Explore every episode of the podcast Think Like A Pancreas...The Podcast!
| Title | Pub. Date | Duration | |
|---|---|---|---|
| Meet Katlyn Agosta--Integrated Diabetes Services’ Newest Clinician | 22 Sep 2026 | 00:16:47 | |
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: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. | |||
| Type 1 Diabetes at School--Fostering Independence as They Age | 15 Sep 2026 | 00:35:13 | |
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. | |||
| Think Like a Pancreas--Chapter 10: Is there anybody out there? (Resources) | 11 Sep 2026 | 00:19:03 | |
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 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. | |||
| Think Like A Pancreas--Chapter 9: Taming highs and lows | 08 Sep 2026 | 00:30:56 | |
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. | |||
| Think Like a Pancreas: Chapter 8- 101 Variables (factors that raise & lower glucose) | 04 Sep 2026 | 00:26:31 | |
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. | |||
| Think Like a Pancreas Chapter 7: In search of the PERFECT bolus (dosing, timing) | 01 Sep 2026 | 00:27:44 | |
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. | |||
| Think Like a Pancreas Chapter 6: Laying the Foundation (fine-tuning basal insulin) | 28 Aug 2026 | 00:17:35 | |
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. | |||
| Think Like a Pancreas: Chapter 5: Basal vs. Bolus (what, why, how) | 25 Aug 2026 | 00:22:01 | |
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. | |||
| Think Like a Pancreas Chapter 4: The 3 Keys to Diabetes Management | 21 Aug 2026 | 00:24:32 | |
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. | |||
| Think Like a Pancreas Chapter 3: The lowdown on insulin (what it is, how it works, options available) | 18 Aug 2026 | 00:28:35 | |
Understanding insulin is the foundation everything else in diabetes management builds on. In this episode of Think Like a Pancreas--the Podcast, Tavia Vital is joined by author, Gary Scheiner to break down the basics. They talk about how insulin actually works in the body (Gary's "key and lock" analogy), the difference between type 1 and type 2 diabetes, and why some people can have features of both at once. You'll learn the real purpose of basal insulin versus bolus insulin, why "waking up with a good number" doesn't necessarily mean your basal dose is right, and how the major factors — food, stress hormones, physical activity, and insulin — work together to raise or lower blood sugar. Whether you're newly diagnosed or just want a refresher on the fundamentals, this episode lays the groundwork for everything else covered in Think Like a Pancreas. MEET YOUR HOST AND HER GUEST:Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique.
Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS:✔️There are many types and sub-types of diabetes. ✔️ There are at least 11 different classes of medications for lowering glucose levels. ✔️ Basal insulin should keep blood glucose levels flat, while bolus insulin is used to cover food that is eaten. CHAPTERS:00:00 Welcome and Introduction 02:43 The Types of Diabetes 10:12 What Kind of Diabetes Do I Have? 11:48 Things That Impact Blood Glucose 17:26 The Role of Basal Insulin 19:12 Bolus Insulin 20:13 The Job of Insulin in the Body 22:16 Adjusting Insulin 24:38 The Most Important Chapter in Think Like a Pancreas RESOURCES: Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition https://integrateddiabetes.com/ids-packages/ CONNECT WITH US:🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW:If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. | |||
| Think Like a Pancreas Chapter 2--Why are we doing this? (what's MEANINGFUL to be gained by managing one's diabetes) | 14 Aug 2026 | 00:21:40 | |
Chapter two of Think Like a Pancreas examines the motivation behind good glucose control. In this special episode, Dr. Paula Diab talks to author Gary Scheiner about the value of good glucose management now. Listen to learn why short-term benefits like better mood, energy, and focus are much more motivating than the fear of complications 20 years away, and why perfectionism has no place in diabetes management. MEET YOUR HOST AND HER GUEST:Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ The threat of complications that may occur in 20 years does not motivate improved glucose control. ✔️ Glucose control that is too tight can take a toll on your physical and emotional health. ✔️ About half of complication risk relates to blood sugar; the rest relates to genetics, lifestyle, environment, and unknown factors. Glucose management is the one piece within your control. CHAPTERS:00:00 Introduction and Welcome 02:23 The Positive Aspects of Diabetes Management 06:59 Why Short-Term Benefits Motivate More than Long-Term Complication Fears 12:49 The Impact of Poor Glucose Management 15:40 The Benefit of Proper Glucose Management 16:59 Learning from the Data 19:15 Closing Thoughts RESOURCES:Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW:If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!
Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. | |||
| Think Like a Pancreas: Everyone Has a Diabetes Diagnosis Story | 11 Aug 2026 | 00:25:07 | |
Welcome to the 100th episode of Think Like a Pancreas—The Podcast! To mark this momentous occasion, we are launching a special series inspired by the book that started it all. Join us twice a week for the next five weeks, as we share insights from each chapter of this incredible book. In this episode, Katlyn Agosta, MSN, APRN, FNP-C, CDCES, sits down with author Gary Scheiner, MS, CDCES, FADCES, to talk about his diagnosis story, how it shaped his life, and how it changed his career path. During their conversation, Gary reflects on his 1985 type 1 diagnosis and how management has evolved from "guillotine" finger-poke devices, exchange diets, and NPH insulin. Katlyn also shares her diagnosis story as well, and together they highlight the progress in diabetes care and discuss irreplaceable value of human insight in diabetes management. MEET YOUR HOST AND HER GUEST: Katlyn Agosta, MSN, APRN, FNP-C, CDCES is a Certified Diabetes Care & Education Specialist and nurse practitioner who has lived with Type 1 Diabetes since 2002. She is currently rocking an automated insulin delivery system, but has years of personal and professional experience with a variety of diabetes management approaches. After earning her bachelor’s in nursing from George Mason University in 2010, Katlyn became a board-certified nurse practitioner in 2020 and provides primary care services locally for patients in Florida. Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ Every insulin user has a backstory worth hearing. Gary shares his story for readers to better understand that he truly does understand what he is talking about. ✔️ Both Gary and Katlyn emphasize that despite advances in technology (including AI), diabetes management remains deeply personal, and one-on-one care is central to how IDS works with patients. CHAPTERS:00:00 Introduction and Welcome 01:19 Meet Gary Scheiner 03:47 Registered Nurse vs Nurse Practitioner. What is the Difference? 06:39 Gary’s Diagnosis and Care Changes Over Time 11:18 The Exchange Diet vs Carb Counting 14:52 “Fast” Acting Insulin 16:18 Discovering Diabetes Self-Management 18:27 The Value of a Clinician Over AI 20:06 Katlyn’s Diagnosis Story 23:33 Closing Thoughts RESOURCES:Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky https://youtu.be/s3TtvAB409Y?si=oW15UoLwRHS9Vx6r Think Like A Pancreas - 4th edition https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition CONNECT WITH US:🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW:If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. | |||
| Type 1 Diabetes and Pregnancy: Labor, Delivery, and the Postpartum Journey | 04 Aug 2026 | 01:01:03 | |
This is the final episode in the series, Type 1 Diabetes and Pregnancy: A Complete Guide for Women — Preconception to Postpartum. In part three, Jennifer Smith and Tavia Vital talk about Labor, Delivery, and the Postpartum Journey for women with type 1 diabetes. They cover building a written labor and delivery plan to share with your care team, deciding whether to self-manage insulin during delivery or hand it over to the hospital protocol, and preparing a partner as a backup safety net. They break down how IV insulin differs from pump or injection insulin, and how induction, spontaneous labor, and C-sections each affect blood sugar differently. The conversation moves into newborn blood sugar basics, the importance of switching to a new postpartum insulin plan within about an hour of delivering the placenta, and how breastfeeding — especially in the first two weeks — can cause significant glucose drops. Jenny and Tavia also highlight two often-overlooked postpartum risks--thyroid dysfunction (which affects roughly 1 in 4 women with type 1 diabetes) and the difference between normal "baby blues" and postpartum depression, encouraging women not to navigate any of it alone. MEET YOUR HOSTS:Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ It is important to have a plan created for labour and delivery that includes the role of your birthing partner. It is equally important to remember that you can change that plan once you are experiencing labour. ✔️ Cutting carbs in the final 2–4 weeks of pregnancy can help "train" baby's pancreas not to overproduce insulin, reducing the risk of newborn hypoglycemia after delivery. ✔️ About 1 in 4 women with type 1 diabetes develop postpartum hyperthyroidism, sometimes with no prior thyroid history — watch for hair loss, jitteriness, elevated resting heart rate, and frequent bowel movements. CHAPTERS: 00:00 Introduction and Welcome 02:41 Building Your Labor and Delivery Plan with Your Care Team 09:05 Sharing Your Glucose During Delivery 10:33 Planning Your Insulin Protocol for Delivery 14:41 Educating Your Birthing Partner on Your Diabetes Management 20:17 Understanding IV Insulin vs Infused/Injected Insulin 23:27 Planning for Spontaneous Birth vs Induction vs C-Section 26:37 Post Delivery Insulin Needs for Baby 32:24 Post-Partum Insulin Plan 36:21 Curveballs: Preeclampsia and Steroids During Delivery 38:17 Glucose Needs While Breastfeeding 45:08 The Return of the Menstrual Cycle 46:36 Increased Risk of Thyroid Problems Post-Partum 52:51 Post-Partum Depression vs Baby Blues 57:31 Carrying Your Learning Forward RESOURCES: Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy Type 1 Diabetes and Pregnancy: Changes through the Trimesters Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl CONNECT WITH US: 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW:If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. | |||
| Type 1 Diabetes and Pregnancy: Changes through the Trimesters | 28 Jul 2026 | 00:52:57 | |
In part two of our three-part series, Type 1 Diabetes and Pregnancy: Changes Through the Trimesters, Jennifer Smith and Tavia Vital share what to expect after conception. They debunk common misconceptions and offer an honest look at what to expect now that you are expecting. From the value of continuous glucose monitor (CGM) data to changing insulin needs, nausea, hypoglycemia, and DKA, Jenny and Tavia share their clinical and personal experiences with the adjustments needed for diabetes management throughout pregnancy. MEET YOUR HOSTS:Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ Early pregnancy often brings a temporary insulin resistance spike, followed by a drop to as low as 1/3 of pre-pregnancy doses by roughly week 6–8. ✔️Hypoglycemia unawareness becomes more common in pregnancy — glucagon (including micro-dosing) and ketone strips should be on hand, not just "somewhere in a drawer." ✔️By third trimester, insulin needs can triple compared to pre-pregnancy doses. ✔️Ketone testing is advised any time insulin has been suspended for a while, after a suspected site/pump failure, or when glucose won't come down as expected — DKA can occur at lower glucose levels than the traditional teaching suggests. CHAPTERS: 00:00 The Role of Technology in Diabetes Management 08:07 Finding the Right Tech Fit 14:44 Navigating the First Trimester 22:32 Dealing with Nausea 24:50 Hypoglycemia Unawareness 29:02 18-21Week Insulin Adjustments…Again. 31:47 The role of Protein in Pregnancy 35:01 The Third Trimester 39:12 Adjunct Pregnancy Therapies 40:38 DKA Risk During Pregnancy 44:11 The Conversations to Have With Your Healthcare Team During Your Pregnancy RESOURCES:Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl https://www.youtube.com/watch?v=p7eimb20zcI https://www.youtube.com/watch?v=fDPHdTAaT4o CONNECT WITH US:🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/ or email info@integrateddiabetes.com SUBSCRIBE AND REVIEW:If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing. | |||
| Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy | 21 Jul 2026 | 00:47:55 | |
In part one of the three-part series, Type 1 Diabetes and Pregnancy: A Complete Guide for Women — Preconception to Postpartum, Jennifer Smith and Tavia Vital focus on preconception. They consider this to be the "missing trimester" that most women aren't coached through. They cover building a care team, adjusting meds/supplements, tightening glucose targets safely, nutrition, screenings, as well as some of the biggest fears that women bring to this conversation. MEET YOUR HOSTS:Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ Recommended timeline: start preconception conversations with your care team at least 6 months before trying to conceive. ✔️ Glucose target tightening should be gradual and stepwise, not a sudden jump to pregnancy-range targets. ✔️Folic acid: pregnancy with diabetes often calls for double the folic acid found in a standard prenatal. Please confirm with your healthcare provider. ✔️Having type 1 diabetes does not automatically mean a big baby or an induced/C-section delivery. CHAPTERS:00:00 Welcome and Introduction to Part 1 of Type 1 Diabetes and Pregnancy 03:45 Setting the Stage for a Healthy Pregnancy 05:34 Tavia’s Preconception Experience 07:18 Planning for Pregnancy Months in Advance 12:50 Gradually Shifting Glucose Targets Before Pregnancy 17:32 Shifting Gears for an Unplanned Pregnancy 22:35 What to Know About Nutrition Before and After Conception 33:52 Pre-conception Screenings 38:37 De-Bunking Common Myths and Misconceptions 42:53 Recommended Resources 46:15 Coming up in Part 2 of the Type 1 Diabetes and Pregnancy Series RESOURCES:Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management The 100 Healthiest Foods to Eat During Pregnancy Pregnancy with Type 1 Diabetes--The Book and The Authors https://youtu.be/g2arb-bHSPg?si=Rk6gUmMdW5aOxDvl What to expect with IVF. Why Standard Diabetes Care Isn't Enough for Fertility Pregnancy Myths Every Woman With Type 1 Diabetes Should Stop Believing 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. | |||
| Beyond Blood Sugars--Mindfulness and Stress Relief for Type 1 Diabetes | 14 Jul 2026 | 00:48:52 | |
Integrated Diabetes Services supports clients’ physical and mental health with clinicians trained to help you understand your data, fuel your body, and quiet your mind. In this episode of Think Like a Pancreas—The Podcast, Tavia Vital, BSN, BA, RN, CDCES, sits down with Melanie Bacine of Mel B Wellness to discuss how calming the mind can improve diabetes management. You’ll learn how a quiet morning coffee ritual can help you start the day feeling more relaxed, how journaling at night may support better sleep, and how Tavia uses aromatherapy in her own diabetes care. MEET YOUR HOST AND HER GUESTTavia 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. Melanie Bacine is a certified life and wellness coach as well as a medicinal aromatherapist. She has spent twenty-eight years living with three autoimmune diseases, including type 1 diabetes. During that time she came to understand that the mind-body is something to be worked on every day. KEY TAKEAWAYS AND HIGHLIGHTS:✔️Mindfulness and meditation are two different practices. Mindfulness can occur at any moment in time. ✔️Small changes can create large benefits in our body and do not have to take large chunks of time. ✔️Creating a sustainable wellness routine involves taking deliberate action to look beyond just what we see and explore how the other senses can improve our whole being. CHAPTERS:00:00 Meet Melanie Bacine 03:41 Defining Mindfulness 06:55 Practical Mindfulness Tips for Busy Lives 11:48 Grounding Exercises 20:13 Aromatherapy—Separating Facts from Myths 32:50 Sound Therapy & Relaxation 39:45 Creating a Sustainable Wellness Routine RESOURCES: https://www.instagram.com/melb.wellness/ https://www.facebook.com/melbacine https://integrateddiabetesservices.podbean.com/e/fear-of-low-blood-sugars-in-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. | |||
| An Introduction to Low-Carb Diets and Type 1 Diabetes Management | 07 Jul 2026 | 00:20:53 | |
What constitutes a "low-carb" diet? In episode 95 of Think Like a Pancreas, our hosts Jennifer Smith (RD, CDCES) and Dana Roseman (MPH, CDCES, RDN, LDN) sit down to unpack the broad, and often misunderstood, world of low-carb eating and type 1 diabetes management. From strict 30-gram-a-day ketogenic plans to the flexible 80/20 lifestyle of a Mediterranean approach, Jenny and Dana explain why a one-size-fits-all diet doesn't exist. They dive into the traps of marketing labels, how metabolic age shifts your results, and why mastering your insulin strategy is ultimately more freeing than completely eliminating your favorite foods. MEET YOUR HOSTSDana 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:✔️Age alters your metabolism, that is why it is much more important to find a sustainable diet over the latest fab diet. ✔️The healthiest way to shop is to spend the bulk of your time in the periphery and find only occasional treats in the middle aisles. ✔️Carbohydrates are not evil. Dietary success lies in eating for health 80% of the time, allowing for flexibility (like a vacation or special treat) 20% of the time, and learning the precise insulin timing strategies to navigate those choices smoothly. CHAPTERS:00:00 Welcome and Defining Low Carb Diets 05:10 Lower Carb, Lower Processed Foods Benefits 06:53 Age, Metabolism, and Managing Expectations 08:39 How Many Carbs Are Too Many? 12:28 GLP-1 Medications and Protein Priorities 14:25 The Benefits to Diabetes Management 17:50 The 80/20 Rule of Diabetes Management RESOURCES:https://www.type1university.com/the-low-carb-lifestyle/ Beyond Carbs: The effects of fiber, protein, fat & more https://www.type1university.com/beyond-carbs-the-effects-of-fat-protein-more/ 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. | |||
| Add Some Muscle to Your Diabetes Management with Chris Ruden | 30 Jun 2026 | 00:45:06 | |
Living with Type 1 Diabetes often makes us focus on what we might lose—but what if we focused on what we can add? In this episode of Think Like a Pancreas, host Gary Scheiner sits down with longtime colleague, professional motivational speaker, and type 1 athlete Chris Rudin. Together they unpack the physiological and mental benefits of resistance training, debunk the myths around workout failure, and provide actionable strategies for managing blood sugars during training at any age. MEET YOUR HOSTGary 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. Chris Ruden is a transformational keynote speaker, change management expert, and disability inclusion advocate who engages audiences across the USA and worldwide. He was diagnosed with type 1 diabetes at aged 19, is an amputee, world-record powerlifter, and NBC’s Titan Games competitor. Chris leverages his story of overcoming adversity to help organizations build trust and resilience. KEY TAKEAWAYS AND HIGHLIGHTS:✔️Never “should” all over yourself! ✔️Muscle growth promotes general health and metabolism, but it also has mental health benefits that many people don’t realize. ✔️ Total daily intake of protein matters more than the timing of your protein when building muscle or losing fat. CHAPTERS:00:00 Welcome and Introduction 04:44 Meeting Challenges and Making Adaptations 08:44 The Role of Muscle in Healthy Living 12:55 Program Design for Muscle Building 21:26 The Importance of Muscle Damage in Muscle Building 23:12 Why You Need to be In Range to Build Muscle 24:24 The Ideal Amount of Protein 30:19 Managing Glucose Levels While Building Muscle 36:10 Should You Change Up Your Workouts to Avoid Injury 38:50 Don’t Be Upset at The Skills That You Don’t Have from The Work That You Didn’t Do. 40:21 GLP-1s and Protein 41:13 Chris’s Inspiration RESOURCES:New Nutrition Guidelines Explained: What They Mean for Type 1 Diabetes https://Integrateddiabetesservices.podbean.com/e/2026-nutrition-guidelines/ The ADA Scientific Sessions Round Up With Gary Scheiner Chris Ruden – Change Management Keynote Speaker 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. | |||
| The ADA Scientific Sessions Round Up With Gary Scheiner | 23 Jun 2026 | 00:39:44 | |
The 2026 ADA Scientific Sessions was marred by a standoff between ADA staff and some highly reputable scientists who were trying to distribute copies of an editorial that was published in an ADA journal without “express written consent”. There were also rumors swirling about the hostile takeover of one of Breakthrough T1D’s major fundraising entities and its own parent company. Despite the political skirmishes, this year’s meeting was nothing short of fantastic. Clinical Director and Founder Gary Scheiner learned about the latest in research, technology, and product releases and shares them with you in this special episode. MEET YOUR HOSTGary 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:✔️Insulin absorption is slower as pregnancy proceeds. ✔️Tegoprubart offers exciting cure possibilities. ✔️ Continuous ketone monitoring is coming with more benefits than you may think. CHAPTERS:00:00 Introduction 01:38 AID Optimization 03:04 Pumps & Pregnancy 08:19 New Product Development 12:05 “Other” Medications 20:00 Ketone (Sensing) Is Coming! 24:05 Exercise Discoveries 30:20 Slowing T1D Progression 33:28 Sleep Matters 35:30 Last But Not Least RESOURCES:Key Findings From The ADA Scientific Sessions 2026 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. | |||
| Can You Have Type 1 and Type 2 Diabetes? (What Is Double Diabetes?) | 16 Jun 2026 | 00:40:02 | |
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. | |||
| Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky | 09 Jun 2026 | 00:43:40 | |
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 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. | |||
| The Mental Weight of T1D--Burnout, Advocacy & Self-Compassion | 02 Jun 2026 | 00:19:10 | |
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. | |||
| Food Label Secrets Every Person with Diabetes Should Know | 26 May 2026 | 00:25:51 | |
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.
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. | |||
| Taking Diabetes On the Road | 19 May 2026 | 00:41:22 | |
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:Navigating a Diabetes Tech Disaster at 30,000 Feet--A True Story of Insulin Pump Failure on a Plane 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. | |||
| You Will Make It Through. Real Stories from T1D Moms | 12 May 2026 | 00:27:57 | |
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: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
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| Pros and Cons of Using AI for Type 1 Diabetes Management | 05 May 2026 | 00:43:39 | |
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. | |||
| Adding Activity to your day: Better Blood Sugars via the Laundry Room | 28 Apr 2026 | 00:30:18 | |
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:Everyday Activities list Diabetes-related complications can drop considerably with MOVEMENT If you are able to move, then move https://integrateddiabetes.com/building-sustainable-diabetes-habits/ 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. | |||
| The T1D Teenage Tightrope: Independence, Emotions, and Everyday Life | 21 Apr 2026 | 00:43:18 | |
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:Children with 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.
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| From Crisis to Control: How T1D Screening Saves Lives | 15 Apr 2026 | 00:30:21 | |
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. | |||
| What to expect with IVF. Why Standard Diabetes Care Isn't Enough for Fertility | 14 Apr 2026 | 00:35:42 | |
Mastering insulin your insulin during IVF is not for the faint of heart! It requires a strong team cheering you on who understands the complexities of insulin management with constantly changing hormones. This episode of Think Like a Pancreas—The Podcast shares insights and tips for dealing with the intersection of IVF and insulin requirements. CDCES Tavia Vital and Jennifer Smith share stories from their own pregnancy experiences, as well as knowledge from helping many, many women navigate this path. As you listen, you will learn that you aren’t alone and with a good plan and strong support, your journey will be much easier to navigate. MEET YOUR HOSTS:Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ The value of support as you go on this journey cannot be understated. ✔️Adaptive systems cannot keep up with the rapidly changing hormones of IVF. ✔️ Each stage of IVF comes with different insulin requirements. Planning makes this easier to anticipate. CHAPTERS: 00:00 Normalizing the road of IVF for Insulin Dependent Women 04:35 The Emotional and Mental Load of Fertility Treatments 09:04 How IVF Hormones Mechanically Impact Insulin Needs 11:09 The role of your diabetes team in IVF 16:04 The Importance of Pre-conception Planning 20:01 Overcoming Guilt: Navigating Unexpected Glucose Variability 25:03 Stage by Stage Insulin Adjustments 28:36 Key Things to Remember RESOURCES:Pregnancy with Type 1 Diabetes--The book and the authors. Learn more at Pregnancy & T1D Care – Type 1 University 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. | |||
| The Latest in Diabetes Tech. An ATTD 2026 Recap with Gary Scheiner | 07 Apr 2026 | 00:31:26 | |
Fresh from the 2026 ATTD Conference in Barcelona, Gary Scheiner shares a comprehensive recap of the latest breakthroughs in diabetes technology, clinical research, and practical management strategies. Learn about upcoming changes from companies like Tandem, new products from Abbott, and what research is saying skin care for people with diabetes. MEET YOUR HOST: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:✔️ Multiple new infusion set options are coming for insulin pumpers. ✔️Omnipod DASH pump will be available at least until 2027. ✔️ The importance of time in range. ✔️ The benefit of whey protein before exercise. CHAPTERS:00:00 Introduction to the ATTD Conference 03:12 Innovative Product Developments in Diabetes Care 09:00 The Truth Behind the Steel Needle Infusion Set Shortage 10:22 The Use of Technology in the Elderly 12:05 Updates from Dexcom 13:31 Using Whey Protein to Prevent Exercise-Induced Lows 15:01 Scientific Research on Hormones and Time In Range 16:57 Not All Ultra-Rapid Insulins are Created the Same 17:33 Air Travel’s Impact on Blood Sugar Levels 18:32 Skincare and Diabetes Management 23:25 The Role of Alternative Meds in Type 1 Care 26:33 The Use of Advanced Insulin Pump Features RESOURCES: 2025 ATTD Discoveries with Melissa Holloway 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. | |||
| Unlocking T1D Success. Insider Tips for Managing Inflammation and Insulin Resistance | 31 Mar 2026 | 00:25:27 | |
There’s plenty of buzz about inflammation these days—but what does it really mean to manage inflammation and insulin resistance when you live with type 1 diabetes? In episode 80 of Think Like a Pancreas—The Podcast, clinicians Dana Roseman, Jennifer Smith, and Dr. Paula Diab dive into the relationship between inflammation, blood sugar variability, and effective diabetes management. They reveal how the “wellness triad” of food, exercise, and sleep can help tame inflammation. From the power of Omega-3s and Vitamin D to the emerging role of GLP-1 medications and why gut health matters, learn how to lower insulin resistance and support your body’s natural healing. 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. Dr Paula Diab MD, 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:✔️ It is important to work with a clinician who looks beyond the numbers ✔️Despite getting a lot of sunshine, people living with an autoimmune condition may be low in Vitamin D. ✔️Gut Health is often overlooked. CHAPTERS: 00:00 Meet Dana, Jenny, and Paula 02:28 Understanding Inflammation and Diabetes 06:13 The role of supplements to reduce inflammation and insulin resistance 07:15 The Triad of Health and Wellness 13:19 Medicinal options to fight inflammation. 17:57 The importance of a healthcare provider who can analyze your overall lifestyle 20:02 The Understated Value of Exercise 21:28 Reducing Inflammation Naturally 23:41Bringing it all together RESOURCES: 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 REVIEWIf 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. | |||
| Is Your Diabetes Tech Helping or Hurting? Mental Health & T1D Innovations | 24 Mar 2026 | 00:55:55 | |
Is your diabetes tech helping or hindering your mental health? IN EPISODE 79 of Think Like a Pancreas—The Podcast , Integrated Diabetes Services clinicians Alicia Downs and Anna Sabino explore how diabetes technology can impact your mental wellbeing—both positively and negatively. Having each lived with type 1 diabetes for over 20 years, Alicia and Anna share why it’s sometimes important to pause and listen to your body rather than focus solely on device data. Tune in as they provide practical strategies to help you make the most of your diabetes tools—and recognize when technology may be contributing to burnout. MEET YOUR HOSTS: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. Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. KEY TAKEAWAYS AND HIGHLIGHTS:✔️ Tech or no tech, it is important to listen to your body. ✔️ The importance of understanding the goal of using technology. ✔️ How to learn from failure. ✔️ We drive the behavior of our devices. ✔️ How you and your tech can become a winning team. CHAPTERS: 00:00 Intro: Meet Anna Sabino and Alicia Downs 04:30 The Challenge of Waiting: CGM Lag and Rage Bolusing 06:15 Overcoming Information Overload and Paralysis 08:50 Balancing Overwhelm and Trust 14:32 Trusting Your Tech Does Not Mean Blind Trust 18:25 Navigating Discomfort 22:22 Tools for Setting Realistic Operating Expectations 25:24 The Need for Constant Diabetes Education 28:54 Identifying Your Goals for Using Technology 32:57 Adjusting Your Perspective 37:58 How to Identify and Deal Tech Burnout 43:45 Learning Integration 48:08 Understanding the fundamentals 51:09 How and when to react RESOURCES:How to Manage Diabetes Alarm Fatigue for Better Sleep Is Your Diabetes Tech Working for You—or Are You Working for It? 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 REVIEWIf 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.
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| Sensor and Sensibility: Gary Scheiner's Rant on Diabetes Absurdities | 17 Mar 2026 | 00:42:01 | |
In episode 78 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Owner and Clinical Director, Gary Scheiner takes a humourous, but hard-hitting look at the type one diabetes hurdles that make you want to scream! From the fact that the body doesn’t have an insulin back-up system to battles with health care providers, Gary shares the things that truly frustrate him. Listen to this episode and hear Gary separate the science from the stupid. MEET YOUR HOST: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. WHAT YOU’LL LEARN:✔️Insulin isn’t the only hormone lacking in people with type 1 diabetes. ✔️Even clinicians have insurance issues ✔️Not all medical professionals are experts in your diabetes tools. CHAPTERS:00:00 Welcome and introduction 02:01 Biological beefs 12:18 Technology and support tribulations 17:30 The truth about expiry dates 20:24 Health insurance headaches 24:19 The hypocrisy of big pharma 27:12 Red tape and bureaucracy 29:57 Prescriber knowledge gaps 31:24 Medical Research 32:59 mmol? Mg/dL? Or??? 33:56 Pronunciation and diabetes word frustrations 36:36 DUH research 37:56 Stop selling people with diabetes short RESOURCES: TRIO Open Sourced Insulin delivery 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. | |||
| New Nutrition Guidelines Explained: What They Mean for Type 1 Diabetes | 10 Mar 2026 | 00:24:59 | |
Are the latest food guidelines leaving you confused? You're not alone! In episode 77 of Think Like a Pancreas—The Podcast, registered dietitians and certified diabetes care and education specialists Dana Roseman and Jennifer Smith break down the recently updated USA Nutritional Guidelines. They put on their dietitian hats to explore exactly what these changes mean for people living with Type 1 Diabetes. From turning the food pyramid on its head to navigating the wild world of "protein-added" snacks, Dana and Jenny offer insights into what this means for people living with diabetes. 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:✔️The value of the “Plate Method” of healthy eating ✔️Fat is important in our diet. ✔️Sometimes you are getting a lot of extra sugar in order to get that extra boost of protein. ✔️The 2026 Food Guidelines are not new. They are updated. ⭐ Comment with your most memorable school cafeteria food! CHAPTERS:00:00 Welcome and introduction 02:57 The end of the Food Pyramid 05:07 Emphasis on Protein in Diet 08:43 Understanding Processed vs Whole Foods 11:36 Protein enriched can also mean “more sugar added” 12:44 The role of saturated fats and how to use them 16:06 Nutrition isn’t one size fits all 17:33 The role of nutritional guidelines in grade school. 20:20 Making better food choices RESOURCES:Focus on Protein for Stability with Diabetes Type 1 Diabetes: What Nutrition Macros Should I Follow?
Turning the food pyramid on its head…The Simpsons 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 REVIEWIf 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.
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| When the going gets tough, the tough get inventing. The T1D1 App Story. | 03 Mar 2026 | 00:33:15 | |
When the going gets tough, 13-year-old Drew Mendelow gets inventing a diabetes app! In episode 76 of Think Like a Pancreas--The Podcast, host Gary Scheiner, owner and clinical director of Integrated Diabetes Services, sits down with Drew Mendelow, the inspiring teen developer of the T1D1 app. Diagnosed with Type 1 diabetes at the age of 13, Drew channeled his coding skills into creating a free, simple insulin calculator. Together they discuss Drew’s diagnosis journey, the challenges of getting FDA clearance for a medical app, and how taking action helped him cope with his diabetes diagnosis. 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. Drew Mendelow is a freshman at Georgia Tech and the creator of the T1D1 app. Aside from his passion for coding and app development, he is a lifelong soccer player and a member of the Yellow Jacket space program. KEY TAKEAWAYS AND HIGHLIGHTS:✔️How creating the T1D1 app empowered a 13-year-old newly diagnosed child with type 1 diabetes. ✔️The goal of the app is to keep things simple for you and your diabetes management. ✔️T1D1app isn’t just for those on MDI CHAPTERS:00:00 Meet Drew Mendelow, developer of the T1D1 app 04:33 Newly diagnosed 13-year-old fills a need 06:48 Could diabetes management be gamified? 07:32 How the T1D1 app works 09:06 The journey to building the T1D1 app 10:51 Creating the app helped Drew to cope with his diagnosis. 12:52 Features that make this app unique 14:42 Getting FDA approval 22:19 How pump users can use the T1D1 app 23:39 What’s next for the app 26:15 Unmet needs in the diabetes community 28:30 What the future holds for Drew Mendelow 30:10 Drew’s favourite apps 31:35 Gary’s final thoughts RESOURCESLevel One - A Game to Master 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/how-to-start-the-process/ , or email info@integrateddiabetes.com SUBSCRIBE AND REVIEWIf 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. | |||
| Let’s do the Twiist™! A Review of Sequel Med Tech’s New Insulin Pump | 24 Feb 2026 | 00:44:21 | |
Twiist ™ utilizes the highly-regarded open-source/DIY Loop app concept without the user having to build and maintain the app on their own, but what do real world users think? IN EPISODE 75 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner sits down with DiabeTech host Justin Eastzer to discuss their experiences using Sequel Med Tech’s Twiist™ insulin pump. They take a deep dive into the unique "Loop" algorithm that powers the pump, the unique 6-hour predictive capabilities, and how it compares to other automated insulin delivery (AID) systems. Gary and Justin also share their thoughts on alarms, time in range, and the return of the Cleo luer lock infusion set. 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. Justin Eastzer is the founder & content creator of Diabetech, a multi-platform media company dedicated to producing educational and entertaining diabetes content that focuses on tech and diabetes management. WHAT YOU’LL LEARN:✔️ The interface gives you a lot of information right on the home screen. ✔️ The Twiist ™ algorithm is balancing active insulin against active carbs to make a long term prediction unlike other systems that only look one hour ahead. ✔️You can “back enter” or “forward enter” the carbs that you are eating with this insulin pump. ✔️Infusion set options are limited. CHAPTERS00:00 Intro: Meet Justin Eastzer of Diabetech 05:23 Justin’s tech experiences 06:34 The unique features of the Twiist ™ insulin pump 20:17 CGM compatibility pros and cons 25:09 Thoughts on the Cleo infusion set 29:24 The occlusion alert 30:05 The hidden use of the blue “bolus” button 32:15 The "Fire Alarm" Sound: Disruptive Alerts 34:10 Complexity of the 32 Steps & 8 Parts to Change insulin cartridge and infusion set 37:41 Who should use the Twiist ™ insulin pump? RESOURCESReview of the twiist Automated Insulin Delivery System Diabetech - Diabetes Tech, News, and Research | Diabetech The Diabetech Podcast | Diabetech | Diabetech 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 REVIEWIf 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. | |||
| Grownup T1Ds! A Festivus for the Rest Of Us!! | 17 Feb 2026 | 00:32:01 | |
Grown Up T1Ds! A Festivus for the Rest of Us! At last, there’s an organization dedicated to adults living with diabetes, providing a relaxed environment where meaningful connections and instant friendships can flourish! IN EPISODE 74 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner welcomes Kelly Dawes from T1DGrownups.org for an inspiring conversation about a service designed for an often-overlooked group: adults with type 1 diabetes. Both Gary and Kelly have lived with type 1 diabetes for over 40 years and openly discuss the emotional challenges that come with it. Kelly shares her motivation for founding T1D Grownups and explains what attendees can look forward to at one of the group’s free chapter events! MEET YOUR HOST AND HIS GUESTGary 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. Kelly Dawes was diagnosed with Type 1 Diabetes (T1D) in 1981. She is the founder of grownupt1ds.org and possesses a unique blend of expertise and social charisma. Her career began in dialysis, which broadened her understanding of health, eventually leading her to become a nationally certified personal trainer with a specialization in diabetes, and senior fitness. WHAT YOU’LL LEARN:✔️The cathartic benefit of being in a room with people who get it. ✔️ Diabetes talk is organic with no agenda at a Grownup T1D event. ✔️ Grownup T1Ds is a free, non-profit organization that hosts in person events for adults. CHAPTERS00:00 Welcome and introduction 06:20 What inspired you to create Grownup T1Ds? 07:42 The unique aspects of T1DGrownups 10:32 What to expect at a T1D event 13:01 Things that Kelly and Gary get away with BECAUSE of diabetes 16:23 How to get involved as a participant or volunteer 19:46 The challenges in building Grownup T1Ds 21:27 The value of in person connections 23:43 The surprise benefit of GrownupT1Ds.org events 25:35 The age range of attendees 26:44 What the future holds for Kelly Dawes RESOURCES ✔GrownupT1Ds https://grownupt1ds.org/ ✔For information on the Philadelphia chapter contact philly@grownupt1ds.org ✔The February 28th meet up will take place at Dave & Buster’s—Plymouth Meeting Mall, 500 West Germantown Pike, Plymouth Meeting, PA RSVP to event at https://grownupt1ds.org/rsvp-form/ ✔To learn more about volunteering or activities in your area, contact kelly@grownupt1ds.org Other similar episodes: ✔Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes https://youtu.be/oyUQfSBgF1M ✔Is it Menopause, life or diabetes? Real Talk from Female Clinicians Who Live It. https://youtu.be/SbPnbu-S29M 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 you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! 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. | |||
| Why “It’s Your Diabetes” is often the wrong answer | 10 Feb 2026 | 00:48:50 | |
What if the symptoms you’ve been told are caused by diabetes… actually aren’t? In this episode 73 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Tavia Vital and Alicia Downs examine a frustrating and all-too-common issue in diabetes care… when medical symptoms are incorrectly blamed on diabetes—and the real diagnosis is missed! From neuropathy and kidney disease to fatigue, pain, and hormonal issues, Tavia and Alicia explain why people with diabetes are frequently told “it’s your diabetes” even when other conditions would also fit. They reveal how systemic healthcare constraints, insurance coding, and time pressure can lead to misdiagnosis, delayed treatment, and unnecessary guilt for patients. MEET YOUR HOSTS: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. 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. WHAT YOU’LL LEARN:✔️Blaming your diabetes rather than finding the true cause can create unnecessary emotional and physical stress. ✔️How non-diabetes conditions get mislabeled as diabetes complications ✔️The problem is often systemic. To investigate your potential diagnosis, your doctor needs to first provide a diagnosis. ✔️Your “neuropathy” is often treatable before it is debilitating. ✔️The importance of creating a team “us” with your medical professionals. CHAPTERS00:00 Welcome and introduction 03:01 Understanding the endocrine system 04:39 When it’s really NOT diabetes 07:32 Where the fault lies 12:16 The facts about diabetes related neuropathy 19:54 Rare conditions are not rare in the diabetes population 24:55 Reference ranges, diagnostic ranges, and prevention 29:20 When it wasn’t Tavia or Alicia’s diabetes 35:17 The questions to ask 39:53 One bad lab result doesn’t mean you have another disease RESOURCESAutonomic Neuropathy Screening Update for People with 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/how-to-start-the-process/ , or email info@integrateddiabetes.com SUBSCRIBE AND REVIEWIf 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. | |||
| Is it Menopause, life or diabetes? Real Talk from Female Clinicians Who Live It. | 03 Feb 2026 | 00:45:15 | |
In Episode 72 of Think Like a Pancreas—The Podcast, the clinicians of Integrated Diabetes Services—Jennifer Smith, Dana Roseman, Tavia Vital, and Dr. Paula Diab—tackle a topic that is rarely discussed but deeply impactful: navigating perimenopause and menopause with type 1 diabetes. Drawing from both clinical expertise and lived experience, these women unpack what many people are never told in the exam room about hormonal shifts, blood sugar volatility, insulin sensitivity changes, and the emotional toll of this life stage. They candidly share the frustrations of managing their own diabetes through perimenopause and menopause, while also offering practical insights, validation, and strategies that have helped them—and their patients—along the way. This conversation brings clarity, compassion, and real-world guidance to a phase of life that too often leaves people with type 1 diabetes feeling confused, dismissed, or alone. MEET YOUR HOSTS: Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. 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. 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. Dr Paula Diab 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. WHAT YOU’LL LEARN:✔️Menopause will make you think that you are doing something wrong after years of getting it right…but you aren’t! ✔️The inconsistency of hormonal fluctuations in perimenopause make it hard to nail down changes that may be required. ✔️ The value of finding other women to share your concerns with. ✔️Women with type 1 diabetes must take extra precautions to avoid bone issues found in aging. ✔️Self-care is not optional. CHAPTERS0:56 Welcome and Introduction 05:06 Menopause today is not what it was in your grandmother’s day 07:33 It isn’t your fault 09:00 The illusive nature of the onset of perimenopause and the havoc it creates. 12:21 How changing hormone levels impact your body 14:28 The domino effect of symptoms 18:41 Who do you turn to for medical help? 22:01 Menopause support 23:27 Understanding hormone replacement therapy 25:30 Mitigating your risk factors 28:12 Physical fitness after 50 is no longer optional 31:59 Tips for weight management in menopause and perimenopause 39:53 The impact of “menopause day” on diabetes management 41:59 Final thoughts RESOURCESIt’s a New Year – forget resolutions or big giant goals. Only About 5% of US Women Now Use Menopausal Hormone Therapy The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services Weight management for people living with 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/how-to-start-the-process/ , or email info@integrateddiabetes.com SUBSCRIBE AND REVIEWIf 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.
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| SNAQ: The App That Brings “Star Trek” to Diabetes | 27 Jan 2026 | 00:33:12 | |
In episode 71 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner speaks to innovator and entrepreneur, Aurelian Briner about the SNAQ app that he created for his wife, Loredana. The conversation explores the app's development journey, its key features for carb counting and diabetes management, and the challenges faced in the digital health space. The Briner’s share how user insights and lived experiences have allowed them to continue to build the app to help a growing number of people living with type 1 diabetes. 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.
Aurelian Briner is the CEO & Co-Founder of SNAQ. SNAQ is an AI-powered diabetes management platform that helps people make smarter mealtime decisions using its patented photo-based food analysis WHAT YOU’LL LEARN:✔️SNAQ was created by people living with type 1 diabetes for people living with type 1 diabetes…and they care. ✔️ The value of the SNAQ app during T1 pregnancy. ✔️The depth of the SNAQ app over uploading images to random AI programs. ✔️SNAQ app provides data only. They don’t show ads or share your data. CHAPTERS 00:15 Welcome and introduction 06:23 Inspiration for SNAQ 08:11 The value of having a test subject as your wife 09:22 The key features of the SNAQ app 15:50 Features that will be getting an upgrade over time 21:00 The biggest challenges in marketing the SNAQ app 24:21 SNAQ app pricing 26:07 SNAQ vs Gary Scheiner 28:44 SNAQ tips for accurate results 29:53 Advice for diabetes entrepreneurs RESOURCES The Ultimate Guide To Accurate Carb Counting Food, Technology, and Insulin. Secrets of Successful Glucose Management IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Automation Entrepreneurism in the diabetes space 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 REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! 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.
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| Disordered Eating and Type 1 Diabetes. Breaking the Silence on a Hidden Struggle. | 20 Jan 2026 | 00:29:16 | |
In episode 70 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians. Mental health professional, Kristi Paguio and registered dietitian, Dana Roseman unpack the complex relationship of food, insulin, and cultural pressures that can exacerbate disordered eating patterns. They share their own experiences as women living with type 1 diabetes and provide strategies for improving your relationship with food, your body, and your insulin. MEET YOUR HOSTS: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. 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. WHAT YOU’LL LEARN:✔️Disordered eating is a broad term that encompasses various unhealthy food relationships. ✔️ Cultural pressures can lead to unhealthy eating behaviors and perceptions of food. ✔️ Food should be viewed as a source of joy and connection, not just a means to manage diabetes. ✔️Normalize healthy eating for the entire family. CHAPTERS: 00:40 Welcome and introduction 03:12 What constitutes disordered eating? 06:25 Cultural influences vs the needs of a healthy body 09:24 The “Food Police” 11:46 All foods fit in your diet 13:51 Helping someone experiencing disordered eating 18:05 Restriction vs Indulgence. Finding the middle ground when it comes to food. 20:33 The impact of judgement when you have diabetes 23:06 Why disordered eating is more common when living with diabetes 24:00 Seeking help for disordered eating with diabetes RESOURCESIf you are seeking a team to assist you with issues surrounding disordered eating and your diabetes, Integrated Diabetes Services has a full team of professionals who are Certified Diabetes Care and Education Specialists who live with type 1 diabetes. They can help with all aspects of your self-care. Call 1 (610) 642-6055 or email info@integratedservices.com to schedule an appointment. Articles: Eating disorders are on the rise. SUBSCRIBE AND REVIEWIf this episode helped you or you have a question, take a moment to leave a short note. We love to hear from you! 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.
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| Building Trust with Your Endocrinologist. A conversation with Gary Scheiner’s endo | 13 Jan 2026 | 00:29:01 | |
In episode 69 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder, Gary Scheiner sits down with his personal endocrinologist to discuss what it takes to build a successful patient/provider relationship. Listen to Gary’s conversation with Dr. Koch and learn how to build a successful partnership with your doctor, how to get the most out of your time with your endocrinologist and learn about the areas of care that even Gary could improve on. MEET YOUR HOST AND HIS GUEST:Gary Scheiner, MS, CDCES is the founder and Clinical Director of Integrated Diabetes Services. An award-winning Certified Diabetes Care & Education Specialist, Master’s-level Exercise Physiologist, and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. He was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. Gary earned a Bachelor of Arts in Psychology from Washington University in St. Louis and a Master of Science in Exercise Physiology from Benedictine University. He received his diabetes training with the world-renowned Joslin Diabetes Center. Gary serves on the faculty of several prominent organizations and the clinical advisory boards for a number of diabetes device manufacturers and pharmaceutical companies. Cheryl Koch, MD is a diabetes & metabolism endocrinologist in Bryn Mawr, PA and has over 35 years of experience in the medical field. Dr. Koch has extensive experience in Thyroid Disorders, Diabetes & Glucose Monitoring, and Osteoporosis & Screening. She graduated from Penn State University College of Medicine in 1989. She is affiliated with medical facilities such as Hospital of the University of Pennsylvania and Lankenau Medical Center. . WHAT YOU’LL LEARN: ✔️Every diabetes patient is different. ✔️Your doctor is human too. ✔️The value of making small changes. ✔️Your doctor’s job is to help. You don’t have to be perfect. ✔️Find an endo that is interested in you and matches your needs. CHAPTERS: 00:50 Welcome and Introduction 07:56 The appeal of endocrinology 10:04 Staying up-to-date with diabetes advances 12:46 Getting the most out of your endo visits 15:31 When it’s okay to break up with your endo 17:40 The value of CDCES in diabetes education 18:54 Areas that Gary Scheiner struggles with in his diabetes care 23:57 Dr. Koch’s parting advice for building trust with your endo RESOURCES: How To Find a Health Care Team You Love – Integrated Diabetes Services The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services 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 this episode helped you, take a moment to leave a short review. We love to hear from you! 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. | |||
| The Power of Protein | 06 Jan 2026 | 00:29:01 | |
In this episode of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians, Gary Scheiner and Dana Roseman explore the impact of protein on people living with diabetes. the role and impact of protein in the lives of people with diabetes. Listen as they share science-backed answers to common questions about protein’s role in blood sugar management, ideal protein sources, dietary balance, and long-term health. 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. WHAT YOU’LL LEARN:✔️Protein requires you to use the entire alphabet of amino acids. ✔️The value of having a consistent amount of daily protein. ✔️Protein becomes more important as you age. CHAPTERS:00:51 Welcome and Introduction 02:51 The role of protein in a healthy body 04:18 Better sources of protein 07:50 How much protein is enough for YOU? 11:28 What you should know about protein supplements 13:24 Bolusing for protein 18:51 Are you getting enough protein? 21:56 Can you ever have too much protein? 24:57 What you need to remember about protein and type 1 diabetes RESOURCES MENTIONED:Protein List from Integrated Diabetes Services 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 REVIEWIf this episode helped you, take a moment to leave a short review. We love to hear from you! 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.
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| The Best of Think Like a Pancreas--the Podcast. 2025 Edition | 30 Dec 2025 | 00:29:54 | |
In this year-end special, host Gary Scheiner shares top moments from your three favourite episodes! Number 3…Clinicians offer practical advice on glucose management in “Food, Technology, and Insulin.” Number 2… Riva Greenberg discusses the illusion of perfect glucose control, challenging conventional thinking. And the fan-favourite for 2025 was the episode when Gary and Dana Roseman compare leading CGMs in “Libre 3 vs Dexcom G7.” This beloved podcast helping listeners make informed choices. 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. 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. 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. 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. Riva Greenberg is a multi-time author, columnist, and blogger. She has lived with type 1 diabetes for over 50 years and has presented her “Flourishing Approach” to healthcare professionals and people with diabetes all over the world. WHAT YOU’LL LEARN: ✔️80% of your management is what you do over and over. ✔️Why it is impossible to “control” your blood sugars, but how you can positively influence them. ✔️The value of data when managing your diabetes care. CHAPTERS 00:15 Welcome and introduction 02:28 Understanding your insulin 8:08 The value of understanding your typical meals 10:13 Meet Riva Greenberg 12:18 Why can’t diabetes and blood sugar levels be controlled? 15:25 Glucometer commercials should picture readings of 283 mg/dl 19:24 The evolution of CGMs 22:11 Dexcom G7 vs Libre 3+ 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 REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! 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. | |||
| The IDS Team’s Favourite Episodes! 2025 Edition | 23 Dec 2025 | 00:31:31 | |
The Integrated Diabetes Services clinical team has explored a number of topics and spoken with many guests over the course of 2025. In this special episode, we share highlights from their three favourite episodes. Number 3… When Type 1 Diabetes and Mental Health Collide. From Darkness to Resilience Number 2… IDS Diabetes Experts, The Trinamic Trio Share Personal Experiences with Open-Source Application Number 1…. Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes. 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. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and 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. Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. 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. 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. 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. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself 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. Joanne Milo has lived with Type 1 diabetes for 60 years and just launched a brand-new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life. Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN:✔️You are not alone. Diabetes impacts more than just your physical health. ✔️Optimizing your diabetes outcomes can take a level of faith. ✔️ Healthcare wasn’t prepared for people living with type 1 diabetes to live longer, but after spending their lives advocating for improvements, they aren’t stopping now. CHAPTERS00:37 Introduction 03:10 Amy’s Mental Health Crisis 07:34 The Turning Point: A Cry for Help 10:38 Thoughts on Open-Sourced insulin delivery systems 12:43 Learning to trusting the technology 20:24 Joanne Milo highlights the worries of seniors with type 1 diabetes 26:59 How can we best serve the aging T1D population? RESOURCES MENTIONED
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| I Want to Be Gary Scheiner. The Why Behind the IDS Clinicians | 16 Dec 2025 | 00:27:44 | |
In Episode 65 of Think Like a Pancreas—The Podcast, the Integrated Diabetes Services clinical team share why they became Diabetes Care and Education Specialists. Some were inspired by life-changing healthcare professionals. Some were inspired by Gary Scheiner, but every clinician on the IDS team continues to be motivated by a desire to improve the lives of people living with diabetes. MEET THE CLINICIANS: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. 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. 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 an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. He is the owner of Integrated Diabetes Services and is actively involved with many diabetes related organizations as a volunteer and clinical advisor. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity 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. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. Diagnosed with type 1 diabetes at age twelve, Kathryn’s work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. 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. Anna Sabino MSW, CDCES 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 PhD, CDCES 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. WHAT YOU’LL LEARN:✔️What influenced each team member’s decision to become a Certified Diabetes Care and Education Specialist. ✔️ How Gary’s team of specialists came together to create the Integrated Diabetes Services team that you know today. CHAPTERS:00:22 Welcome and introduction 01:05 Kristi’s why 02:46 Who changed Gary’s career path 03:46 When Tavia had to sit through a diabetes class 07:01 Paula’s Google search 09:03 From Fangirl to team member 12:15 The value of experiential knowledge 19:52 How life made Dana pivot her career 21:24 Jenny wanted to be a vet 24:36 I want to be Gary Scheiner! 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 REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! 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. | |||
| When Type 1 Diabetes and Mental Health Collide--From Darkness to Resilience | 09 Dec 2025 | 00:44:18 | |
In Episode 64 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinician Kristi Paguio sits down with Amy Sczepanski to discuss her remarkable mental health journey. Amy candidly reflects on her experiences moving beyond suicide attempts to building a fulfilling life, highlighting pivotal moments that reshaped her path. The conversation delves into the transformative power of therapy, emphasizing the importance of addressing both mental and physical aspects of healing. Together, Kristi and Amy explore how unconditional love, effective medication, and actively seeking support from the medical community play essential roles in overcoming despair and fostering well-being. Listeners gain insight into the significance of self-acceptance, the value of supportive relationships, and practical strategies for nurturing mental health while living with type 1 diabetes. Important Notice: This episode contains frank discussions about mental health crises, including suicide, as well as strong language. MEET YOUR HOST AND HER GUEST:Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and 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. Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. WHAT YOU’LL LEARN:✔️How people hide their emotional pain behind their diabetes. ✔️Mental health struggles are hard to discuss with others. ✔️ When your mental health isn’t doing well, your diabetes won’t be doing well either. ✔️Professional therapy is more valuable than you think. ✔️There is no shame in taking medication for your brain health. CHAPTERS 00:15 Welcome and introductions 03:10 Introduction to Amy's Journey 07:35 The Turning Point: A Cry for Help 13:26 Finding the helpers 15:22 Amy’s path of self abuse 18:42 The baby steps to Amy's healing journey 23:06 The Power of Shared Stories 25:33 Diabetes is the burden, not you! 27:57 Finding the right tools with your healthcare team 31:51 Tips for improved mental and physical well-being 35:13 The IDS team gets it 39:01 Final thoughts RESOURCES:Jenny Smith, Integrated Diabetes Services CONNECT WITH US🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US:If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ SUBSCRIBE AND REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
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| Tools for sleep and sanity. One Family’s Strategies for Raising Two Kids with Type 1 | 02 Dec 2025 | 00:35:06 | |
Episode 63 of Think Like a Pancreas-The Podcast is part two of a two-part series with clinician, Kathryn Gentile-Alvarez and Ali Adler. Ali shares how her family can remain sane despite having two young children with type 1 diabetes. Her oldest son was diagnosed with type 1 diabetes at 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the support systems that they have put in place that improves the health and well-being of the entire family. MEET YOUR HOST AND HER GUEST: Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself 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 a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when 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 shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN:✔️Diabetes always goes wrong right before an appointment with a specialist. ✔️A bad diabetes day is often just a day. ✔️ Mistakes can happen to the best of us. ✔️ Don’t skimp on your sleep. CHAPTERS00:16 Welcome and introductions 01:34 Tom and Joe’s diabetes diagnosis 05:23 The struggles around finding diabetes care 08:20 Investing in an Au Pair 11:58 Other childcare options 13:18 There is no way to speed up the grief process 15:38 The silver lining of a type 1 diabetes diagnosis 17:27 And then there was celiac disease 21:51 Diabetes always goes wrong when you need it to go right. 22:56 Re-evaluating a negativity bias 25:33 The need to be “on” all of the time 26:14 How IDS helped them to sleep safely at night 30:20 The most important tool in their diabetes management system RESOURCES:https://integrateddiabetes.com/how-to-start-the-process/ Three moms and a diabetes diagnosis. Joanne Milo, Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes CONNECT WITH US🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook WORK WITH US:If you’re looking for real, personalized support for life with diabetes, you’re in the right place. Our team brings 269+ years of lived experience and 172+ years of professional expertise to the table—and we don’t say “we get it” lightly. Nearly 90% of our clinicians live with type 1 diabetes themselves, so when we talk about carb counting at midnight or troubleshooting a stubborn sensor… we’ve been there. If you want guidance from people who understand the science and the lived reality, give us a call or schedule an appointment anytime: https://integrateddiabetes.com/appointments/ SUBSCRIBE AND REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
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.
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| Two Toddlers. One Resilient Family-- An Inspiring Journey Through Two Type 1 Diagnoses | 25 Nov 2025 | 00:27:25 | |
Episode 62 of Think Like a Pancreas-The Podcast is part one of a two-part series. Clinician, Kathryn Gentile-Alvarez speaks with Ali Adler about raising two toddlers with type 1 diabetes. Ali shares how she diagnosed her oldest son when he was 2.5 years old and his younger brother one year later when he was just 18 months. Learn about the emotional impact that it has had on this young family, as well as the steps that they have taken towards finding technology improves the health and well-being of the entire family. MEET YOUR HOST AND HER GUEST: Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself 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 a devoted mom who is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her journey began when 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 shares her story to help other parents find strength, create systems that work, and embrace resilience in the face of unexpected challenges. WHAT YOU’LL LEARN:✔️You can do everything right and things can still go wrong. ✔️It is okay to embrace technology at your own speed. ✔️The grief of a diabetes diagnosis lingers. ✔️Even seasoned type 1 clinicians find the toddler years a special challenge. CHAPTERS 00:16 Welcome and Introductions 02:00 Tom and Joe's diabetes diagnosis stories 06:03 The impact of diabetes diagnosis on the family’s emotional health. 07:04 The decision to test for antibodies…or not 08:12 One diabetes is not like the other. 09:53 The unique diabetes challenges of toddlers and small children 12:21 Kathyrn’s diabetes journey 16:06 The technology journey is a marathon 24:56 Taking a diabetes technology break RESOURCES: 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 REVIEWIf you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!
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. | |||