
Think Like A Pancreas...The Podcast!
Think Like a Pancreas: The Podcast offers a no-holds-barred approach to diabetes education and care, emphasizing that there is no one-size-fits-all solution. Hosted by Integrated Diabetes Services, the show encourages listeners to think outside the box when managing diabetes. Episodes likely cover practical strategies, insights, and advice for living with the condition. The podcast includes a disclaimer that it is not affiliated with or endorsed by any companies mentioned.
Episodes

Riding On Glucose: A Conversation with Team Novo Nordisk CEO Phil Southerland
In Episode 114 of Think Like a Pancreas—The Podcast, host Gary Scheiner, MS, CDCES, sits down with his longtime friend Phil Southerland. What began as a school project became an inspiring business that empowers people with diabetes through sport.
Listen as Phil shares hard-won lessons from 44 years with type 1 diabetes and decades of endurance training. Hear why high blood sugar during exercise ma

Type 1 Diabetes Caregiver Guide: What Your Family Really Needs to Know
In this episode of Think Like a Pancreas: The Podcast, Certified Diabetes Care and Education Specialists Dana Roseman, Jennifer Smith, and Tavia Vital tackle a question every person with type 1 diabetes eventually faces: who will help manage your care as you age — and do they actually know how?
Learn why starting the conversation early matters, what your spouse, adult children, or close friends re

Can You Keep Your Honeymoon Going? SAB Bio’s Clinical Trial for Newly Diagnosed Type 1 Patients
A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. SAB Biotherapeutics is running the SAFEGUARD clinical study testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression.
In this episode of Think Like a Pancreas—The Podcast, host Gary Scheiner sits down with SAB Biother

Meet Katlyn Agosta--Integrated Diabetes Services’ Newest Clinician
In episode 111 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Marketing Director Barb Wagstaff sits in the host seat to introduce the newest IDS clinician, Katlyn Agosta, MSN, APRN, FNP-C, CDCES.
Diagnosed with type 1 diabetes at 15 with a blood sugar of 538 mg/dL, Katlyn brings 24 years of lived experience to the team. From rolling NPH and regular insulin into one syringe to p

Type 1 Diabetes at School--Fostering Independence as They Age
In episode 110 of Think Like a Pancreas—The Podcast, Anna Sabino and Dana Roseman help families navigate one of the biggest back-to-school questions for children with type 1 diabetes: how much independence is realistic at each age and stage?
For many families, a new school year feels like a fresh start—a chance to reset routines, build confidence, and help kids gradually develop the self-advocacy

Think Like a Pancreas--Chapter 10: Is there anybody out there? (Resources)
In episode 109 of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss the final chapter of his book Think Like a Pancreas.
From technology to social supports, learn the members of Gary’s diabetes dream team (a dietician, physician, exercise physiologist, and mental health specialist) much more.
Discover new trusted communities, financial assistance op

Think Like A Pancreas--Chapter 9: Taming highs and lows
In episode 108 of Think Like a Pancreas—The Podcast, host Tavia Vital, RN, CDCES, sits down with author Gary Scheiner to discuss Chapter 9 of Think Like a Pancreas. Together, they take an honest look at the highs and lows that affect everyone living with diabetes and offer practical guidance for handling them safely.
Throughout the conversation, Gary and Tavia emphasize that perfection is not the

Think Like a Pancreas: Chapter 8- 101 Variables (factors that raise & lower glucose)
In this episode of Think Like a Pancreas—the Podcast, Dr. Paula Diab sits down with author, Gary Scheiner to discuss chapter eight of his book Think Like a Pancreas.
This chapter looks at the daily challenges of living with diabetes and the many things that can influence blood glucose levels. From coffee to aging, mental exertion to weight changes, Paula and Gary share how some diabetes detective

Think Like a Pancreas Chapter 7: In search of the PERFECT bolus (dosing, timing)
In episode 106 of Think Like a Pancreas—The Podcast, Jennifer Smith, RD, CDCES, sits down with author Gary Scheiner to unpack the key to a successful bolus.
Together, they break down the six key factors discussed in Chapter 7 of Think Like a Pancreas that go into every dosing decision. Learn how insulin-to-carb ratio, correction dose, glucose trend and direction, insulin on board, physical activit

Think Like a Pancreas Chapter 6: Laying the Foundation (fine-tuning basal insulin)
Basal insulin may not get the attention that bolus doses do, but it's the foundation every diabetes management plan is built on. In this bonus episode of Think Like a Pancreas—The Podcast, Jennifer Smith talks with author, Gary Scheiner and breaks down what basal insulin does, why needs vary throughout the day (and from person to person), and how to tell if your dose is right.
You'll learn how to

Think Like a Pancreas: Chapter 5: Basal vs. Bolus (what, why, how)
In this episode of Think Like a Pancreas—the Podcast, Jennifer Smith sits down with author, Gary Scheiner to discuss chapter five of his book Think Like a Pancreas.
They break down the difference between basal and bolus insulin and then share why they are important and how they each work. Listen to learn more insights into this fundamental chapter from Think Like a Pancreas.
MEET YOUR HOST AND HE

Think Like a Pancreas Chapter 4: The 3 Keys to Diabetes Management
In this bonus episode of Think Like a Pancreas—The Podcast, Katlyn Agosta talks to author Gary Scheiner about the Three Keys to Diabetes Management. Listen to know what you need in your diabetes toolbox to successfully manage your diabetes. Understand the skills that will serve you well over the years, and hear just how important attitude is in maintaining your over all health.
MEET YOUR HOST AND

Think Like a Pancreas Chapter 3: The lowdown on insulin (what it is, how it works, options available)
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 bo

Think Like a Pancreas Chapter 2--Why are we doing this? (what's MEANINGFUL to be gained by managing one's diabetes)
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 diabete

Think Like a Pancreas: Everyone Has a Diabetes Diagnosis Story
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, t

Type 1 Diabetes and Pregnancy: Labor, Delivery, and the Postpartum Journey
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 delive

Type 1 Diabetes and Pregnancy: Changes through the Trimesters
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

Type 1 Diabetes and Pregnancy: Preconception Planning for a Healthy Pregnancy
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

Beyond Blood Sugars--Mindfulness and Stress Relief for Type 1 Diabetes
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 mornin

An Introduction to Low-Carb Diets and Type 1 Diabetes Management
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

Add Some Muscle to Your Diabetes Management with Chris Ruden
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,

The ADA Scientific Sessions Round Up With Gary Scheiner
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 politi

Can You Have Type 1 and Type 2 Diabetes? (What Is Double Diabetes?)
There are lots of “doubles” in the world. Double Mint, Double Plays and Double Jeopardy, but did you know that you can also be diagnosed with double diabetes?
In Episode 92 of Think Like a Pancreas—The Podcast, host Gary Scheiner talks to Dr. Nick Argento about the odds of becoming insulin resistant as a person with type 1 diabetes. They discuss how it can happen, what treatment options are avail

Fear of Low Blood Sugars. Breaking it Down with Bill Polonsky
Fear of low blood sugar is one of the most common — and least talked about — challenges of living with type 1 diabetes.
In episode 91 of Think Like a Pancreas — The Podcast, mental health clinician Anna Sabino sits down with renowned diabetes psychologist Dr. Bill Polonsky, founder of the Behavioral Diabetes Institute, to unpack the anxiety that comes with type 1 diabetes and low blood sugars.
Tog

The Mental Weight of T1D--Burnout, Advocacy & Self-Compassion
Diabetes burnout is not a character flaw. It is a predictable response to a relentless, non-negotiable condition that never gives you a break — and yet it isn't discussed nearly enough.
In this special episode of Think Like a Pancreas — The Podcast, we revisit our most important conversations about the emotional weight of living with type 1 diabetes.
Dr. Paula Diab's patient, James van der Meulen,

Food Label Secrets Every Person with Diabetes Should Know
Do food labels confuse you? You are not alone!
In this episode of Think Like a Pancreas — The Podcast, Registered Dietitians Jennifer Smith (CDCES) and Dana Roseman cut through the marketing noise to help people with diabetes make smarter, more informed food choices.
Learn what FDA-regulated terms like sugar-free and reduced sugar really mean, as well as which label claims are pure marketing gimmi

Taking Diabetes On the Road
You can’t leave diabetes at home when you travel, so what are the most important things to keep in mind when you’re on the road for business, pleasure, or necessity?
In Episode 88 of Think Like a Pancreas—The Podcast, host Gary Scheiner speaks with fellow Integrated Diabetes Services clinician Dana Roseman about practical tips for maintaining blood sugar control in a variety of travel situations.

You Will Make It Through. Real Stories from T1D Moms
Raising a child with type 1 diabetes changes everything — and nobody quite prepares you for what the early days really feel like.
In this special episode, we bring together voices from multiple conversations to create one honest, wide-ranging look at the journey of T1D parents.
You'll hear from Jessica, whose daughter Grace was diagnosed at four and a half after a flyer on a pediatrician's wall ca

Pros and Cons of Using AI for Type 1 Diabetes Management
Can AI help you better manage your diabetes care?
In this episode of Think Like a Pancreas—The Podcast, clinicians Alicia Downs and Jennifer Smith dig into the pervasive world of Artificial Intelligence and discuss its role in diabetes care.
AI is integrated into everything from targeted ads to "smart" insulin pumps, but what is the difference between generative AI (like ChatGPT) and the "AI in a

Adding Activity to your day: Better Blood Sugars via the Laundry Room
Adding movement to your day is easier than you think no matter what your activity level--AND it has more benefits than many realize!
In episode 85 of the Think Like a Pancreas podcast, exercise physiologist Gary Scheiner and physician Paula Diab explain the difference between activity and exercise. They explore how integrating more physical activity into daily routines can improve health, manage d

The T1D Teenage Tightrope: Independence, Emotions, and Everyday Life
In episode 84 of the Think Like a Pancreas podcast, mental health clinician Anna Sabino and registered nurse Tavia Vital, dive into the "Teenage Tightrope" of managing Type 1 Diabetes (T1D). They reveal why the transition from a cooperative child to a seemingly "unreliable" teenager is a normal, albeit exhausting, part of brain development.
Listen as Anna and Tavia share the raw, real-life moments

From Crisis to Control: How T1D Screening Saves Lives
What if you could see a life-altering diagnosis coming years before the first symptom appeared?
In Episode 83 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Steve Zortman, Sanofi Screening Ambassador and Jessica Dunne, PhD, Type 1 Diabetes Medical Director at Sanofi to examine both the emotional and scientific sides of type 1 diabetes (T1D) autoantibody screening.
From the h

What to expect with IVF. Why Standard Diabetes Care Isn't Enough for Fertility
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 fr

The Latest in Diabetes Tech. An ATTD 2026 Recap with Gary Scheiner
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 owne

Unlocking T1D Success. Insider Tips for Managing Inflammation and Insulin Resistance
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

Is Your Diabetes Tech Helping or Hurting? Mental Health & T1D Innovations
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

Sensor and Sensibility: Gary Scheiner's Rant on Diabetes Absurdities
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 ep

New Nutrition Guidelines Explained: What They Mean for Type 1 Diabetes
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 Dia

When the going gets tough, the tough get inventing. The T1D1 App Story.
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, si

Let’s do the Twiist™! A Review of Sequel Med Tech’s New Insulin Pump
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.
Th

Grownup T1Ds! A Festivus for the Rest Of Us!!
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

Why “It’s Your Diabetes” is often the wrong answer
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 f

Is it Menopause, life or diabetes? Real Talk from Female Clinicians Who Live It.
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

SNAQ: The App That Brings “Star Trek” to Diabetes
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

Disordered Eating and Type 1 Diabetes. Breaking the Silence on a Hidden Struggle.
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 improvin

Building Trust with Your Endocrinologist. A conversation with Gary Scheiner’s endo
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 a

The Power of Protein
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

The Best of Think Like a Pancreas--the Podcast. 2025 Edition
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 leadin

The IDS Team’s Favourite Episodes! 2025 Edition
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 Applic

I Want to Be Gary Scheiner. The Why Behind the IDS Clinicians
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 CLI

When Type 1 Diabetes and Mental Health Collide--From Darkness to Resilience
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 the

Tools for sleep and sanity. One Family’s Strategies for Raising Two Kids with Type 1
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

Two Toddlers. One Resilient Family-- An Inspiring Journey Through Two Type 1 Diagnoses
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

Food, Technology, and Insulin. Secrets of Successful Glucose Management
In episode 61 of Think Like a Pancreas—The Podcast, clinicians, Jennifer Smith, Tavia Vital, and Dana Roseman share proven strategies for effective glucose management starting with the essentials of insulin timing. They offer practical advice to help you optimize your insulin delivery system, making it work for your unique needs.
Just as strong relationships rely on clear communication, so does su

Influence for Impact: How Public Voices Drive Diabetes Awareness
In the 60th episode of Think Like a Pancreas—The Podcast, Dr. Paula Diab sits down with Mr. South Africa contestant Darryn Webster and online influencer Kirsten De Klerk to discuss how they leverage their public profiles to promote diabetes awareness.
Together, Darryn and Kirsten are dedicated to educating others about the signs and symptoms of diabetes and empowering people to thrive while living

Insulin Insights for Mastering Meals During the Holidays
In episode three of our ongoing nutrition series, Jennifer Smith and Dana Roseman dive into the unique challenges of holiday eating for people living with diabetes. They share practical strategies for insulin management, discuss the benefits of technology in diabetes care, and highlight the importance of accepting blood sugar fluctuations during festive meals. Before heading into another holiday s

Integrated Diabetes Services Unfiltered! Life, Laughter, and Real Diabetes Care. Part 3
In Episode 58 of Think Like a Pancreas—The Podcast, we pull back the curtain on the final three clinicians!
Enjoy a candid conversation with Kathryn Gentile-Alvarez, Jennifer Smith, and Dana Roseman.
THE CLINICIANS
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 Diab

Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes
With the increasing number of individuals living more than fifty years with type 1 diabetes, Episode 57 of Think Like a Pancreas—The Podcast features Kathryn Alvarez, Director of Exercise Physiology and Teen/Young Adult Specialist at Integrated Diabetes Services, in conversation with blogger and advocate Joanne Milo.
Together, they discuss strategies for effectively navigating the later stages of

Before the symptoms: The why and how of type 1 diabetes screening
In Episode 56 of Think Like a Pancreas—The Podcast, Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services, is joined by Gary Scheiner for a conversation on preventing type 1 diabetes.
With improved access to screening tools, they explore the implications for people living with diabetes and their families.
Gary shares the latest research and treatment options, highligh

Bouncing Back from Diabetes Burnout--Strategies from Experts Who’ve Been There
In Episode 55 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Mental Health Clinician, Anna Sabino speaks with James van der Meulen about diabetes burnout.
Together they share their stories of living with diabetes since childhood. They explained how they have learned to recognize and work through the mental challenges that come with this journey.
MEET YOUR HOST AND HER GUEST
A

Trio Open-Sourced Insulin Delivery: The Good, The Challenging, and The Differences
In Episode 54 of Think Like a Pancreas—The Podcast, the Trynamic Trio of Dana Roseman, Tavia Vital, Jennifer Smith, and Kathryn Alvarez share their thoughts on the Trio Open-sourced Insulin Delivery System.
Hear the challenges that they faced as users and how they learned from their experiences to better help their clients at Integrated Diabetes Services.
MEET YOUR HOSTS
Dana Roseman, MPH, CDCES,

The Burden of Diabetes and Self-Advocacy
In Episode 53 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Kristi Paguio and Dr. Paula Diab discuss the invisible burden of living with diabetes and the vital role of self-advocacy.
Kristi shares her experiences as both a patient and a clinician, while Paula provides insights as a doctor. Their conversation highlights the need for better education, preparation, an

Maximizing Your Workout! Nutrition and Exercise Strategies for People with Diabetes
In Episode 52 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Jennifer Smith and Dana Roseman discuss the critical relationship between nutrition, exercise, and diabetes management. They explore how to effectively manage blood sugar levels during physical activity, the importance of individualized approaches to insulin and exercise, and the role of hydration and nutri

Book it! Diabetes publishing is alive, but is it well?
In Episode 51 of Think Like a Pancreas—the Podcast, host Gary Scheiner speaks with Victor Van Beuren, director of book operations for the American Diabetes Association.
Victor shares how he moved from a career in geology to publishing in the diabetes space was a natural evolution. He highlights the importance of effective scientific communication to both individuals and clinicians.
Victor also sha

Excelling in Sports with Type 1 Diabetes
In Episode 50 of Think Like a Pancreas—The Podcast, host Gary Scheiner spends time with former professional athlete, Gary Forbes and 12 year-old Elliot to discuss “Excelling in Sports with Type 1 Diabetes”.
They each share personal stories of their diagnoses, the challenges they faced, and how they manage their diabetes while competing at high levels in sports.
Meet Your Host and His Guest
Gary

Type 2 Meds for People with Type 1 diabetes
In Episode 49 of Think Like a Pancreas—The Podcast, host Gary Scheiner is joined by Integrated Diabetes Services clinician, Dr. Paula Diab. Together they discuss the off-label use of type 2 diabetes medications in type 1 patients.
Paula and Gary describe the hormonal balance necessary for blood sugar management and how the off-label use of medications like metformin, GLP-1 receptor agonists, and S

Diabetes is the ULTIMATE Ultramarathon
In Episode 48 of Think Like a Pancreas—The Podcast, host Dr. Paula Diab is joined by fellow clinician, Kristi Paguio. They draw powerful parallels between long-distance running—specifically the iconic Comrades Marathon—and the journey of managing diabetes. The conversation highlights the invisible challenges faced daily by people with diabetes, the essential role of support systems, and the import

Integrated Diabetes Services UNFILTERED! Part 2
In Episode 47 of Think Like a Pancreas—The Podcast, we once again pull back the curtain and share the fabulous personalities of the Integrated Diabetes Services clinicians.
In part two of our three-part series, meet:
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 th

Think Like a Pancreas--The Fourth Edition
This is an extra special edition of Think Like a Pancreas--The Podcast as fangirl, and fellow Integrated Diabetes Services clinician, Alicia Downs talks to Gary Scheiner, author of Think Like a Pancreas after the release of the book's FOURTH EDITION!
A staple read for anyone who lives with diabetes and uses insulin, Alicia shares how these books changed her life and gets Gary to reveal how the ori

Next-Level Diabetes Tech-- Innovations, Comparisons, and Expert Advice
In Episode 46 of Think Like a Pancreas—The Podcast, host Gary Scheiner, owner and clinical director of Integrated Diabetes Services, welcomes Dr. Inge Van Boxelaer. Dr. Boxelaer is an endocrinologist from Belgium, a diabetes technology expert, and the founder of Diabetotech.
Together they discuss and compare continuous glucose monitors (CGMs) and automated insulin delivery (AID) systems available

Diabetes, Nutrition, and Wellness with Dana Roseman and Jennifer Smith
In Episode 44 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services nutrition experts Dana Roseman and Jennifer Smith discuss how nutrition guidelines for diabetes have changed since they were both diagnosed almost 30 years ago.
They emphasize the importance of individualized nutrition plans that change as you change. This dynamic duo offers tips and insights on exercise, fasting, new

Integrated Diabetes Services Unfiltered! Life, Laughter, and Real Diabetes Care
In Episode 43 of Think Like a Pancreas—The Podcast, we open pull back the curtain and share the fabulous personalities of the Integrated Diabetes Services clinicians.
In part one of our three part series, meet:
Gary Scheiner, MS, CDCES, is the award-winning author of Think Like a Pancreas as well as numerous other books that act as guides for people living with diabetes. A Certified Diabetes Care

IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Automation
In Episode 42 of Think Like a Pancreas—The Podcast, Kathryn Alvarez sits down with the “Trynamic Trio” to discuss the innovative Trio Open-Source insulin delivery system. Joining her are Integrated Diabetes Services clinicians Tavia Vital, Jennifer Smith, and Dana Roseman, who share their firsthand experiences beta testing the latest TRIO updates.
This dynamic team highlights several features that

Pregnancy with Type 1 Diabetes--The Book and The Authors
In Episode 41 of Think Like a Pancreas—The Podcast, Ginger Vieira joins host Jennifer Smith to discuss the updated edition of their book, *Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management*.
The episode highlights their personal experiences of managing type 1 diabetes during pregnancy, insights from the book’s second edition, and the importance of self-advocacy in

The Illusion of Glucose Control
In Episode 40 of Think Like a Pancreas—The Podcast, Riva Greenberg joins host Gary Scheiner to discuss, what she feels is the illusion of glucose control.
Together, they explore the biological limitations of controlling blood sugar, the psychological impacts of diabetes terminology, and the importance of influencing rather than controlling glucose levels.
Riva, author and person living with type 1

Next Level Diabetes Management: Austin’s Experience with Android APS Technology
Episode Summary
In Episode 39 of Think Like a Pancreas—The Podcast, host Kathyrn Alvarez speaks with Austin Sympson who shares his journey of living with type 1diabetes while pursuing a PhD and working in the pharmaceutical industry. He discusses the challenges of managing diabetes alongside his busy life, his goals for family planning, and his transition to using open-source Android APS for insu

Dads and Diabetes
Episode Summary
In Episode 38 of Think Like a Pancreas—The Podcast, host Gary Scheiner celebrates fathers who have diabetes and those with children diagnosed with the condition.
He is joined by Tom Karlya, Vice President of the Diabetes Research Institute and well-known in the diabetes space as the 'Diabetes Dad.'
In this episode, Tom and Gary explore their personal journeys, the unique challenges

Entrepreneurism in the diabetes space
Episode Summary
In Episode 36 of Think Like a Pancreas-The Podcast host Gary Scheiner and his guests Naomi Garlick and Justin Eastzer discuss the intersection of entrepreneurism and diabetes management.
They all share how personal experiences with diabetes have driven them to create innovative products and content aimed at improving the quality of life for those living with the condition.
Learn a

And then there were two! When your child is also diagnosed with diabetes
Episode Summary
In Episode 35 of Think Like a Pancreas-The Podcast host Tavia Vital and her guest Laura Harkins share their experiences of living with Type 1 Diabetes (T1D) while raising children who also have T1D.
Laura shares her journey of being diagnosed at 18 and how it has shaped her approach to managing her son's recent diagnosis.
Tavia, a nurse and diabetes educator at Integrated Diabetes

Turning a No to a YES! Winning Over Your Insurance Company
Episode Summary
In Episode 34 of Think Like a Pancreas-The Podcast host Alicia Downs and her guest Elizabeth Spencer discuss the complexities of navigating insurance for diabetes management.
They emphasize the importance of patient advocacy, self-advocacy, and effective communication with insurance companies.
The conversation highlights the challenges faced by individuals with diabetes, particul
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