Think Like A Pancreas...The Podcast!

Hosted by Integrated Diabetes Services

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Jun 2026

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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!

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June 16, 2026Episode 9240 min

Can You Have Type 1 and Type 2 Diabetes? (What Is Double Diabetes?)

There are lots of “doubles” in the world. Double Mint, Double Plays and Double Jeopardy, but did you know that you can also be diagnosed with double diabetes? In Episode 92 of Think Like a Pancreas—The Podcast, host Gary Scheiner talks to Dr. Nick Argento about the odds of becoming insulin resistant as a person with type 1 diabetes. They discuss how it can happen, what treatment options are available, and why it is becoming more common than in previous years. 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. Nicholas B. Argento MD FACE is an endocrinologist at Maryland Endocrine in Columbia. He lives with type 1 diabetes himself and has extensive experience in utilizing insulin pumps and continuous glucose monitoring (CGM) to help patients safely achieve better blood glucose control. He has presented clinical research at the American Diabetes Association Scientific Sessions and other medical meetings, and has spoken to local, national, and international audiences on insulin pumps and the clinical application of CGM technology. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️20% of people with type 1 diabetes will develop double diabetes or insulin resistance. ✔️If you require more than .4 units of insulin per kilogram per day, daily management will be a much greater challenge than those who are not insulin resistant. ✔️ Limit, not eliminate carbohydrates if you have a family history of type 2 diabetes. ✔️Having double diabetes is treatable with the right tools and support CHAPTERS: 00:00 Welcome and Introduction. 02:47 Is it Possible for People with T1 to Also Have T2? 05:17 What Causes Insulin Resistance? 09:33 Triggers and Hidden Risks for Double Diabetes. 21:57 Type 2 Medications (GLP-1s) for Type 1 Patients. 33:14 Overcoming the Guilt of Developing Insulin Resistance. 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.

June 9, 2026Episode 9143 min

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

Fear of low blood sugar is one of the most common — and least talked about — challenges of living with type 1 diabetes. In episode 91 of Think Like a Pancreas — The Podcast, mental health clinician Anna Sabino sits down with renowned diabetes psychologist Dr. Bill Polonsky, founder of the Behavioral Diabetes Institute, to unpack the anxiety that comes with type 1 diabetes and low blood sugars. Together they explore the difference between healthy caution and pronounced fear of hypoglycemia, and why so many people quietly run their blood sugars high to feel "safe." Bill also shares practical, hopeful strategies for regaining confidence in your body, rebuilding trust, and getting your life back — because “if you live with diabetes-related anxiety, you're not weak, you're not alone, and there's a lot you can do about it.” MEET YOUR HOST AND HER GUEST: 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. Bill (William) Polonsky, PhD, CDCES is President and Founder of the Behavioral Diabetes Institute, the world's first organization wholly dedicated to studying and addressing the unmet psychological needs of people with diabetes. He is also Associate Clinical Professor in Psychiatry at the University of California, San Diego, a licensed clinical psychologist and certified diabetes care and education specialist, and an active researcher in the field of behavioral diabetes. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️There can be a genetic risk of profound fear of low blood sugars. ✔️This fear is rooted in people losing confidence in their bodies. ✔️ The use of “be safe” and “feel safe strategies” help to alleviate fears. CHAPTERS: 00:00 Welcome and Introductions 03:39 Everyone Should be Concerned About Lows 07:02 When Your Fear of Lows Impacts Your Daily Life 13:54 Rebuilding Confidence in Your Body and Your Tools 30:11 Is Severe Hypoglycemia a Valid Fear? 33:57 Key Tips to Break Your Own Cycle of Fear 36:23 Where to Find Help 39:00 Final Thoughts from Dr. Polonsky RESOURCES: Breaking down the fear of blood sugar lows Behavioral Diabetes Institute ADA mental health registry The Hypoglycemic Fear Syndrome: Understanding and Addressing This Common Clinical Problem in Adults With Diabetes Is Your Diabetes Tech Helping or Hurting? Mental Health and T1D Innovation 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.

June 2, 2026Episode 9019 min

The Mental Weight of T1D--Burnout, Advocacy & Self-Compassion

Diabetes burnout is not a character flaw. It is a predictable response to a relentless, non-negotiable condition that never gives you a break — and yet it isn't discussed nearly enough. In this special episode of Think Like a Pancreas — The Podcast, we revisit our most important conversations about the emotional weight of living with type 1 diabetes. Dr. Paula Diab's patient, James van der Meulen, shares his experience of burnout during law school, and how he gets back on track. Mental health specialist Anna Sabino offers practical ways to navigate burnout and explains what it can be hiding underneath. And mental health professional Kristi Paguio joins Dr. Paula Diab to examine the challenges of advocating for yourself — and how to build a support team to help you run a race that never ends. MEET YOUR HOSTS AND THEIR GUESTS: 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. 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. Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has had the privilege of working with people across the lifespan who are impacted by diabetes. She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time. James van der Meulen has been living with type 1 diabetes since he was four years old. He has successfully managed his diabetes through university and law school. He is now a successful corporate lawyer in South Africa. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Diabetes burnout is inevitable and NOT a personal failure. ✔️Like your diabetes, your burnout may vary. ✔️ On your worst days, simply perform the basics. CHAPTERS: 00:00 The Elephant in the Room 04:09 The Invisible Burden of Type 1 Diabetes 08:21 The Importance Building Our Support Team 11:40 If You are Living with Type 1 Diabetes, Never Forget That You ARE Incredible! 16:24 Tips for Navigating Burnout RESOURCES: https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-diabetes-management/ https://Integrateddiabetesservices.podbean.com/e/diabetes-is-the-ultimate-ultramarathon/ https://Integrateddiabetesservices.podbean.com/e/diabetes-and-self-advocacy/ 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.

May 26, 2026Episode 8925 min

Food Label Secrets Every Person with Diabetes Should Know

Do food labels confuse you? You are not alone! In this episode of Think Like a Pancreas — The Podcast, Registered Dietitians Jennifer Smith (CDCES) and Dana Roseman cut through the marketing noise to help people with diabetes make smarter, more informed food choices. Learn what FDA-regulated terms like sugar-free and reduced sugar really mean, as well as which label claims are pure marketing gimmicks. From keto-friendly to naturally sweetened, not everything on the package means what you think it does. Why "walking the perimeter" of the grocery store is still the best strategy How switching to whole foods can actually change your insulin-to-carb ratios MEET YOUR HOSTS: Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️”Low sugar” is a marketing term and can mean whatever the manufacturer wishes. ✔️If you are injecting insulin, you cannot just take a “net carb” approach to dosing. ✔️ Don’t eat what you can’t pronounce. ✔️ Switching to whole foods can change your insulin-to-carb ratios. CHAPTERS: 00:00 Welcome and Introduction 02:08 Added sugar. No Sugar. Natural Sugar. What do they mean? 06:25 What to look for on a label 10:55 If you don’t recognize it as food on a label, maybe you shouldn’t eat it 11:36 There is a time and a place for artificial sweeteners 13:19 Where to begin making healthier choices 14:38 Allulose and alternate sweeteners 18:29 What to watch out for on food labels. 22:09 “The” Nutrition Plan that you should follow 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.

May 19, 2026Episode 8841 min

Taking Diabetes On the Road

You can’t leave diabetes at home when you travel, so what are the most important things to keep in mind when you’re on the road for business, pleasure, or necessity? In Episode 88 of Think Like a Pancreas—The Podcast, host Gary Scheiner speaks with fellow Integrated Diabetes Services clinician Dana Roseman about practical tips for maintaining blood sugar control in a variety of travel situations. Drawing on both personal and professional experience, they share insights that anyone with diabetes who has to travel will find helpful. MEET YOUR HOSTS: 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. 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: ✔️It is important that you know how to troubleshoot your technology and be confident in your backup plan. ✔️ When packing, plan for the unexpected. ✔️ Use TSA pre-check where possible to improve your security experience. CHAPTERS: 00:00 Welcome and Introductions 03:27 Travel Mishaps and Preparation Strategies 05:50 How to pack when traveling with diabetes 09:30 Dietary Changes and Carb Counting on the Go 15:00 Adjusting to Activity Levels and Environmental Changes 20:31 Airport Security and International Travel Considerations 24:57 Adjusting for Long Periods of Sitting 31:19 Gary and Dana’s Ultimate Packing Checklist 35:00 Taking a Diabetes Vacation: Is It Okay? 38:01 Final Thoughts on Travel and Diabetes RESOURCES: SNAQ: The App That Brings “Star Trek” to Diabetes Adding Activity to Your Day GET PACKING Checklist 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.

May 12, 2026Episode 8727 min

You Will Make It Through. Real Stories from T1D Moms

Raising a child with type 1 diabetes changes everything — and nobody quite prepares you for what the early days really feel like. In this special episode, we bring together voices from multiple conversations to create one honest, wide-ranging look at the journey of T1D parents. You'll hear from Jessica, whose daughter Grace was diagnosed at four and a half after a flyer on a pediatrician's wall caught her eye at just the right moment. From Jamie, whose daughter Ellie arrived at her diagnosis after three emergency room visits in 36 hours. From Ali, a mom who navigated two toddler T1D diagnoses a year apart. And from Laura, who despite having T1D herself, found herself having to relearn things when her two-year-old was diagnosed. Together with host Tavia Vital a who is also person with diabetes, registered nurse, certified diabetes educator, and T1D mom herself, these stories serve as a reminder that you are not alone amidst the overwhelm, the isolation, the exhaustion, of slowly finding of your footing as a parent of a child with type 1 diabetes. You will make it through. MEET YOUR HOST AND HER GUESTS: 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. Jessica is mother from Colorado who’s daughter Grace was diagnosed with type 1 diabetes at four and a half years old. Jess first appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!” Jamie is from Ontario, Canada. Her daughter Ellie was diagnosed with type 1 diabetes at 21 months old. Jamie also originally appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!” Laura Harkin has type 1 diabetes and has a son with type 1 as well. Her story was first shared on Think Like a Pancreas—The Podcast episode 35, And then there were two! When your child is also diagnosed with diabetes. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES was diagnosed with type 1 diabetes at age twelve. Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Ali Adler is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Type 1 diabetes can happen at any age. ✔️While you can still live a normal life after a T1D diagnosis, “normal” will look different. ✔️ You will spend a lot of time looking for reasons…and not finding them. That’s okay. ✔️ Find your village. It may look differently from what you had originally planned. CHAPTERS: 00:00 The Diagnosis 10:45 When Your Whole World Changes 16:09 What Nobody Warns You About 20:16 Finding Your Village 22:48 Navigating Changing Relationships 25:02 From Here to There RESOURCES: Time out for Caregivers 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

May 5, 2026Episode 8643 min

Pros and Cons of Using AI for Type 1 Diabetes Management

Can AI help you better manage your diabetes care? In this episode of Think Like a Pancreas—The Podcast, clinicians Alicia Downs and Jennifer Smith dig into the pervasive world of Artificial Intelligence and discuss its role in diabetes care. AI is integrated into everything from targeted ads to "smart" insulin pumps, but what is the difference between generative AI (like ChatGPT) and the "AI in a box" found in clinical algorithms. Alicia and Jenny discuss the biases that most systems have, the tasks where AI shines and note where it is lacking. MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Alicia Downs, RN, MSN, CDCES, BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated, compassionate, informed and equitable care to all people. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️No the source of your AI. It isn’t all created equally. ✔️The prompts you use dictate the results you receive. ✔️ Know the source of your AI ✔️AI does not have a lot of sources to draw from to get information on diabetes. CHAPTERS: 00:00 Welcome & Introductions 01:58 AI is Everywhere We Login 04:35 Understanding Your AI’s Bias 10:34 The Problem of the Missing Human Component 18:44 AI for Carb Counting. Does it work? 22:09 What Can You Use AI For? 26:03 An Educator Moves You Beyond the Obvious 34:21 AI Doesn’t Know Your Algorithm 37:33 AI. What’s It Really Good For? 39:35 Verify Where Your AI References RESOURCES: SNAQ: The App That Brings “Star Trek” to 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.

April 28, 2026Episode 8530 min

Adding Activity to your day: Better Blood Sugars via the Laundry Room

Adding movement to your day is easier than you think no matter what your activity level--AND it has more benefits than many realize! In episode 85 of the Think Like a Pancreas podcast, exercise physiologist Gary Scheiner and physician Paula Diab explain the difference between activity and exercise. They explore how integrating more physical activity into daily routines can improve health, manage diabetes, and enhance overall well-being. Learn how these clinicians add more movement in their own busy life by doing little things like parking farther away from the coffee shop. MEET YOUR HOSTS: 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. 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. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Exercise can take place at any time. ✔️There is a cumulative effect by adding movement to your day. ✔️ Being active is an attitude. ✔️There are many practical ways to incorporate movement into daily life. CHAPTERS: 00:00 Welcome & Introductions 02:29 Gary Scheiner—Laziness Cop 03:26 The Difference Between Activity and Exercise 06:47 The Cumulative Benefit of Daily Activity 09:02 Trackers Can Be Motivational 10:17 Effects of Movement on Blood Sugar 13:38 Daily Activities as Exercise 18:22 The Benefits of Stretching 19:50 How Paula and Gary incorporate More Activity into their days 25:06 Mindset Shift Towards Activity 27:54 Final Thoughts and Takeaways RESOURCES: Book with Dr. Paula Everyday Activities list Diabetes-related complications can drop considerably with MOVEMENT 7,000 Steps, No Regrets! If you are able to move, then move 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.

April 21, 2026Episode 8443 min

The T1D Teenage Tightrope: Independence, Emotions, and Everyday Life

In episode 84 of the Think Like a Pancreas podcast, mental health clinician Anna Sabino and registered nurse Tavia Vital, dive into the "Teenage Tightrope" of managing Type 1 Diabetes (T1D). They reveal why the transition from a cooperative child to a seemingly "unreliable" teenager is a normal, albeit exhausting, part of brain development. Listen as Anna and Tavia share the raw, real-life moments that every T1D family understands. Their tips and guidance will help parents improve communication with their teen and foster strong plan towards independence. 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. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Physical growth and emotional growth happen at different times. ✔️The importance of positive praise in a world of stress and negativity. ✔️ Independence is a process than goes beyond age 18. ✔️Communication is key and may require the help of a third party. CHAPTERS: 00:00 Welcome & Introductions 04:28 Why Adolescence is a Unique Challenge When It Comes to T1D 10:48 What Can You Expect from Your Teen 15:07 Figuring Out What is the Least Irritating for Your Teen…and YOU. 20:06 Understanding and Implementing the Plan to Independence 25:12 Tips for Improving Communication with your T1D Teen 31:21 The Role of Peer Support for Teens and Parents 40:00 Final Thoughts RESOURCES: Breakthrough T1D Children with Diabetes Time out for Caregivers 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.

April 15, 2026Episode 8330 min

From Crisis to Control: How T1D Screening Saves Lives

What if you could see a life-altering diagnosis coming years before the first symptom appeared? In Episode 83 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Steve Zortman, Sanofi Screening Ambassador and Jessica Dunne, PhD, Type 1 Diabetes Medical Director at Sanofi to examine both the emotional and scientific sides of type 1 diabetes (T1D) autoantibody screening. From the harrowing ER visit that left Steve’s family "blindsided" to the empowering, managed diagnosis of a sibling, this episode explores how science is shifting T1D from a medical emergency to a manageable journey. Whether you have a family history or are just curious about the future of autoimmune health, this conversation is your roadmap to advocating for yourself and your loved ones. MEET YOUR HOST AND HIS GUESTS: 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. Steve Zortman is a Sanofi Screening Ambassador, husband and father of three. Steve and two of his children all live with type 1 diabetes. Upon the diagnosis of his first child, Steve began the journey to become a diabetes nurse educator. Jessica Dunne, PhD is a trained scientist with over two decades of experience in translational research, clinical development, and advocacy. As a Medical Director for autoimmune type 1 diabetes at Sanofi, her role includes translating the science behind diabetes so that more people understand how screening can impact their T1D journey and advocate for it in their own lives. WHAT YOU’LL LEARN: ✔️Why up to 62% of people don’t know that they have Type 1 Diabetes until they are in a life-threatening state of Diabetic Ketoacidosis. ✔️How proactive diabetes-related autoantibody screening can improve mental and physical outcomes. ✔️The role of antibody testing in ensuring a proper diabetes diagnosis the first time. CHAPTERS: 00:00 The unpredictability of a type 1 diabetes diagnosis. 01:38 Meet the guests. 05:42 Riley’s diagnosis story. 07:50 To screen or not to screen? Addressing the fear. 11:15 Challenges faced by mis-diagnosed adults. 15:46 Understanding the science behind type 1 diabetes screening. 20:15 Who should be screened for diabetes antibodies? 24:46 The power of positive and negative test results. RESOURCES To Screen or Not To Screen Your Family Members for Type 1 Diabetes – Integrated Diabetes Services Getting Screened for Type 1 or Type 2 Diabetes – Integrated Diabetes Services Risk Assessment and Resources from Screen For Type 1 – Sanofi CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW: If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. This episode is sponsored by Sanofi.