01: Okay, okay, okay.
• 2:33
  SPEAKER_01: So what were I'll go back to my question.
• 2:36
  SPEAKER_01: What were some things that you remember learning like in your college, like in those, in those, in those, in those peak years?
• 2:43
  SPEAKER_01: Was there was there something unique to growing up that you remember learning?
• 2:48
  SPEAKER_03: Not really.
• 2:49
  SPEAKER_04: I just, I mean, the biggest thing was doing everything myself, making my own decisions, having to get myself from place to place without anybody telling me to get up, or anybody telling me to eat, or anybody telling me to go do this or study or whatever it is.
• 3:04
  SPEAKER_04: Just being an independent, functioning human being was the biggest thing.
• 3:10
  SPEAKER_01: I learned that if you don't wash your sheets often enough, that's pretty that's pretty gross habit.
• 3:19
  SPEAKER_04: And is this leading to somewhere?
• 3:22
  SPEAKER_04: What?
• 3:23
  SPEAKER_04: Is this leading to somewhere?
• 3:25
  SPEAKER_01: Yeah, no, no.
• 3:25
  SPEAKER_01: I I'm just thinking I of the question that I asked you, like what was something like you super unique that you know I I didn't appreciate how often you wash your sheets until you until I got to college and I started washing them.
• 3:38
  SPEAKER_04: Okay, so speaking of growing up, you've had diabetes pretty much your whole entire life.
• 3:44
  SPEAKER_04: You got to college, what was the biggest thing that you learned about your diabetes?
• 3:50
  SPEAKER_01: I was trying well, and I was trying to not I was trying to do a little bit before I brought diabetes into it, type of answer, though.
• 3:56
  SPEAKER_01: Like, so it's it's funny you say that.
• 3:59
  SPEAKER_01: So, man, I would say supplies.
• 4:02
  SPEAKER_01: I would say quantity of supplies, right?
• 4:08
  SPEAKER_01: Like, my idea has always been to have a drawer in a house that's just filled with shit.
• 4:13
  SPEAKER_01: Like if you don't have a drawer, if you don't have a diabetes drawer filled with shit, then I guess that's not you're not you're not you're not familiar, you're not familiar with it.
• 4:24
  SPEAKER_04: Well, but someone might have their diabetes stuff organized in a different way outside of just in their drawers.
• 4:30
  SPEAKER_01: And my point being, uh my point being, I don't know what it is.
• 4:33
  SPEAKER_04: I used to have I used to have all my supplies in a box.
• 4:36
  SPEAKER_04: Like the same box they actually came in.
• 4:40
  SPEAKER_04: I understand what you're saying.
• 4:42
  SPEAKER_04: Yes.
• 4:42
  SPEAKER_04: Yeah, yeah.
• 4:42
  SPEAKER_01: The analogy being, the analogy being diabetes is almost like a panic, it's almost like a panic disease where you never know you're gonna need something, so you might as well have everything at all times, right?
• 4:55
  SPEAKER_03: Sure.
• 4:56
  SPEAKER_03: Yes.
• 4:57
  SPEAKER_01: You don't think you don't think so?
• 4:59
  SPEAKER_04: Well, I think it's important to be organized and you know where your stuff is, but at the end of the day, like you you get a whole supply of pump supplies, you get a whole supply of needles, you get a whole supply of CGM supplies, whatever it is, you're gonna know where the heck it is.
• 5:16
  SPEAKER_04: It's not like you're losing that, losing them, not like you have them in five different places, right?
• 5:21
  SPEAKER_04: So it's just I think that the interest I I guess going back to your original question, I think the interesting thing to think about is the importance of organization, the importance of having things organized so you can get to it when you need it.
• 5:37
  SPEAKER_04: Right?
• 5:38
  SPEAKER_04: I can't tell you how many, like and I'll just even say for me, when I was first diagnosed, I didn't have any technology, I didn't have a CGM, I didn't have a pump.
• 5:46
  SPEAKER_04: I had two pens.
• 5:47
  SPEAKER_04: Well, no, I'm sorry, I had one pen, I had a 7030 split pen.
• 5:51
  SPEAKER_04: I would lose that son of a gun all the time.
• 5:54
  SPEAKER_04: All the time.
• 5:55
  SPEAKER_04: I'd be like, where did I put it?
• 5:56
  SPEAKER_04: Where'd I put it?
• 5:56
  SPEAKER_04: Did I put it back in the fridge?
• 5:57
  SPEAKER_04: Did I put it in my bag?
• 5:59
  SPEAKER_04: Did I put it somewhere?
• 6:00
  SPEAKER_04: And then I started getting smart, and I would have all of the ones that I'm not necessarily using right this second in the fridge.
• 6:07
  SPEAKER_04: So there's always one there if you need it.
• 6:10
  SPEAKER_04: Then I would have one on my persons, or I'd have one in a bag, or I'd you you know what I mean?
• 6:16
  SPEAKER_04: So it's like you learn to adapt to your situation.
• 6:21
  SPEAKER_04: So, and and I feel like to your original question, that's what that's what I did in college.
• 6:25
  SPEAKER_04: Like I just I adapted to the situation.
• 6:28
  SPEAKER_01: You've we've we've yet again hit on something that I I've never thought about, but it must be the most diabetic thought ever.
• 6:38
  SPEAKER_01: That you you you struggle and you and you you crawl to get that one vial of insulin, right?
• 6:46
  SPEAKER_01: And then it gets home and you're like, shit, I got literally one vial of insulin that is in my power.
• 6:52
  SPEAKER_01: Like, I cannot drop this, I cannot lose this, I cannot do anything with this thing.
• 6:57
  SPEAKER_04: Like Yeah, I've done that multiple times.
• 6:59
  SPEAKER_04: Like, oh my God, I got I I forgot I gotta make an order, and then you know it's gonna, you know, and you know it's gonna take two or three days to get an order.
• 7:06
  SPEAKER_04: It's like, I don't know if I got two or three days left of insulin.
• 7:09
  SPEAKER_01: Is isn't that the our recently changing endos?
• 7:13
  SPEAKER_01: Maybe some confusion at the pharmacy.
• 7:15
  SPEAKER_01: They send me like one vial of humilog that got mixed up with it's supposed to be pen like 10 pens, right?
• 7:23
  SPEAKER_01: And I end up getting one glass vial of humolog, and I'm like, oh my god.
• 7:28
  SPEAKER_01: So have you ever pulled emergency needles out of just a bunch of insulin and left like insulin?
• 7:36
  SPEAKER_01: Okay.
• 7:37
  SPEAKER_04: No.
• 7:37
  SPEAKER_04: No, because I always had the vial.
• 7:39
  SPEAKER_04: I always had the pen, I always had the vial.
• 7:42
  SPEAKER_01: No, no, no.
• 7:42
  SPEAKER_01: I mean in a vial situation where like I didn't wanna I don't even wanna I don't even wanna I don't even wanna like test the waters of leaving with this vial or maybe it's during the summer and it's hot, so you just pull a bunch of needles of humolog and throw them in the fridge.
• 7:59
  SPEAKER_01: You've never done that?
• 8:01
  SPEAKER_04: You don't understand you don't understand what I'm asking?
• 8:03
  SPEAKER_04: I understand what you're asking.
• 8:04
  SPEAKER_04: You're having like if you have one vial left and it's at towards the end of it, right?
• 8:09
  SPEAKER_04: And you gotta take that vial with you to go to some place and it's gonna be hot out.
• 8:13
  SPEAKER_04: Maybe the vial, because it's at the end of its lifespan anyway, because it's the end of the vial, it might overheat, it might do well, and then you won't even have any insulin anymore.
• 8:22
  SPEAKER_04: I completely understand what you're saying.
• 8:24
  SPEAKER_04: I've just personally never been in that situation where I needed to do that.
• 8:28
  SPEAKER_04: And and because I've had diabetes for so long, I'm never in a situation anymore, cross my fingers, where I don't have fast-acting insulin.
• 8:39
  SPEAKER_04: I I mean I always have fast acting insulin.
• 8:42
  SPEAKER_04: By the time I'm halfway done with the last pen, I'm ordering more and I'm getting more.
• 8:47
  SPEAKER_04: Which is see what happens with the tracebo with me losing in losing my insurance.
• 8:51
  SPEAKER_04: So I'm trying to get traceba like to in a different way.
• 8:56
  SPEAKER_04: And I'm on the very last part of the traceba, and it's gonna probably take two or three, at least four weeks with like getting it approved.
• 9:04
  SPEAKER_04: I still haven't gotten it approved through Nova Nordist, getting it approved, like paying for it, and then an action to him sending it to me.
• 9:12
  SPEAKER_04: So I could find myself in the next couple weeks where I don't even have any basil, which also means that I'm going to have to change my I'm gonna have to change my evening dinner plans so I'm not can getting a bunch of carbohydrates at night so can still stay stable at night when I'm sleeping.
• 9:32
  SPEAKER_01: Hold on a second.
• 9:33
  SPEAKER_01: Are you saying you're gonna you might end up rationing rationing some insulin while you have I'm rationing tris I'm rationing Tresceba right now.
• 9:41
  SPEAKER_04: So I'm only thinking No, because I lost my insurance.
• 9:45
  SPEAKER_04: I don't have insurance right now.
• 9:47
  SPEAKER_04: My insurance dropped me.
• 9:50
  SPEAKER_04: So which is a whole nother story, but so I don't have insurance right now.
• 9:54
  SPEAKER_01: Pre-existing condition, boy.
• 9:56
  SPEAKER_04: No, that's not it.
• 9:57
  SPEAKER_04: It was probably my fault.
• 9:58
  SPEAKER_04: But anyways, so because I don't have insurance, going to the pharmacy and getting Tresba like always is gonna cost me twelve, fifteen hundred bucks for the amount of insulin I always get, which is I think 90 days.
• 10:11
  SPEAKER_04: So now I have to look at well, how much is one pen to get me through, and maybe I might just I might have to pocket out a couple hundred bucks for one pen.
• 10:19
  SPEAKER_01: 12 to 1500 for four vials.
• 10:23
  SPEAKER_04: I don't get vials, I get the pens.
• 10:25
  SPEAKER_04: It's it's about I I would say it's probably twelve to fifteen hundred, maybe more, for a ninety-day supply.
• 10:33
  SPEAKER_04: I don't I honestly don't know what the price is because I haven't looked.
• 10:36
  SPEAKER_01: But I only looked at the price of is that is 90-day supply four pens for you?
• 10:42
  SPEAKER_03: No.
• 10:42
  SPEAKER_03: Well, no, it's three.
• 10:44
  SPEAKER_03: Three pens.
• 10:45
  SPEAKER_01: Well, I think I read recently the price of uh one bottle or one pen is about three.
• 10:50
  SPEAKER_01: It's about it's in between three and four three to five.
• 10:52
  SPEAKER_04: Depends on where you are.
• 10:53
  SPEAKER_04: It depends on what state you're in.
• 10:55
  SPEAKER_04: It depends on what state you're in.
• 10:57
  SPEAKER_02: Really?
• 10:58
  SPEAKER_04: Yeah.
• 10:59
  SPEAKER_04: I just went to the pharmacy and got my fast acting Lemjev, and I had to pay I had ended up having a discount code, but I still had to pay$162 for 30 days.
• 11:13
  SPEAKER_04: $162 for 30 days.
• 11:15
  SPEAKER_04: It's ridiculous.
• 11:16
  SPEAKER_04: And I asked him how much it would have been if I had to pay full price and it was gonna be fifteen hundred dollars for thirty days.
• 11:22
  SPEAKER_04: Or maybe it might have been a little bit less than that.
• 11:25
  SPEAKER_01: It's somewhat ironic that I started with the question that I did like because I think I think the system I mean in my opinion, I think the system was doing its job and I was like you know, you're you that the way you like you're s you stand your parents' insurance and say you're 26 or this and that because when I was in college when I was in college, this wasn't a con you know, I was I was able to focus on being in college and being at the at the university and like I was certainly coming, I mean, I would come home for appointments, but that was an hour and a half, two hour drive.
• 12:04
  SPEAKER_04: So I mean I I even even at a small school, the small school that I went to, if I had an issue, I could go down to the nurses, like the nurse's office or whatever, the the nurse's building, the medical building, and they had sample vials of insulin that they would give me if for some reason I ran out.
• 12:25
  SPEAKER_04: But it was I remember it being a pain in the butt, like having to make sure I order, if I'm home, order some, make sure I have enough for you know the next three to six months, and that was a pain in the butt.
• 12:39
  SPEAKER_04: So yeah, it was a big pain to try to navigate the distance from where you typically get your get your prescription because even back then when I was in college, like you had to get your prescription at one specific pharmacy.
• 12:54
  SPEAKER_04: Now my pharmacy, Walgreens, like literally, I can go anywhere in the country.
• 12:58
  SPEAKER_04: I could be in California, I live in Ohio, I could be in California, I could literally go to the nearest pharmacy, ordered in the app, and have it within the next 24 hours.
• 13:09
  SPEAKER_04: So that didn't used to be a thing.
• 13:12
  SPEAKER_02: Yeah.
• 13:13
  SPEAKER_04: So yeah.
• 13:14
  SPEAKER_04: But yeah, it's an interesting thing.
• 13:17
  SPEAKER_04: But now that we're talking about insulin, I want I had a I had something that I wanted to ask you.
• 13:21
  SPEAKER_04: What's on what's on the Yeah, I wanted to ask you this.
• 13:27
  SPEAKER_04: There's there's a lot of things that are out there, I will say, with you know, what do you actually have to do to have stable blood sugars, right?
• 13:38
  SPEAKER_04: There's so many things that people do, people don't do, everyone's got their own management system, everyone uses different technology, everyone uses different types of insulin, everyone uses all of that stuff interchangeably together, like I do.
• 13:54
  SPEAKER_04: I use basically three different insulins.
• 13:57
  SPEAKER_04: But if you could pick two, if you could pick two things, two things that you feel are the most important for you, and how you are able to keep your blood sugar stable.
• 14:12
  SPEAKER_04: Remember, stable means not ups and downs, up and down, up and down, not having to correct all the time, not having a bunch of lows, stable.
• 14:21
  SPEAKER_04: What are the two things that you think are the most important to you to keep your blood sugar stable?
• 14:28
  SPEAKER_01: Do you have I always have to have a just to make sure I understand what you're being saying?
• 14:33
  SPEAKER_01: Do you did this come did this come from somewhere where they have a list of things or No.
• 14:39
  SPEAKER_04: This came out of my this this one, this question actually came out of my own brain.
• 14:44
  SPEAKER_04: Truly open-ended?
• 14:46
  SPEAKER_04: Truly open-ended because I've I mean everyone knows I'm a big component of stability.
• 14:52
  SPEAKER_04: And with stability, you have to do all the things.
• 14:55
  SPEAKER_04: You have to follow all five pillars.
• 14:57
  SPEAKER_04: Right?
• 14:58
  SPEAKER_04: You have to be in alignment with all five pillars to have true stability because true stability is not just blood sugars, but it's also a mental thing for you as well.
• 15:09
  SPEAKER_04: Not dealing with a bunch of emotions, not having diabetes fatigue, not being in diabetes burnout, like understanding food, understanding all of it, right?
• 15:17
  SPEAKER_04: And we all have different things that we do on to to get to that point where we have stability.
• 15:25
  SPEAKER_04: Whether it's you only have stability for 24 hours, or whether it's you always have stability.
• 15:30
  SPEAKER_02: Yeah.
• 15:31
  SPEAKER_04: I would say I don't always have stability, but I would say I have stability 80% of the time.
• 15:38
  SPEAKER_04: When you look at my CGM graph, and we're not, and when we say stability, we're not saying that your time and range is my time and range is 80% all the time.
• 15:46
  SPEAKER_04: So there's again, there's so many things that we have in our toolbox to use to help with blood sugar stability.
• 15:56
  SPEAKER_04: So for me, I think there's one thing that should be in your toolbox that you pull from that should be one of the two most important to you.
• 16:05
  SPEAKER_01: So then let me Yeah, I want to hear you.
• 16:08
  SPEAKER_04: I want to hear you, and then I'll tell you what I think it is with you.
• 16:10
  SPEAKER_01: Let me entertain you, and you entertain me.
• 16:13
  SPEAKER_04: Yeah.
• 16:13
  SPEAKER_01: As you asked that, I I said I'm gonna force myself to give a different answer.
• 16:18
  SPEAKER_01: Something that we don't say often, but something that's genuine and sincere, uh, and that's new, and you'll like this.
• 16:26
  SPEAKER_01: I thought about this.
• 16:28
  SPEAKER_01: Trial and error.
• 16:29
  SPEAKER_04: Okay.
• 16:30
  SPEAKER_04: So one of yours is trial and error.
• 16:32
  SPEAKER_01: 100%, bro.
• 16:33
  SPEAKER_01: Like something that's something that we will talk about.
• 16:35
  SPEAKER_01: And I was actually, as I love I love talking with you because I actually write them down.
• 16:40
  SPEAKER_01: I'll just write T and E.
• 16:41
  SPEAKER_01: I'll write T and E as I talk about it.
• 16:43
  SPEAKER_04: Yeah, trial and error.
• 16:44
  SPEAKER_04: I love that.
• 16:44
  SPEAKER_01: You know, it's funny, it happened today.
• 16:46
  SPEAKER_01: I was at the dentist, and as I was in the waiting room, I test my blood sugar and I was like, I came from the gym and I was like 2 30, right?
• 16:55
  SPEAKER_01: My blood sugar, and I was like, that that's off from the morning.
• 16:59
  SPEAKER_01: I'll take a correction.
• 17:00
  SPEAKER_01: So I took two units, right?
• 17:02
  SPEAKER_01: An hour and a half later, I'm still at the dentist, I'm in the chair getting that scratchy ass racket on your teeth.
• 17:09
  SPEAKER_01: Everybody knows that that thing that gives you chills down your body.
• 17:14
  SPEAKER_01: That you know, you know what I'm saying?
• 17:16
  SPEAKER_01: That that your lower teeth, the inside of your lower teeth, and they start scratching.
• 17:22
  SPEAKER_01: And uh I'm like, oh man, I'm low.
• 17:24
  SPEAKER_01: Like I'm I'm I'm low.
• 17:25
  SPEAKER_01: Like that hit me.
• 17:26
  SPEAKER_01: That that that correction hit me.
• 17:30
  SPEAKER_01: So I kind of like let them do their thing.
• 17:32
  SPEAKER_01: I'm not gonna lie, it was somewhat of a long appointment.
• 17:35
  SPEAKER_01: But I was like, I kind of made it up, like, all right, cool, got like I gotta get the F out of here.
• 17:39
  SPEAKER_01: Like, if you know, if we can kind of wrap, you know, wrap this thing up, go out to my car, test my blood sugar again.
• 17:46
  SPEAKER_01: I'm I'm 267.
• 17:49
  SPEAKER_03: So you weren't low.
• 17:51
  SPEAKER_01: Hold on.
• 17:52
  SPEAKER_01: But I, you know, doctors work me up, being in a doctor's office, going to the dentist, the emotion.
• 17:58
  SPEAKER_01: So that's a perfect example of like the trial and errors.
• 18:01
  SPEAKER_01: Like in that moment, I did say there's a damn good chance, considering I went to the gym, took a correction, and it's been almost two hours since that correction.
• 18:13
  SPEAKER_01: I was like, there's a 95% chance my blood sugar is low.
• 18:18
  SPEAKER_01: I was wrong.
• 18:19
  SPEAKER_01: I was wrong because it was a trial and error moment, right?
• 18:22
  SPEAKER_02: Of like uh again, I'm not big on doctors.
• 18:28
  SPEAKER_01: Nobody likes going to the dentist, and uh you put that in the back of your head.
• 18:33
  SPEAKER_01: That's like a big it's like a big thing with diabetes, right?
• 18:37
  SPEAKER_01: It's like you put that lesson in the back of your head, but the other the other thing I always think is trust and verify, right?
• 18:44
  SPEAKER_01: I'll even I'll put that as my second, even okay.
• 18:49
  SPEAKER_04: I didn't think that would be your second, okay.
• 18:51
  SPEAKER_04: But yeah, I get it.
• 18:52
  SPEAKER_01: T and E, T and E, and then T and V, right?
• 18:56
  SPEAKER_01: Trust and verify.
• 18:57
  SPEAKER_01: Like Trust and verify, and then what was the first one?
• 19:00
  SPEAKER_01: I said the first is the first is T and E.
• 19:04
  SPEAKER_01: Trial and error.
• 19:05
  SPEAKER_01: Trial and error.
• 19:05
  SPEAKER_04: Trial and error.
• 19:06
  SPEAKER_04: There you go.
• 19:06
  SPEAKER_04: Trial and error.
• 19:07
  SPEAKER_04: Cool.
• 19:08
  SPEAKER_01: Second is trust and verify.
• 19:10
  SPEAKER_04: So I did not think that you would say there's one, there's one that's missing.
• 19:15
  SPEAKER_04: Yeah, go ahead, go ahead, go ahead, go ahead.
• 19:16
  SPEAKER_01: At the end of the day, at the end of the day, if it came down to it and you had nothing else on you, you gotta trust your gut.
• 19:22
  SPEAKER_01: You gotta like, you really gotta feel yourself out.
• 19:26
  SPEAKER_01: You gotta you have to believe in yourself.
• 19:28
  SPEAKER_01: So as I said today, there was a 95% chance I was low.
• 19:34
  SPEAKER_01: But I verified it because of that one factor I had forgotten about being at the doctor, being, you know, all like you know, it was probably away it was probably a a wave of emotion that I didn't I was sub, you know, that was emotional.
• 19:50
  SPEAKER_02: So yeah.
• 19:52
  SPEAKER_01: There's one that those were shockingly easy to come up with, but go ahead, go ahead.
• 19:56
  SPEAKER_04: I know you want to So there there was one that I would have thought that would have been your top in your top two.
• 20:02
  SPEAKER_04: Okay.
• 20:03
  SPEAKER_04: That's exercise.
• 20:05
  SPEAKER_01: But but I already said in the beginning I didn't want to say something like that because what's it?
• 20:09
  SPEAKER_04: Well, but that that's important for your stability.
• 20:12
  SPEAKER_04: That's always how you keep your that's how you keep your blood sugar stable.
• 20:16
  SPEAKER_04: That is one specific tool that you rely on to to boost your insulin sensitivity in the mornings when you run or when you do whatever, that dramatically helps your blood sugar stability.
• 20:30
  SPEAKER_01: I think that's more of like a that's like a given.
• 20:33
  SPEAKER_01: Like the exercise is a given.
• 20:34
  SPEAKER_04: Like that's not we didn't say given, we said what are the two most important things.
• 20:38
  SPEAKER_01: But it and that's what I'm saying.
• 20:40
  SPEAKER_04: I'm not saying the two things that you said weren't great, because they are.
• 20:43
  SPEAKER_04: They're amazing.
• 20:43
  SPEAKER_04: I just in my head, when I was like thinking, what's Graham gonna say?
• 20:47
  SPEAKER_04: What do I think Graham's gonna say?
• 20:49
  SPEAKER_02: Yeah.
• 20:49
  SPEAKER_04: Because the initial question is not we're not looking at the givens, at the things that we know we should do.
• 20:56
  SPEAKER_04: I mean, we know you know that you should trust your decisions or trust in yourself and believe in yourself.
• 21:02
  SPEAKER_04: Right?
• 21:02
  SPEAKER_04: We know everyone knows that, but doing that is comp it is two completely different things.
• 21:08
  SPEAKER_04: Everyone knows that you should go exercise every single day, or you should move every single day.
• 21:14
  SPEAKER_04: If someone's been listening to this show for a long time, you've heard they that person's heard more than once that exercise dramatically increase increases insulin sensitivity.
• 21:29
  SPEAKER_04: And the reason I said that for you is because that's something that you use as a tool.
• 21:35
  SPEAKER_04: It's not just something that you do for for you do it for fun 100%, but you also do it because it dramatically increases your insulin sensitivity.
• 21:46
  SPEAKER_04: And which and what I would also argue for you, Graham, is it's also one of the reasons why your insulin to carb ratio is so low.
• 21:56
  SPEAKER_04: Because you have a short eating window, but Then also you have this incredible boost in insulin sensitivity every day because you I mean, what I know of you, you hardly ever miss exercise.
• 22:10
  SPEAKER_04: Maybe you've we've gone on rec you've gone on record by stating before, like it's something that you have to do every single day.
• 22:17
  SPEAKER_04: Right?
• 22:18
  SPEAKER_04: And that that's what that's where my head was with it.
• 22:20
  SPEAKER_04: I think what you what you named off is perfect.
• 22:23
  SPEAKER_04: It's freaking perfect.
• 22:25
  SPEAKER_04: I just thought I figured that exercise would have been one of the number ones or one of the top two.
• 22:31
  SPEAKER_01: Like I said, as I said in the beginning, that was the easy answer, and I wanted it to be.
• 22:35
  SPEAKER_04: But it's okay if it's an easy answer.
• 22:37
  SPEAKER_04: People are gonna my two, people are gonna be like, oh, Ken says it all the time.
• 22:40
  SPEAKER_04: But it's the most important to me, what I think.
• 22:43
  SPEAKER_04: Go for it.
• 22:45
  SPEAKER_04: The first one, 100%, is trust.
• 22:49
  SPEAKER_04: And and when I say trust, I think trust is a little bit deeper than what Graham is.
• 22:56
  SPEAKER_01: Hey, ask your question again.
• 22:57
  SPEAKER_04: What are we what are we asking what are the question is what's the two most important things that you do to keep your blood sugar stable?
• 23:09
  SPEAKER_04: Like if you do these two things, you're on your way of having blood sugar stability.
• 23:16
  SPEAKER_04: You know, you you do these two things on a consistent basis.
• 23:19
  SPEAKER_04: Your blood sugars are pretty stable.
• 23:21
  SPEAKER_04: So outside of like variables that maybe we can't control.
• 23:25
  SPEAKER_01: So your first answer, your first answer is a version of what I said, though.
• 23:29
  SPEAKER_04: It's a version of what you said, but I'm gonna go it's a little bit deeper, right?
• 23:32
  SPEAKER_04: So what you what you mentioned is belief in yourself, which is great.
• 23:37
  SPEAKER_04: You need to have belief in yourself.
• 23:39
  SPEAKER_04: I want to go a step, I go a step further.
• 23:41
  SPEAKER_04: For me, it's trusting the decision.
• 23:45
  SPEAKER_04: Wholeheartedly, 100%, regardless of the outcome.
• 23:52
  SPEAKER_04: And what do I mean by regards to the outcome?
• 23:55
  SPEAKER_04: Here's the example.
• 23:56
  SPEAKER_04: I I use this example a lot.
• 23:59
  SPEAKER_04: I had pizza the other night.
• 24:00
  SPEAKER_04: I took eight units of insulin and only had three pieces.
• 24:04
  SPEAKER_04: At one o'clock, I was 245, and I started at 110 because I did not account for the protein and fat that I should have I should have set a timer like I always do when I eat pizza and took a second and maybe third dose.
• 24:20
  SPEAKER_04: But I didn't.
• 24:21
  SPEAKER_04: I went right to bed.
• 24:23
  SPEAKER_04: And I woke up at 1 o'clock, 1.30-ish, somewhere around there at 245, and I had to deal with that.
• 24:29
  SPEAKER_04: I still trust my decision, even though I knew I should have done it differently, but the trust that you have in your decision doesn't mean that when it doesn't work out, now you're pissed off about it.
• 24:42
  SPEAKER_04: I literally just woke up and was like, dang, all right, let me deal with this.
• 24:47
  SPEAKER_04: I should have done X, Y, and D Z different.
• 24:50
  SPEAKER_04: That's what true trusting your decisions means.
• 24:55
  SPEAKER_04: So many people don't understand that.
• 24:57
  SPEAKER_04: They tell me all the time, yeah, yeah, I trust my decisions.
• 24:59
  SPEAKER_04: I make a decision and I do it.
• 25:01
  SPEAKER_04: I'm like, but then they're pissed off when it doesn't work.
• 25:04
  SPEAKER_04: Or then they don't understand why it doesn't, why it didn't work and it worked yesterday.
• 25:08
  SPEAKER_04: It's like, well, that's diabetes.
• 25:10
  SPEAKER_04: The difference is is like how you respond to that decision.
• 25:14
  SPEAKER_04: That's the most important piece to this.
• 25:16
  SPEAKER_01: Just to play devil's advocate, how often are you getting it wrong where you have to be like Yeah.
• 25:22
  SPEAKER_04: So if I made five decisions, I probably get it wrong two, one to two of those times?
• 25:28
  SPEAKER_01: So you mean like so every five days you're gonna be like, oh, I should I I can't be doing what I need.
• 25:32
  SPEAKER_04: Not five days, five decisions.
• 25:34
  SPEAKER_04: It's not a day.
• 25:35
  SPEAKER_04: It's a decision, right?
• 25:37
  SPEAKER_04: Because you can make tons of decisions every single day.
• 25:40
  SPEAKER_04: So if I made 40 decisions, what is that?
• 25:45
  SPEAKER_04: I don't even know what the math is on that.
• 25:47
  SPEAKER_04: I probably missed 10, maybe 12, maybe maybe 10 of them.
• 25:52
  SPEAKER_02: Eight times five is 40.
• 25:53
  SPEAKER_04: Yeah.
• 25:54
  SPEAKER_04: Probably eight to ten of them.
• 25:56
  SPEAKER_04: I might I might miss.
• 25:58
  SPEAKER_04: For whatever reason.
• 26:00
  SPEAKER_04: Right?
• 26:00
  SPEAKER_04: So but I never look back.
• 26:03
  SPEAKER_04: I literally make the decision and I walk away and I go about my life.
• 26:06
  SPEAKER_04: That's what people, that's what people are missing.
• 26:11
  SPEAKER_04: They're questioning decision, questioning it, questioning it, questioning it, questioning it, questioning it.
• 26:15
  SPEAKER_04: I gotta check my phone in the next 20 minutes, make sure it's actually working, I gotta do this, I gotta do no.
• 26:22
  SPEAKER_04: Like put boundaries around your life.
• 26:24
  SPEAKER_04: If you're still learning how to dose for that specific food, okay, that's a different okay, okay.
• 26:29
  SPEAKER_04: If it's something that you constantly always eat and you've nailed it before, and you know exactly how to nail it, take your dose and walk away.
• 26:39
  SPEAKER_04: That's what I mean by trust.
• 26:41
  SPEAKER_04: It goes a little bit deeper.
• 26:43
  SPEAKER_01: But I guess that's like that's like an easier said than done because I just gave it away.
• 26:47
  SPEAKER_04: 100%.
• 26:48
  SPEAKER_04: It is 100% easier said than done.
• 26:50
  SPEAKER_01: I gave my example of like, well, I went to the gym, now I'm at the doctor's office.
• 26:56
  SPEAKER_01: I took a correction only being at 2 30.
• 27:00
  SPEAKER_01: I'm like, of course I'm low.
• 27:02
  SPEAKER_01: You know, like as I keep saying, I there's a 95% chance that I was low, you know.
• 27:08
  SPEAKER_04: And but you didn't distrust that situation and was like had all this anxiety about it.
• 27:13
  SPEAKER_01: Uh no.
• 27:14
  SPEAKER_01: I I I no, you're wrong.
• 27:17
  SPEAKER_01: You you just made a comment where like you're so flustered by the one thing.
• 27:22
  SPEAKER_01: Like there would you have not gotten me to break anything in my life until I tested my blood sugar and verified where I was, but like I was one track mind because I'm like, everything I'm doing is worse because I feel bad because I'm low.
• 27:37
  SPEAKER_01: Now keep in mind if you're following what I'm saying, I'm not low.
• 27:40
  SPEAKER_01: I'm just convinced myself in my head that I'm low.
• 27:43
  SPEAKER_01: Everything is everything now is shitty.
• 27:46
  SPEAKER_01: I can't drive.
• 27:47
  SPEAKER_01: I can't, uh, I can't like I gotta rush home to get on a call with Ken.
• 27:52
  SPEAKER_01: Like, I all of that is now delayed because I'm low.
• 27:55
  SPEAKER_01: But I will verify that, you know, I, as I said, like trust and verify.
• 28:01
  SPEAKER_04: Yeah, but that's when the the that's different than what I'm saying.
• 28:06
  SPEAKER_04: That's that's completely different what I'm saying because you don't you're you're not trusting what's actually happening in the moment because of a feeling, because you have a specific feeling.
• 28:16
  SPEAKER_04: I'm talking about dosing for something and not not having anxiety about that decision for the next two hours because you're not 100% sure how it's gonna end up.
• 28:26
  SPEAKER_04: There's no low feelings, there's no high feelings, there's just lots of anxiety.
• 28:30
  SPEAKER_04: Or the person on the flip side, and and my heart, if you're if they're this person, my heart goes out to you and please connect with me because I can help you.
• 28:40
  SPEAKER_04: The this person, like, just really it it really gets me to my core because I used to be this person too.
• 28:48
  SPEAKER_04: So, or you're the person who has so much fear of lows that you don't even take enough insulin.
• 28:55
  SPEAKER_04: Right?
• 28:55
  SPEAKER_04: You're so afraid of the symptom, or you're you're so afraid of the feeling and the symptoms of low that you might need four units, but you take two.
• 29:06
  SPEAKER_04: You might need eight units, but you only take five.
• 29:08
  SPEAKER_04: And you know and you and you know because of the math that it's not enough.
• 29:13
  SPEAKER_04: And then you have all this, then you've you've given yourself all this anxiety because you're going high.
• 29:20
  SPEAKER_04: And not only do you have to combat the the blood sugar spike for the insulin that you didn't take, you also have to now combat the number that you're rising to and the insulin resistance you might have, or whatever it might be.
• 29:37
  SPEAKER_04: So it it's it's a hard pill to swallow.
• 29:41
  SPEAKER_04: So that's what I mean by trust.
• 29:43
  SPEAKER_04: Trusting in yourself and trusting in how much you're actually going to give yourself, even if you're not 100% sure.
• 29:51
  SPEAKER_04: If you're not 100% sure, then it's like, okay, maybe then you need to be a little bit more on the what's the word?
• 29:58
  SPEAKER_04: Maybe then you need to be more on like focused on checking your phone or testing your blood sugar or whatever it is, because you're just not 100% sure what's gonna happen.
• 30:09
  SPEAKER_01: Well, how do you feel about completely removing yourself from situations if you can never be 100% sure?
• 30:16
  SPEAKER_04: Well, you're not ever gonna you might not ever be 100% sure.
• 30:19
  SPEAKER_04: It's not about being 100% sure, it's about the belief and the trust in yourself.
• 30:24
  SPEAKER_01: Let me let me give you an example.
• 30:26
  SPEAKER_01: What if what if every every Friday night it's girls' night and your entire weekend is thrown off because you go out on Friday night, girls' night, and you just cannot get yourself back.
• 30:36
  SPEAKER_01: You spend all weekend recover, not like recovering in terms of if you were drinking or whatever, but just the you know, you went out to eat, and it was the entire week and was again consumed by pulling yourself back.
• 30:51
  SPEAKER_01: But you you, you know, months after months after months go by, and you're like, the one factor I know is unfortunately the thing that I love the most is being social with my girlfriends, but it's affecting my diabetes in such a bad way.
• 31:05
  SPEAKER_01: You know, like so here's the answer to that.
• 31:09
  SPEAKER_04: That specific person doesn't have the right plan for them.
• 31:13
  SPEAKER_04: They don't have the right strategic plan of how to get through that evening.
• 31:18
  SPEAKER_04: And if for some reason it doesn't go the way you want, like I let's say you wake up the next morning and you're 250, 300, you're high.
• 31:27
  SPEAKER_04: How do you deal with that for the next day?
• 31:29
  SPEAKER_04: Because it shouldn't take you two and a half days to take care of all that stuff.
• 31:33
  SPEAKER_04: Right?
• 31:34
  SPEAKER_04: You see what I'm saying though?
• 31:35
  SPEAKER_04: Like, so we're we're I get what you're saying, Graham.
• 31:38
  SPEAKER_04: You know, I get what you're saying, and what you're saying has relevance because that's how people it's real life.
• 31:46
  SPEAKER_01: It's happened to me 22 when you're a 22-year-old brother.
• 31:48
  SPEAKER_04: It's happened to me before.
• 31:50
  SPEAKER_04: 100%.
• 31:52
  SPEAKER_04: But the difference is is like it happens, that type of stuff happens.
• 31:56
  SPEAKER_04: The anxiety sets in because of a fear thing.
• 32:00
  SPEAKER_04: Whatever that fear thing is, a fear of lows, a fear of like, hey, if I correct for this and I take too much, I'm gonna go low.
• 32:09
  SPEAKER_04: Like it there's a lot of things mentally that are driving that decision.
• 32:16
  SPEAKER_04: And all my my only point with this whole trust thing is like if you're not making decisions and you're and you're not trusting in the the driving force behind that decision isn't based off of, yeah, I trust this, I've done this before.
• 32:32
  SPEAKER_04: Again, it might not work out the way it does, but or it's supposed to, but I still gotta trust in myself to make the decision.
• 32:39
  SPEAKER_04: Because as soon as you don't, as soon as you stop distrusting yourself and making that decision, what's gonna happen?
• 32:46
  SPEAKER_04: Now the fear comes in.
• 32:47
  SPEAKER_04: Now, well, this is probably too much, this is too, this is not enough.
• 32:52
  SPEAKER_04: I gotta take more, I gotta take less.
• 32:54
  SPEAKER_04: Maybe I should take a little bit and go for a walk, which is which might be the right strategy for you.
• 33:00
  SPEAKER_04: Right?
• 33:00
  SPEAKER_04: So as soon as you start introducing distrust, and distrust is a driving force in you making diabetes decisions or even decisions in life, now anxiety comes in, now fear comes in, and now you're now you're screwed.
• 33:14
  SPEAKER_04: Now making that decision the next time becomes harder, and the next time it becomes harder, and then the next time it becomes harder.
• 33:21
  SPEAKER_04: That's it.
• 33:22
  SPEAKER_04: Trust is a huge component.
• 33:24
  SPEAKER_04: You're not going to trust yourself 100%.
• 33:26
  SPEAKER_04: That's not what we're saying.
• 33:28
  SPEAKER_04: What we're saying is being able to make a decision and not have tons and tons and tons of anxiety behind the result or outcome of that decision, however long you get to that, right?
• 33:41
  SPEAKER_04: Two, three hours, whatever it is.
• 33:43
  SPEAKER_04: That's what I mean by trusting the decisions.
• 33:48
  SPEAKER_02: Yeah?
• 33:49
  SPEAKER_01: Sometimes I I laugh that I look at diabetes as like uh like the final, like the final means where you look at diabetes as like the beginning.
• 34:02
  SPEAKER_01: What do you mean?
• 34:04
  SPEAKER_03: That doesn't make sense to me.
• 34:05
  SPEAKER_01: I look at diabetes as a band-aid after the cut has happened, where you kind of look at diabetes as like as the cut's starting to to to bleed, like, how do we how do we cut it off?
• 34:17
  SPEAKER_01: Like, and it's a very interesting take, you know.
• 34:21
  SPEAKER_01: Um a perfect example is pre-bolishing versus me eating at the end of the meal.
• 34:26
  SPEAKER_01: You know, I I let I let things happen and then I react to them, as opposed to you are very preemptive.
• 34:34
  SPEAKER_01: Because preemptive works for me.
• 34:36
  SPEAKER_04: Reacting doesn't work for me.
• 34:38
  SPEAKER_04: Sure.
• 34:39
  SPEAKER_04: And again, right, you you're talking about two specific management styles, right?
• 34:44
  SPEAKER_04: So everyone that's listening, Grant will give you some context because I think this is important context.
• 34:49
  SPEAKER_04: Graham sometimes makes his decisions in a reactive manner.
• 34:54
  SPEAKER_02: Always does.
• 34:55
  SPEAKER_04: Because because of the way he lives his life and because of the way he's chosen to build a management style that works for him, but that works for him.
• 35:03
  SPEAKER_04: If I just reacted to everything, I would constantly be chasing the roller coaster.
• 35:08
  SPEAKER_02: Yeah.
• 35:08
  SPEAKER_04: All the freaking time.
• 35:10
  SPEAKER_02: Yeah.
• 35:11
  SPEAKER_04: So reacting for me doesn't work.
• 35:13
  SPEAKER_02: Yeah.
• 35:14
  SPEAKER_04: And I will argue I have not met many people, and I've talked to a lot of diabetics, type one diabetics in in the world, through the podcasts, through message, like through everything that I do.
• 35:28
  SPEAKER_04: There's not a lot of diabetics that live their life in a reactive manner like Graham, and it works.
• 35:36
  SPEAKER_04: There's a lot of people that live that way, but not a lot of people that live like that, and it works for them.
• 35:42
  SPEAKER_04: Right?
• 35:42
  SPEAKER_04: So Graham's a unique individual like that.
• 35:46
  SPEAKER_04: And I would say sometimes for Graham it doesn't work either, but a lot of times it does.
• 35:50
  SPEAKER_04: So it it's it's it's just that that that distinction is important.
• 35:56
  SPEAKER_04: That we're not all the same, and you have to figure out what works for you.
• 35:59
  SPEAKER_04: And I really truly believe that.
• 36:00
  SPEAKER_04: Once you can figure that out, again, we're not talking perfection.
• 36:05
  SPEAKER_04: We're not talking 100% of the time.
• 36:07
  SPEAKER_04: We're talking 70, 80% of the time, preferably close to 80.
• 36:11
  unknown: I do.
• 36:11
  SPEAKER_04: That's what we want.
• 36:12
  SPEAKER_04: That's blood sugar stability.
• 36:14
  SPEAKER_01: I laugh.
• 36:14
  SPEAKER_01: Like uh I always we say, like, what's a like what's a good what's a good way to bring in a non-diabetic and like kind of maybe say something to them that's like uh like an analogy for diabetes or how you take care of it?
• 36:28
  SPEAKER_01: And I always think how how massive a difference there is between like two units and three units when it comes to a correction.
• 36:38
  SPEAKER_01: And I learned that lesson all the fucking time where I'm like, bro, why would you do three units when like you knew three you knew you knew by your internal math three was gonna put you at like a high 70, like mid-60, when two units would have been putting you at like, you know, 120, 130.
• 37:00
  SPEAKER_01: And I make the joke where maybe if somebody was listening to you, they'd be like, okay, like it makes a little bit of sense where you truly are manipulating, you truly are you you truly are supplementing what your body is doing, and it comes down to that small thing, but you've been there, but I've been there a thousand times.
• 37:20
  SPEAKER_01: I'm like, why the fuck do you do three versus two, bro?
• 37:23
  SPEAKER_01: Like, you know.
• 37:24
  SPEAKER_04: Because that's what the math calls for.
• 37:27
  SPEAKER_04: That's what the situation calls for.
• 37:30
  SPEAKER_04: The situation doesn't call for two.
• 37:32
  SPEAKER_04: The situation calls for three.
• 37:34
  SPEAKER_04: Heck, the situation might even call if we want to be super precise, which is why pumps are good.
• 37:39
  SPEAKER_04: The situation might call for 2.75.
• 37:43
  unknown: Yeah.
• 37:44
  SPEAKER_04: Or 3.25.
• 37:46
  SPEAKER_04: Because both of us on MDI, we can't take, we can't be that precise with our dosing.
• 37:50
  SPEAKER_04: So we have to choose either two or three.
• 37:52
  SPEAKER_04: So for me, I know I'm trying to get back to 100.
• 37:57
  SPEAKER_04: I want to be at 130.
• 37:58
  SPEAKER_04: I don't want to be at 120.
• 38:00
  SPEAKER_04: I want to be at 100.
• 38:02
  SPEAKER_04: So if two is going to take me to 130, 140, and four is going to take me to 80, 90, 100, I'm or I'm sorry, three, I'm going three all day long.
• 38:14
  SPEAKER_04: Because I also trust in my ability to treat a low.
• 38:18
  SPEAKER_04: If I if I go a little bit low because three might be too much, right?
• 38:24
  SPEAKER_04: Like I'm more insulin sensitive, so maybe I needed two because I'm more insulin sensitive.
• 38:30
  SPEAKER_04: Or heck, I might have needed four because I was I'm more insulin resistant.
• 38:34
  SPEAKER_04: You don't, I mean, this this is the guessing game and the art of that of managing diabetes.
• 38:40
  SPEAKER_04: And a lot of people hate that.
• 38:42
  SPEAKER_04: I love it.
• 38:44
  SPEAKER_04: Maybe it's because I I maybe I love it because of how my brain works and because what I do for a living.
• 38:51
  SPEAKER_04: Maybe that's why I love it.
• 38:53
  SPEAKER_04: But I love it.
• 38:54
  SPEAKER_04: I I I love the the challenge of trying to get to 100.
• 39:01
  SPEAKER_04: 100%.
• 39:02
  SPEAKER_04: I get pissed off sometimes.
• 39:04
  SPEAKER_04: I'm just like, why did that not work?
• 39:06
  SPEAKER_04: This is so stupid.
• 39:08
  SPEAKER_01: On that topic, I want to ask you something that I thought about yesterday, and and and try to follow me right real quick.
• 39:16
  SPEAKER_01: If you're if you were stable at between 90 and 85, okay?
• 39:22
  SPEAKER_04: 85 and 90, yes.
• 39:23
  SPEAKER_01: Say you're at 85 or 90, and you eat 15 grams, you eat a granola bar, 15 grams of carbohydrate, and it pushes you up to just 120, 130.
• 39:38
  SPEAKER_04: Am I gonna correct for that?
• 39:40
  SPEAKER_01: No, no, no.
• 39:40
  SPEAKER_01: And you never go higher than that, right?
• 39:43
  SPEAKER_01: Yeah, yeah.
• 39:43
  SPEAKER_01: And in the end, you actually kind of come, you, because then you're on your feet, you're doing stuff, like you kind of kind of come back, and then you do it again and again, and it then it kind of hits you, all right.
• 39:55
  SPEAKER_01: Maybe I am a little bit not like wrong in what I'm thinking, but like maybe maybe there is room to kind of like be more of a like a 110, 120, and still be able to eat without having to like bolus for it and and uh like is there a sweet spot, I guess, where yeah, there's a sweet spot.
• 40:17
  SPEAKER_01: Like, is there no no but more so where like uh where like you know you you aren't really truly at 90 at all time?
• 40:26
  SPEAKER_01: Like no, I'm never at 90.
• 40:28
  SPEAKER_01: Come on, why not?
• 40:29
  SPEAKER_01: You might get to 90, but you might have a little snack and you might go up a little bit, and then you kind of might roll back into 90.
• 40:35
  SPEAKER_01: Does that make sense?
• 40:36
  SPEAKER_01: Does that make sense what I'm asking?
• 40:38
  SPEAKER_04: That's that's stable and that's that's stability in your blood sugars.
• 40:43
  SPEAKER_04: You're not always gonna be at 90, 100 at your target.
• 40:46
  SPEAKER_04: You know how many times I'm actually at 100 for an extended period of time?
• 40:52
  SPEAKER_04: Not very often.
• 40:53
  SPEAKER_04: You just said you are.
• 40:54
  SPEAKER_04: No, I never said I was.
• 40:56
  SPEAKER_04: I said that's what I'm trying to get to.
• 40:59
  SPEAKER_04: That's where all decisions are driven to.
• 41:02
  SPEAKER_04: Because that's where I want to be.
• 41:05
  SPEAKER_04: That's what my decision has been.
• 41:08
  SPEAKER_02: Yeah.
• 41:09
  SPEAKER_04: That doesn't mean that I'm gonna get there, and that doesn't mean that I'm going to get there and stay there for an extended period of time.
• 41:16
  SPEAKER_04: Because of what you're talking about.
• 41:18
  SPEAKER_04: You're sitting at a hundred and you eat something, five grams, ten grams, fifteen grams, whatever it is.
• 41:24
  SPEAKER_04: I if it's 15 grams, I might dose a unit for it.
• 41:28
  SPEAKER_04: It also depends on what I'm about to go do.
• 41:30
  SPEAKER_04: If I'm gonna go for a walk, I don't need to dose for it.
• 41:33
  SPEAKER_04: That's that's that's one example.
• 41:35
  SPEAKER_04: Right?
• 41:36
  SPEAKER_04: I ate I ate gummy bears this morning because I was trending up and I was getting ready to sit on a call.
• 41:45
  SPEAKER_04: And or I was like, I I was trend, I was trending at like I think it wasn't trending up.
• 41:49
  SPEAKER_04: Uh my apologies.
• 41:50
  SPEAKER_04: I was trending at like 75, and I was gonna sit down on a call earlier.
• 41:54
  SPEAKER_04: It's like, let me just eat these gummy bears.
• 41:57
  SPEAKER_04: They're 18 grams.
• 41:58
  SPEAKER_04: I still dosed a unit for them.
• 42:00
  SPEAKER_02: You're crazy.
• 42:02
  SPEAKER_04: I still dosed a unit for them.
• 42:03
  SPEAKER_04: See, especially if I was gonna get I came up to like 115, I think it was like 117 and hovered there.
• 42:12
  SPEAKER_01: Especially if I was gonna get on a call, I would say, I'll honestly say fuck it.
• 42:15
  SPEAKER_01: I I like treat it for a low and say, like, I'll de I'll deal with it like and and and I don't always do that.
• 42:21
  SPEAKER_04: I don't always do that specific thing.
• 42:25
  SPEAKER_04: But this is what I mean about one, the art form and the trust.
• 42:30
  SPEAKER_02: Yeah.
• 42:30
  SPEAKER_04: Right?
• 42:31
  SPEAKER_04: Saying that I'm I'm 75, eating something to treat a low, and maybe overeating or whatever it might be, and then not taking any insulin, and then now when I'm done with my call, whether it's one call, two calls, three calls, whatever it is, now I'm done with my calls.
• 42:49
  SPEAKER_04: Now I'm sitting at 200, 225, that's that could be 100% avoided.
• 42:56
  SPEAKER_04: Remember, any type of spike that we have, any blood sugar regulation that we have, nine in ten times there's a why behind it.
• 43:05
  SPEAKER_04: We know why that happens.
• 43:07
  SPEAKER_04: Most of the time, not every single time, most of the time, it's because of two specific things when you're eating, when we're talking about eating food pre-bolicing and not enough insulin.
• 43:19
  SPEAKER_04: Most of the time, not every single time, most of the time, what I see in myself and the people I work with, those are the two things that are out of alignment.
• 43:31
  SPEAKER_04: And even when we talk about not enough insulin, even if you're taking for your insulin to carb ratio, because remember, there is there should be somewhat of a sliding scale based off of if you feel like you're more insulin resistant or more insulin sensitive.
• 43:45
  SPEAKER_04: And unfortunately, you're not gonna 100% know that either in the moment.
• 43:50
  SPEAKER_04: But you can make an assumption.
• 43:51
  SPEAKER_04: I can make an assumption.
• 43:53
  SPEAKER_04: I I worked out really hard this morning.
• 43:55
  SPEAKER_04: I'm probably more insulin sensitive right now.
• 43:57
  SPEAKER_04: I've got two or three days of Consistent exercise.
• 44:02
  SPEAKER_04: I've been drinking tons of water.
• 44:04
  SPEAKER_04: Man, I killed my sleep last night.
• 44:06
  SPEAKER_04: I know I'm insulin insulin sensitive.
• 44:09
  SPEAKER_04: I didn't drink a lot of water last night and was outside all day playing with the girls.
• 44:14
  SPEAKER_04: So I'm dehydrated.
• 44:16
  SPEAKER_04: I didn't get sleep last night because I stayed up with the girls or because I stayed up and watched TV or scrolled on my phone.
• 44:23
  SPEAKER_04: I didn't ex, I haven't exercised the last three days.
• 44:26
  SPEAKER_04: I'm probably going to be more insulin resistant.
• 44:29
  SPEAKER_04: Not a lot, not crazy insulin resistant, but a little bit.
• 44:33
  SPEAKER_04: Because those three things are going to drive insulin sensitivity.
• 44:37
  SPEAKER_04: I go and get Starbucks every single day.
• 44:39
  SPEAKER_04: I go to McDonald's every morning and get egg McMuffin.
• 44:43
  SPEAKER_04: I'm going to be a little bit more insulin resistant because I'm eating ultra-processed food.
• 44:47
  SPEAKER_04: I'm starting out my day eating ultra-processed food, which drives insulin resistance or insulin resistance.
• 44:53
  SPEAKER_04: There are very, very specific things that you have control over, and there's very, very specific things that you do not have control over every single time.
• 45:03
  SPEAKER_04: And the more we can take charge of the things that we do have control over, like pre-bolishing, like taking enough insulin, like reflecting on what we did the past two, three hours, what we're doing in the moment, and what we're going to do in the future, those those questions that you ask yourself before you take insulin can dramatically help your situation.
• 45:27
  SPEAKER_04: That's how I stay stable.
• 45:29
  SPEAKER_04: Now, the last thing before I forget, because I didn't say my second thing that I thought was the most the most important, right?
• 45:37
  SPEAKER_04: Which I've already talked about it, right?
• 45:39
  SPEAKER_04: So the first one was trust, and we talked about why trusting your dis your diabetes decisions, I think, is probably one of the most important things that you're doing.
• 45:49
  SPEAKER_04: The second one for me is understanding what and how, and maybe you can feel manipulate in there as well, how you can be more insulin sensitive more than not.
• 46:03
  SPEAKER_04: That's it's not sexy.
• 46:06
  SPEAKER_04: It's not it's hard, it's hard to put action or put it's hard to do and put action into it all the time.
• 46:15
  SPEAKER_04: But I just talked about trusting the decisions, and I also talked a lot about insulin sensitivity and what drives it.
• 46:22
  SPEAKER_04: So knowing that knowing what drives insulin sensitivity, which is going to make every decision way easier because my insulin to carb ratio is going to be on point, or it might need, or it might need to be a little adjusted because I'm more insulin sensitive.
• 46:37
  SPEAKER_04: Right?
• 46:38
  SPEAKER_04: So if I know those two things, I trust all my decisions, so I don't have massive anxiety that just pops up because of the decision I'm making, and I'm driving insulin sensitivity, that's going to dramatically impact my blood sugar stability because it increases my ability to have blood sugar stability.
• 46:59
  SPEAKER_04: Because I did two things, you know, all the other decisions, all the other things are going to go into both of those concepts.
• 47:08
  SPEAKER_01: All right.
• 47:09
  SPEAKER_01: Real quick, when you say drive insulin sensitivity, do you mean you're doing you're doing different things?
• 47:16
  SPEAKER_01: You're doing different things.
• 47:18
  SPEAKER_04: I understand what drives my personal insulin sensitivity the most, right?
• 47:24
  SPEAKER_04: Exercise is one, getting enough sleep, hydration, right, and lowering your stress levels.
• 47:29
  SPEAKER_04: Those are the four big things that are going to drive, they're going to help drive insulin sensitivity.
• 47:36
  SPEAKER_04: Because we know high cortisol levels of people that are really stressed out, and I deal with that so much, it's really hard to eliminate that or to lower that my lower my stress levels because I'm so stressed out about so many things outside of diabetes.
• 47:54
  SPEAKER_04: So knowing that, if if I can do things for myself that are going to reduce my stress, play basketball is one of my big hobbies.
• 48:03
  SPEAKER_04: I love to do it really helps with my emotions and helps with my stress levels.
• 48:08
  SPEAKER_04: If I can do things that really help my stress levels, I'm going to be on the high end of the win game here.
• 48:16
  SPEAKER_04: If I exercise or move in some fashion, burn some calories, sweat a little bit, work within the four quadrants of exercise, pulling from the four quadrants of exercise.
• 48:28
  SPEAKER_04: If I'm doing that every single day, I'm driving insulin sensitivity and compound it over time, and it's crazy.
• 48:35
  SPEAKER_04: It's crazy.
• 48:36
  SPEAKER_04: You said coach.
• 48:38
  SPEAKER_02: You said coach, right?
• 48:40
  SPEAKER_02: Coach?
• 48:41
  SPEAKER_01: Coach basketball, because you're not tall enough.
• 48:43
  SPEAKER_04: No, play basketball.
• 48:44
  SPEAKER_04: Play basketball myself.
• 48:46
  SPEAKER_01: I thought, but you're not tall enough to get on the court, so they just like very funny.
• 48:53
  SPEAKER_04: No, play basketball.
• 48:55
  SPEAKER_01: Hey, how often how often do you cring how often do you congratulate yours yourself for like a well night's rest?
• 49:04
  SPEAKER_03: I love that you're asking me this.
• 49:06
  SPEAKER_01: Like I kill, like I killed my sleep.
• 49:08
  SPEAKER_01: Like I I like I can I can go out for a fucking beer.
• 49:11
  SPEAKER_01: I got such good sleep.
• 49:12
  SPEAKER_04: Like, I love that you're asking me this, and the answer to this is not enough.
• 49:18
  SPEAKER_04: Hardly ever.
• 49:19
  SPEAKER_04: Some of that is because I don't get good sleep.
• 49:23
  SPEAKER_04: And some of it is when I do get good sleep, I just wake up and go about my day and don't even think about it.
• 49:29
  SPEAKER_04: Right?
• 49:30
  SPEAKER_04: Because it it doesn't happen very often.
• 49:33
  SPEAKER_04: Like it my body, it sucks, man.
• 49:34
  SPEAKER_04: My body is so in tuned to getting up at between 4 30 and 5 30, maybe 6 o'clock.
• 49:40
  SPEAKER_04: Even on the days that I can sleep in.
• 49:43
  SPEAKER_04: Like really the only day I can really actually sleep in without having to be up is Sunday, right?
• 49:49
  SPEAKER_04: Saturday to Sunday.
• 49:50
  SPEAKER_04: So that day typically is when I try to get enough sleep.
• 49:54
  SPEAKER_04: But sometimes, like diabetes confessions or life confessions, I spent three hours, I spent three hours on my phone scrolling Saturday night and went to bed at like maybe one o'clock, two o'clock, and then my body just woke up at eight, seven thirty-eight.
• 50:13
  SPEAKER_01: Have have you ever had had like a period in your life where you look back and we're like, oh, it's because I'm getting such good sleep because this is why I feel so.
• 50:24
  SPEAKER_01: I would say that's the one that's like a lot of things.
• 50:26
  SPEAKER_04: Wait, wait, wait, wait.
• 50:27
  SPEAKER_04: Are you talking about diabetes or just life in general?
• 50:29
  SPEAKER_04: Like I feel so good in my life.
• 50:31
  SPEAKER_01: Like, yeah, like everything is shitty, but you're like, at least I'm getting good sleep.
• 50:35
  SPEAKER_04: Yeah, I have before, yes.
• 50:36
  SPEAKER_04: Before kids.
• 50:37
  SPEAKER_04: Before kids.
• 50:39
  SPEAKER_01: I would I would argue that's probably the one facet of life that I've ever, well, maybe like on a vacation when I had like an awesome bed or like sleep has always been a thing for me, you know, but sleep is probably also the number one most put aside thing, too, that people can do, right?
• 50:57
  SPEAKER_01: Like from your perspective.
• 50:59
  SPEAKER_02: Mm-hmm.
• 50:59
  SPEAKER_02: Yeah.
• 51:00
  SPEAKER_02: Yeah.
• 51:00
  SPEAKER_01: Because the number one most easy to ignore type of thing.
• 51:05
  SPEAKER_04: Easy to ignore or easy to do.
• 51:08
  SPEAKER_01: Yeah, like it's easy to ignore getting good sleep because it's just Yeah, yeah, yeah.
• 51:12
  SPEAKER_04: Yeah, because for because you can go, you gotta think like think I I think about sleep like this.
• 51:19
  SPEAKER_04: So let's pretend for a second I have, we'll just say, a truck driving job where I drive an automobile, I drove a truck, I'm in construction, whatever it is.
• 51:33
  SPEAKER_04: You're constantly moving and having to do something.
• 51:36
  SPEAKER_04: Okay, you have to be in tune on the road of your truck driver, you're in construction, you have to, you know, be very conscious to what you're you doing in terms of using machinery, like whatever, like whatever that task is.
• 51:50
  SPEAKER_04: You can keep yourself awake and alert very easily.
• 51:54
  SPEAKER_04: Even without caffeine, and human beings now use caffeine to do it.
• 51:58
  SPEAKER_04: Even without stimulation, you know.
• 52:01
  SPEAKER_04: Well, yeah, w without, I would say without caffeine.
• 52:06
  SPEAKER_04: Stimulations are probably the best, better word to use, yes, without stimulation, okay.
• 52:10
  SPEAKER_04: But it's caffeine, let's be honest, what we're using to keep ourselves alert and awake.
• 52:16
  SPEAKER_04: But so that person can go days, months, probably even years with shitty sleep and not even really notice it.
• 52:27
  SPEAKER_04: It's it's people like us who maybe sit behind desks, sit by like work on the computer all day, like have meetings that at a specific, I don't know about you, but at a specific time, 7 30, 8 o'clock, like my my internal compass is like you, it's time to shut everything off because you trying to force now to get more stuff done isn't is not working.
• 52:51
  SPEAKER_04: And then I'll go upstairs, I'll eat some food, and then literally I will pass out.
• 52:56
  SPEAKER_04: That could be at 8 o'clock, could be 8 30, could be 9, it could be 9 30, it could be 10.
• 53:02
  SPEAKER_04: Like the time frame of the internal clock working is between 7 and 8.
• 53:07
  SPEAKER_04: That's when my body starts shutting down.
• 53:10
  SPEAKER_04: But like it, it, I I've been I've been on deadlines with the podcast, deadlines with the new newsletter, working till 10, just trying to keep my eyes open, trying to like plug away to finish.
• 53:22
  SPEAKER_04: And it's like it's freaking hard because my body is starting to shut down two hours ago.
• 53:27
  SPEAKER_01: This sounds like a dumb question.
• 53:29
  SPEAKER_01: I'll I'll end on this.
• 53:30
  SPEAKER_01: If you had if you had 12 hours alone to yourself, you had a hotel room, nobody's gonna bother you.
• 53:37
  SPEAKER_01: Could you guarantee yourself good sleep?
• 53:40
  SPEAKER_04: Oh heck yeah.
• 53:41
  SPEAKER_01: Yeah, I'm not I'm not bad.
• 53:43
  SPEAKER_01: I'm like, it's a hit or it's a hit or miss for me, man.
• 53:46
  SPEAKER_04: It's like because I'll just stay in bed and fall back to sleep.
• 53:49
  SPEAKER_04: For me, I'll just stay in bed and fall back to sleep.
• 53:51
  SPEAKER_04: Like, here's the example.
• 53:52
  SPEAKER_04: Sat Sunday, yeah.
• 53:55
  SPEAKER_04: We had to get up and do something.
• 53:57
  SPEAKER_04: Forget where we were going, but we had to go get up as a family and do something.
• 54:01
  SPEAKER_04: And I literally woke up at eight o'clock and didn't go to bed till one.
• 54:05
  SPEAKER_04: Maybe even one thirty.
• 54:07
  SPEAKER_04: I woke up at eight o'clock and I just got up.
• 54:10
  SPEAKER_04: I could have sat there and got way more, I could have slept till ten, but I got up.
• 54:16
  SPEAKER_04: It was amazing.
• 54:17
  SPEAKER_04: I I didn't get enough sleep, but I went and went for a run, took my the my weights outside, did a 20-minute weight workout.
• 54:27
  SPEAKER_04: So I got my exercise in right in the morning, boosted my insulin sensitivity, right?
• 54:33
  SPEAKER_04: Got home basically when the girls were waking up.
• 54:36
  SPEAKER_04: So now my stress levels are decreasing because I'm with the girls and they dramatically decrease my stress levels.
• 54:43
  SPEAKER_04: I got food right away, so now I'm getting energy for the day, right?
• 54:49
  SPEAKER_04: And like I didn't pick up the computer for a while, so I didn't have a bunch of stress and I have to get a bunch of stress.
• 54:56
  SPEAKER_04: So I dramatically increased my insulin sensitivity that morning, but didn't get all the sleep that I needed.
• 55:04
  SPEAKER_04: But I still felt like a million bucks.
• 55:06
  SPEAKER_04: So yeah, you can do it, but it's it's gonna catch up to you.
• 55:11
  SPEAKER_04: It catches it catches up to me every week.
• 55:13
  SPEAKER_04: By Friday, I'm I'm done for.
• 55:15
  SPEAKER_04: By five o'clock Friday, I shouldn't have any meetings after five o'clock on Friday, because I am done for.
• 55:21
  SPEAKER_02: Yeah.
• 55:22
  SPEAKER_02: How much enjoyment do you get from a good shit?
• 55:26
  SPEAKER_02: What?
• 55:27
  SPEAKER_01: Like do you sit on the toilet and just like hang and like like let it dude?
• 55:31
  SPEAKER_01: Really?
• 55:32
  SPEAKER_01: I'm just asking, bro.
• 55:33
  SPEAKER_01: Do you get on your phone and stuff?
• 55:35
  SPEAKER_01: I get on my phone, yes.
• 55:36
  SPEAKER_04: And then you just rip turd and just rip turds.
• 55:39
  SPEAKER_04: It's it's not about the enjoyment of what's happening.
• 55:42
  SPEAKER_04: It's it's just, hey, I got my own time.
• 55:45
  SPEAKER_04: I'm a dude, and I'm just gonna sit here like an idiot.
• 55:47
  SPEAKER_01: Dude, if if like you know, we've been on for a while.
• 55:50
  SPEAKER_01: If I got up right now and I kind of had a sensation in my stomach, I get like giddy, like hell yeah.
• 55:55
  SPEAKER_01: Let's go like let's go like sit down for I get like five minutes.
• 55:59
  SPEAKER_01: We got a bidet.
• 56:00
  SPEAKER_01: We got a bidet, we got a bidet, so it's like guaranteed clean.
• 56:05
  SPEAKER_01: Jesus, man.
• 56:06
  SPEAKER_04: Clean took us type of thing.
• 56:08
  SPEAKER_04: Clean took us.
• 56:09
  SPEAKER_04: Unbelievable.
• 56:10
  SPEAKER_04: But anyways, let's get away from taking craps.
• 56:13
  SPEAKER_04: No one cares about listening to us talk about taking craps.
• 56:17
  SPEAKER_04: No.
• 56:18
  SPEAKER_04: This was good, man.
• 56:19
  SPEAKER_04: This was this was good.
• 56:20
  SPEAKER_04: I liked your I liked your two things.
• 56:22
  SPEAKER_04: I think they're really important.
• 56:24
  SPEAKER_04: Like I said, I just I figured that exercise would have been one of those.
• 56:27
  SPEAKER_04: That is on the top of your top of your list of importance or the most impactful things for you specifically?
• 56:37
  SPEAKER_01: I'll say it again.
• 56:38
  SPEAKER_01: The scope of your question, I thought it was easy to answer it in a different way.
• 56:43
  SPEAKER_01: With something that's very true and genuine, and you know.
• 56:46
  SPEAKER_04: Well, now that we've talked about it, do you think it's different?
• 56:49
  SPEAKER_01: Do I what?
• 56:50
  SPEAKER_04: Do you think your top two things are different now that we've talked about it?
• 56:55
  SPEAKER_04: Trial and error, trust and verify.
• 56:57
  SPEAKER_04: No, no, no, no, no.
• 56:59
  SPEAKER_04: Because remember, because you're thinking about one specific thing and it's insulin, it's blood sugar stability.
• 57:06
  SPEAKER_01: This is what and you just hit the nail on the head.
• 57:09
  SPEAKER_01: I'm thinking about what you're not thinking about is 10, 20, 30 years are gonna pass and you're gonna look back and you're gonna say, like, hey, did I did I do it right?
• 57:20
  SPEAKER_01: And in my opinion, if you're not, you know, trial and trial and erroring, if you're not learning how to trust yourself, if you're not learning how to fuck up, like you're not you're not doing it right, you know?
• 57:33
  SPEAKER_01: So like those lessons, and then those lessons, those lessons, those they they build on each other, or you build confidence, or you build almost like something that you said, like you kind of build like a coat of armor, like fuck it, like what's the worst I can like it is what it is then.
• 57:48
  SPEAKER_01: Like your your first thing, just like make the decision and move on.
• 57:51
  SPEAKER_01: Like it take it took me longer to learn that same lesson, but I learned it by doing those things that I just said, if that makes sense.
• 58:00
  SPEAKER_04: Yeah, I I don't think that you can get necessarily unless you've got a really thick skin and you are 100% aligned with your own identity and who you are.
• 58:12
  SPEAKER_04: I don't think that you can get to a fully fully trusting in your diabetes decisions unless you're experimenting and failing and learning.
• 58:23
  SPEAKER_04: And I just don't know if you can.
• 58:27
  SPEAKER_04: Right?
• 58:28
  SPEAKER_04: You have you have to experiment and you have to be okay with what comes along with that, good or bad.
• 58:37
  SPEAKER_02: Yeah.
• 58:37
  SPEAKER_04: And then I think the other thing that needs to be higher on my priority list in terms of things that are important for blood sugar stability, and you mentioned it at at the beginning of this conversation, is you know, celebrating the small wins.
• 58:52
  SPEAKER_04: I celebrate the high the the highlights, the big ones, but I want to celebrate the bit the little things.
• 58:58
  SPEAKER_04: And I and I need to.
• 58:59
  SPEAKER_04: I should.
• 59:00
  SPEAKER_04: I think that I think that can really drive confidence fast.
• 59:06
  SPEAKER_04: Once you hit something out of the park, you hint some decision, you hit, you did something that was really positive in your diabetes, and it was a small little thing, small little decision.
• 59:19
  SPEAKER_04: Those compounded over time, I feel are gonna because they happen more often than the big ones, too.
• 59:26
  SPEAKER_04: I think that's compounded over time is going to drive your confidence on managing this condition way faster than just focusing on the big ones.
• 59:36
  SPEAKER_01: And you're but think about it, your your subconscious being remembers those things.
• 59:42
  SPEAKER_01: So it it'll attribute an emotion to an action.
• 59:46
  SPEAKER_04: But you're getting a small, you're getting a smaller dopamine hit than you are on the big ones.
• 59:52
  SPEAKER_04: Think about all of the big decisions that you've made in your life and the impact that those decisions have had on your life, i.e., one of them being you, you know, asking your wife to marry you.
• 1:00:06
  SPEAKER_04: That's a big thing, freaking decision that that is a big impactful thing on your life.
• 1:00:11
  SPEAKER_04: As is like, you know, me breaking up with a girlfriend that I had for a month that wasn't working out that was going to be benefited, benefited my life because now I'm not tied down to this person that's so controlling.
• 1:00:27
  SPEAKER_04: That's that's a small thing.
• 1:00:31
  SPEAKER_04: It had a big impact on had a big impact on that per on that individual's life.
• 1:00:37
  SPEAKER_02: Yeah.
• 1:00:38
  SPEAKER_04: But it was a small thing.
• 1:00:40
  SPEAKER_04: It wasn't as big as, you know, us asking our wives to marry us and marrying our wives, like having kids, like that it's not as big as a decision.
• 1:00:52
  SPEAKER_04: But it still has impact.
• 1:00:54
  SPEAKER_04: And those small little things, those small decisions that we make, I feel like, especially in diabetes management, I feel like have a way bigger impact than we think over time.
• 1:01:06
  SPEAKER_04: You're always gonna remember the big things.
• 1:01:08
  SPEAKER_04: I'm always gonna remember the anxiety that I had asking Kelly to marry me.
• 1:01:14
  SPEAKER_04: I'm always gonna have that.
• 1:01:17
  SPEAKER_04: But I I have to really try and force myself to really understand or think about the small little wins that I've had in diabetes that have got me to where I am today.
• 1:01:31
  SPEAKER_04: I have to really try to think about those things.
• 1:01:34
  SPEAKER_04: Because I didn't celebrate them, most of them, so now they're out of sight, out of mind.
• 1:01:39
  SPEAKER_04: Where if I would have celebrated them like I do the big things, given them some power, maybe I would have think about them in a different way.
• 1:01:48
  SPEAKER_04: Heck, and maybe they might might have a bigger impact than they do now.
• 1:01:53
  SPEAKER_02: No interesting things.
• 1:01:57
  SPEAKER_02: My brain's an interesting, interesting thing of how I think about all this.
• 1:02:03
  SPEAKER_02: Yeah.
• 1:02:04
  SPEAKER_04: So yeah.
• 1:02:05
  SPEAKER_04: Well, everybody, this was great.
• 1:02:07
  SPEAKER_04: I hope this was insightful for you.
• 1:02:10
  SPEAKER_04: It was insightful for me to talk to Graham about it.
• 1:02:12
  SPEAKER_04: It was insightful to hear his thoughts and what he thinks that are really important to him.
• 1:02:18
  SPEAKER_04: We would love to know what's important to you.
• 1:02:20
  SPEAKER_04: Send us a message on Instagram.
• 1:02:23
  SPEAKER_04: Let us know what are the big insightful things that have happened in your diabetes management that has shaped your management.
• 1:02:32
  SPEAKER_04: You know, those are I think those are important things to constantly reflect on.
• 1:02:36
  SPEAKER_04: Constantly reflect on.
• 1:02:38
  SPEAKER_04: I would say one of the biggest impactful things that has things that have had a really big impact on me was my diagnosis and how different it was from so many other people when I first started.
• 1:02:53
  SPEAKER_04: The podcast, coaching, and now it's become something that was that's like pretty normal.
• 1:03:01
  SPEAKER_04: The three and three to four years of depression and denial at the beginning dramatically impacted who I am today with diabetes and what I speak about and what I talk about.
• 1:03:13
  SPEAKER_04: So the bad things that happen in our life and in our management are also impactful, also have a place in you know who we are as diabetics.
• 1:03:26
  SPEAKER_04: So hope that you understand that and you realize that.
• 1:03:33
  SPEAKER_04: Everybody so much, or thank you so much for listening, and we will see you guys next time.