Think Like A Pancreas...The Podcast!

Hosted by Integrated Diabetes Services

Technology Education Health Fitness

Website RSS feed

Episodes

111

Latest episode

Sep 2026

Language

About the show

Living It. Teaching It. Transforming Diabetes Care Together! Think Like a Pancreas—The Podcast is where diabetes expertise meets real-life experience. Hosted by a compassionate team of Certified Diabetes Care and Education Specialists who live with type 1 diabetes, this show delivers practical guidance, the latest diabetes management strategies, and emotional support for those affected by diabetes. Our goal is simple: keep you informed, inspired, and yes, a little entertained as you navigate life with diabetes . In every episode, our clinicians provide listeners with actionable tips, honest conversations, and relatable stories. Subscribe today and join a community where diabetes care is personal because we live it too!

Listen to episodes

60 recent

September 29, 2026Episode 11225 min

Can You Keep Your Honeymoon Going? SAB Bio’s Clinical Trial for Newly Diagnosed Type 1 Patients

A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. SAB Biotherapeutics is running the SAFEGUARD clinical study testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. In this episode of Think Like a Pancreas—The Podcast, host Gary Scheiner sits down with SAB Biotherapeutics CEO, Sam Reich to discuss what this study means for people with stage 3 type 1 diabetes, who can enroll, and why studies like these are so important. MEET YOUR HOST AND HIS GUEST: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Sam Reich is the Chief Executive Officer of SAB Biotherapeutics. Mr. Reich holds a Bachelor of Arts degree with High Honors in Biochemistry from Clark University, cum laude, Phi Beta Kappa, where he received the Margaret Comer award, presented to the top graduating student in the Biological Sciences. He later attended the University of Pennsylvania where he was a Doctoral Candidate in the lab of Jean Bennett. He left prior to defending his thesis to found Acuity Pharmaceuticals, Inc., receiving a Master of Science. He is listed as an inventor on 14 U.S. patents and more than 50 worldwide patents related to the first uses of siRNA as therapeutics. SPONSORED BY: SAB Bio is a clinical-stage biopharmaceutical company focused on advancing research for people living with type 1 diabetes. Its mission is to dramatically redefine what it means to be diagnosed with type 1 diabetes by developing a medicine to change the course of disease, not just treat symptoms. A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. The SAFEGUARD clinical study is testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. People between 5 and 17 years old may qualify to participate. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Preserving beta cell functioning can make diabetes management much easier for people living with type 1 diabetes. ✔️Taking part in clinical studies not only helps research move forward but also allows you to take your place in history. CHAPTERS: 00:00 Welcome 01:44 Meet Sam Reich 03:11 SAB = Saving All Beta Cells? 03:54 Plainly Speaking, What is SAB-142? 06:28 How does SAB-142 Differ from other drugs on the market? 08:30 The SafeGuard Study 13:52 Eligible Candidates for the SafeGuard Study 15:05 What’s it in for you to Participate? 17:03 Prise Study 19:08 Debunking the Cure Conspiracy 22:12 When Can We Start Using SAB 142? RESOURCES: SafeguardStudy.com or call 1-844-763-1890 From Crisis to Control. How T1D Screening Saves Lives https://Integrateddiabetesservices.podbean.com/e/how-t1d-screening-saves-lives/ https://www.breakthrought1d.org/for-the-media/press-releases/breakthrough-t1d-awards-grant-to-support-prise-hatg-study-of-sab-142-in-stage-3-type-1-diabetes/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 22, 2026Episode 11116 min

Meet Katlyn Agosta--Integrated Diabetes Services’ Newest Clinician

In episode 111 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Marketing Director Barb Wagstaff sits in the host seat to introduce the newest IDS clinician, Katlyn Agosta, MSN, APRN, FNP-C, CDCES. Diagnosed with type 1 diabetes at 15 with a blood sugar of 538 mg/dL, Katlyn brings 24 years of lived experience to the team. From rolling NPH and regular insulin into one syringe to pumping with Tandem’s Control-IQ, Katlyn shares her diagnosis story, how it led to an incredible career, and the philosophy that guides her care: life first, diabetes second. MEET YOUR HOST AND HER GUEST: Barb Wagstaff has been a member of the diabetes community since March 17, 2000, when her two-year-old son was diagnosed with type 1 diabetes. Her guiding philosophy of “I am not a medical professional, I just play one in real life” was a way of life. She educated herself to keep her son safe, devoured research, asked hard questions, and shared everything she learned with a community that needed it just as much as she did. Now, as IDS’s first Director of Marketing, her mission is to share the extraordinary expertise inside Integrated Diabetes Services with every person who needs it. Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Katlyn embraced an attitude of “how do I do it and let’s get it done” which has helped her stay healthy for 24 years. ✔️ What worked for you when you were 16 may no longer be right for you at 36 and what was working at 36 may not work at 66. CHAPTERS: 00:00 Introduction and Welcome 02:30 Meet Katlyn Agosta 06:14 Insulin Delivery Choices and Gary Scheiner’s Influence 07:54 Diabetes is NOT Katlyn’s First Priority 08:42 Why Katlyn Loves Being a Clinician 10:49 Is Katlyn the Right Clinician for You? 12:48 Your Diabetes Changes with Time 13:55 Little Known Facts About Katlyn SPONSORED BY: SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 RESOURCES: Meet the IDS Team https://youtu.be/pQ2fjbDAWcs Meet the IDS Team—Part 2 https://youtu.be/qPQ9HwvowEU Meet the IDS Team—Part 3 https://youtu.be/gVmx3h1mnjg A First Book for Understanding Diabetes—16th Edition https://www.childrensdiabetesfoundation.org/t1d-resources/pink-panther-books Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 15, 2026Episode 11035 min

Type 1 Diabetes at School--Fostering Independence as They Age

In episode 110 of Think Like a Pancreas—The Podcast, Anna Sabino and Dana Roseman help families navigate one of the biggest back-to-school questions for children with type 1 diabetes: how much independence is realistic at each age and stage? For many families, a new school year feels like a fresh start—a chance to reset routines, build confidence, and help kids gradually develop the self-advocacy skills they will need both in and out of the classroom. In this conversation, Anna and Dana break down what children can reasonably manage from kindergarten through college, and how parents can support independence without constant texting, overcorrecting, or chasing perfect numbers. They also share practical guidance for getting through the messy first six weeks of school, avoiding big diabetes-management changes too soon, and letting kids learn from mistakes in a safe, supportive way. If you are parenting a child with type 1 diabetes, this episode offers reassurance, perspective, and realistic strategies for helping your child grow into greater independence—one school year at a time. SPONSORED BY: SAB Bio. Learn more about the SAFEGUARD clinical study at SafeguardStudy.com or call 1-844-763-1890 MEET YOUR HOSTS: Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Type “You” Diabetes—Everyone will manage diabetes differently. Moms will deal with things differently than Dads. Dads will manage differently than the child. No one is necessarily “wrong”, it is just different. ✔️ Do NOT make major changes to your child’s diabetes care during the first six weeks of school. This is a time of learning and re-establishing routines. CHAPTERS: 00:00 The Fresh Energy of a New School Year 03:04 Age and Stage Expectations: What Children Can Realistically Handle. 09:27 The Shifting of Diabetes Care is Child Specific 13:59 Guiding Problem-solving 15:59 Managing the First 6 Weeks of Back-to-School 21:34 Your Child Will Manage Their Diabetes Their Way 23:36 They Will Make Mistakes 25:00 Empowering Your Child with Type 1 Diabetes 30:07 Final Tips RESOURCES: https://integrateddiabetes.com/its-back-to-school-for-parents-too/ Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 11, 2026Episode 10919 min

Think Like a Pancreas--Chapter 10: Is there anybody out there? (Resources)

In episode 109 of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss the final chapter of his book Think Like a Pancreas. From technology to social supports, learn the members of Gary’s diabetes dream team (a dietician, physician, exercise physiologist, and mental health specialist) much more. Discover new trusted communities, financial assistance options, how to spot unreliable advice from uncredentialed online coaches, and where to access free tools like the Diabetes Bites newsletter. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ In-person groups like Grown Up T1Ds, volunteer organizations, and peer networks reduce stress and keep people engaged. ✔️ Stick with credentialed professionals and established, tested organizations; treat advice from uncredentialed online "coaches" with caution. CHAPTERS: 00:00 Introduction and Welcome 02:00 Gary’s Diabetes Dream Team 03:50 Technological Devices to Consider 06:29 Social Supports 08:46 Financial Support 09:15 How the Resource Landscape Has Changed 11:54 Steering Clear of Bad Advice 13:50 Other Valuable Resources RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition Grown up T1D: A Festivus for the Rest of Us https://Integrateddiabetesservices.podbean.com/e/grownup-t1ds-a-festivus-for-the-rest-of-us/ Breakthrough T1D https://www.breakthrought1d.org American Diabetes Association https://diabetes.org Sign up for Diabetes Bites https://integrateddiabetes.com/think-like-a-pancreas-the-podcast-august-2026-schedule-2/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 8, 2026Episode 10830 min

Think Like A Pancreas--Chapter 9: Taming highs and lows

In episode 108 of Think Like a Pancreas—The Podcast, host Tavia Vital, RN, CDCES, sits down with author Gary Scheiner to discuss Chapter 9 of Think Like a Pancreas. Together, they take an honest look at the highs and lows that affect everyone living with diabetes and offer practical guidance for handling them safely. Throughout the conversation, Gary and Tavia emphasize that perfection is not the goal. Mild, infrequent highs and lows are a normal part of life with diabetes but understanding how to respond can make those moments less overwhelming. Listen to learn why dextrose is often the preferred treatment for hypoglycemia, what to expect after using glucagon, why extreme highs and lows should be rare, and when frequent episodes may be a sign that it is time to reassess your diabetes management plan. MEET YOUR HOST AND HER GUEST: Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Speed matters when you are low. Consider foods that spike your blood sugar levels. ✔️ Highs and lows are normal, but if you are experiencing continuous high or low blood glucose levels, it is time to speak to someone about making changes in your diabetes management. CHAPTERS: 00:00 Welcome and Introduction 03:57 Even the “Experts” Have Highs and Lows 06:00 How NOT to Treat “Hypos from Hell” 08:47 Why Dextrose 11:50 The Real Dangers of Low Blood Glucose 14:23 What to Expect After Glucagon 16:26 Explaining a High Blood Sugar 18:11 But My Blood Glucose Level is Supposed to Rise 21:40 Diabetic Ketoacidosis (DKA) and Final Takeaways RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ Coping with Burnout in Diabetes Management: Strategies for Success https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-diabetes-management/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 4, 2026Episode 10726 min

Think Like a Pancreas: Chapter 8- 101 Variables (factors that raise & lower glucose)

In this episode of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss chapter eight of his book Think Like a Pancreas. This chapter looks at the daily challenges of living with diabetes and the many things that can influence blood glucose levels. From coffee to aging, mental exertion to weight changes, Paula and Gary share how some diabetes detective" work can effectively improve self-management. Listen to learn more from this insightful chapter from Think Like a Pancreas. MEET YOUR HOST AND HER GUEST: Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Managing type 1 diabetes is about the nearly impossible task of maintaining the equivalent of one teaspoon of sugar in your blood despite the many variables working against you. ✔️ Treat glucose management like detective work, looking beyond food and insulin to identify patterns across all these variables so adjustments can be made proactively. CHAPTERS: 00:00 Introduction and Welcome 03:24 Why Identical Days Produce Different Glucose Results 05:17 A Never-ending List of Variables 07:50 Surprising Things That Impact on Glucose Levels 12:23 Body Rhythms and Their Impact on Blood Sugars 18:53 Medications that Raise Glucose Levels 23:06 If you can predict it, you can prevent it RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

September 1, 2026Episode 10627 min

Think Like a Pancreas Chapter 7: In search of the PERFECT bolus (dosing, timing)

In episode 106 of Think Like a Pancreas—The Podcast, Jennifer Smith, RD, CDCES, sits down with author Gary Scheiner to unpack the key to a successful bolus. Together, they break down the six key factors discussed in Chapter 7 of Think Like a Pancreas that go into every dosing decision. Learn how insulin-to-carb ratio, correction dose, glucose trend and direction, insulin on board, physical activity, and timing all work together to help create a well-timed bolus. Together, these factors form a practical, real-world approach to the math—and the mindset—behind dosing insulin well. MEET YOUR HOST AND HER GUEST: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Eating for a person with type 1 diabetes requires mathematical gymnastics. ✔️The perfect bolus won’t give perfect results every time, but it will put you in a position to succeed. CHAPTERS: 00:00 Introduction and Welcome 01:52 The Steps to Figuring out a Bolus Dose 03:36 Insulin to Carb Ratio 7:24 Bolusing for All of the Components of Your Plate 08:53 The Correction Dose 10:41 Adjusting Your Bolus Based on the Direction of Your Blood Sugar 12:00 Insulin On Board 15:26 Physical Activity 19:20 Mastering the Timing of Your Insulin 22:41 The Value of Experimentation 25:24 Recap RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

August 28, 2026Episode 10517 min

Think Like a Pancreas Chapter 6: Laying the Foundation (fine-tuning basal insulin)

Basal insulin may not get the attention that bolus doses do, but it's the foundation every diabetes management plan is built on. In this bonus episode of Think Like a Pancreas—The Podcast, Jennifer Smith talks with author, Gary Scheiner and breaks down what basal insulin does, why needs vary throughout the day (and from person to person), and how to tell if your dose is right. You'll learn how to evaluate basal insulin using fasting blood sugar patterns, the difference between testing basal on injections versus insulin pumps, and why most people's basal needs make up 40–50% of their total daily insulin and much more. Whether you're on multiple daily injections or a pump, this episode will help you understand the "why" behind basal insulin dosing so you can build a stronger foundation for the rest of your diabetes management. MEET YOUR HOST AND HER GUEST: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Basal insulin needs are not flat or the same across all times of day. ✔️ If your basal is set properly, your blood glucose values should be stable throughout the night. CHAPTERS: 00:00 Introduction and Welcome 01:46 Your Basal is Your Foundation 04:10 How to Establish Your Correct Basal Dose of Insulin 05:31Basal Insulin on MDI vs an Insulin Pump 09:46 When Short Term Basal Rate Changes are Required 13:23 Finetuning Your Basal Rates 15:56 Recap RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

August 25, 2026Episode 10422 min

Think Like a Pancreas: Chapter 5: Basal vs. Bolus (what, why, how)

In this episode of Think Like a Pancreas—the Podcast, Jennifer Smith sits down with author, Gary Scheiner to discuss chapter five of his book Think Like a Pancreas. They break down the difference between basal and bolus insulin and then share why they are important and how they each work. Listen to learn more insights into this fundamental chapter from Think Like a Pancreas. MEET YOUR HOST AND HER GUEST: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Before anything else, ensure that you have your basal insulin set properly. It is the foundation on which all of your settings are built. ✔️ There can be a lot of value in using the right bolus insulin for the right situation. CHAPTERS: 00:00 Introduction and Welcome 03:11 The Restrictive Approaches of Insulins Past 04:46 Understanding Foundation Insulin 06:16 Is Your Basal Dose Correct? 07:48 The Differences in Basal Insulin Options 09:36 The Limitations of Injected Basal Insulin 11:53 The Basal/Bolus Approach RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

August 21, 2026Episode 10324 min

Think Like a Pancreas Chapter 4: The 3 Keys to Diabetes Management

In this bonus episode of Think Like a Pancreas—The Podcast, Katlyn Agosta talks to author Gary Scheiner about the Three Keys to Diabetes Management. Listen to know what you need in your diabetes toolbox to successfully manage your diabetes. Understand the skills that will serve you well over the years, and hear just how important attitude is in maintaining your over all health. MEET YOUR HOST AND HER GUEST: Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Patterns require changes to your diabetes care, occurrences do not. ✔️Attitude, the right tools, and skills all work together to create optimal diabetes management. CHAPTERS: 00:00 Welcome and Introductions 01:39 The Goal of Diabetes Management 02:42 The Three Keys to Diabetes Management 06:05 The Tools For Optimal Diabetes Care 12:14 The Skills Required 16:53 The Importance of a Positive Attitude 21:13 Gary’s Favourite Diabetes Tool 23:02 The Value of a Good Clinician RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.