Think Like A Pancreas...The Podcast!

Dr. Paula Diab and Anna Sabino, MSW, CDCES, discuss why the holiday season hits differently when you’re managing diabetes and weight simultaneously. Food is also your medication. You may feel a need to explain your needs, and manage other’s expectations. This can be isolating and exhausting!

You’ve seen it. A viral post claiming cinnamon lowers blood sugar. A keto influencer swearing they ”don’t need insulin anymore.” A comment section full of people saying the same thing — so it must be true, right? In episode 115 of Think Like a Pancreas—The Podcast, Katlyn Agosta (RN, APRN, CDCES) sits down with Kiera Jones (RN, CDCES) to break down why diabetes misinformation is so persuasive, what it actually looks like in the wild, and — most importantly, how to build your own immunity to it.

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 may not be the enemy you thought it was, how he uses a microdose of a GLP-1 medication and an SGLT2 inhibitor to keep his basal needs stable regardless of training load, and what happened when he put glucagon in an insulin pump. Tune in for a candid conversation about challenging assumptions, pushing physical limits, and finding new ways to thrive with diabetes.

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 really need to understand about insulin, hypoglycemia, glucagon, and CGM follow apps, and how to spot the warning signs of cognitive decline before a small problem becomes a hospital visit. From building a backup care team to knowing when simpler diabetes technology is the safer choice, they share practical tips for protecting independence and health.

A new investigational medicine called SAB-142 is designed to help reduce or prevent loss of cells that produce insulin in the body. SAB Biotherapeutics is running the SAFEGUARD clinical study testing SAB-142 in people newly diagnosed with type 1 diabetes to see if it can prevent disease progression. In this episode of Think Like a Pancreas—The Podcast, host Gary Scheiner sits down with SAB Biotherapeutics CEO, Sam Reicher to discuss what this study means for people with stage 2 and 3 type 1 diabetes, who can enroll, and why studies like these are so important.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Chapter 3 of Think Like a Pancreas may be the most important chapter that you will read. It provides the baseline understanding of diabetes care. In this episode, Tavia Vital sits down with Gary Scheiner to discuss the different types of diabetes, basal vs bolus insulin, as well as the various types of therapies used to optimize diabetes care.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Adding movement to your day is easier than you think no matter what your activity level--AND it has more benefits than many realize! In episode 85 of the Think Like a Pancreas podcast, exercise physiologist Gary Scheiner and physician Paula Diab explain the difference between activity and exercise. They explore how integrating more physical activity into daily routines can improve health, manage diabetes, and enhance overall well-being. Learn how these clinicians add more movement in their own busy life by doing little things like parking farther away from the coffee shop. MEET YOUR HOSTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️Exercise can take place at any time. ✔️There is a cumulative effect by adding movement to your day. ✔️ Being active is an attitude. ✔️There are many practical ways to incorporate movement into daily life. CHAPTERS: 00:00 Welcome & Introductions 02:29 Gary Scheiner—Laziness Cop 03:26 The Difference Between Activity and Exercise 06:47 The Cumulative Benefit of Daily Activity 09:02 Trackers Can Be Motivational 10:17 Effects of Movement on Blood Sugar 13:38 Daily Activities as Exercise 18:22 The Benefits of Stretching 19:50 How Paula and Gary incorporate More Activity into their days 25:06 Mindset Shift Towards Activity 27:54 Final Thoughts and Takeaways RESOURCES: Book with Dr. Paula Everyday Activities list Diabetes-related complications can drop considerably with MOVEMENT 7,000 Steps, No Regrets! If you are able to move, then move 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.

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.

What if you could see a life-altering diagnosis coming years before the first symptom appeared? In Episode 81 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. Sponsored by Sanofi

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.

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.

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.

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.

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 this stupid.

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.

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.

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. CHAPTERS 00:00 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? RESOURCES Review 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 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.

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.

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!

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 with the condition. Darryn raises awareness through his celebrity platform as a Mr. South Africa contestant, while Kirsten inspires and connects with the diabetes community through her Instagram initiative, ”Everyday is Diabetes Day,” where she shares resources and leads charitable efforts.

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 season, tune in to hear Jenny and Dana’s expert tips and personal insights for managing diabetes and enjoying the festivities.

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.

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 life with type 1 diabetes like the importance of community support, emergency preparedness, and advocacy for better healthcare for aging individuals with Type 1 Diabetes.

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, highlighting how these advances can lead to better outcomes for those at risk of developing, or those diagnosed with, type 1 diabetes.

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.

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.

In Episode 53 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Kristi Paguio and 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, and understanding when working with people with diabetes, as well as tips for both medical staff and patients.

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 nutrition in optimizing performance. The conversation emphasizes the need for planning and understanding one's body to achieve successful outcomes in exercise and diabetes management. MEET YOUR HOSTS Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. She is a Certified Diabetes Care & Education Specialist and Registered Dietitian with a Master’s in Public Health from the University of Illinois at Chicago, a Bachelor’s in Science from the University of Texas at Austin, and clinical nutrition training from UT Southwestern Medical Center. 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. Dana serves as Research Information Liaison for the Dallas JDRF, is active on nonprofit boards, and empowers people with diabetes to thrive physically and mentally, making her a leading voice in diabetes innovation.   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. With a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin, Jennifer is a Registered Dietitian, Licensed Dietitian, Certified Diabetes Care & Education Specialist, a certified trainer for insulin pumps and continuous glucose monitors, as well as a published author. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. WHAT YOU’LL LEARN: ✔️How to overcome the fear of new exercise routines. ✔️The importance of healthy blood sugar targets for exercise performance. ✔️ To use insulin rather than constantly feeding your insulin. ✔️The value of hydration and post-exercise nutrition. ✔️ Whole foods should be prioritized over supplements for nutrition.. CHAPTERS 00:11  Welcome and Introduction 00:59  Fueling for exercise with Jennifer and Dana 03:57  Blood glucose levels impact performance levels 05:34  Fasted Exercise: Strategies and Benefits 07:26  Insulin and Fueling Strategies for exercise 09:51  Understanding your needs for food, insulin, and exercise 13:27  The impact of the type of exercise on your blood sugar levels 17:21  Hydration and Its Impact on Performance 18:44   Fueling tips for endurance athletes 22:51   Low blood volume vs low blood sugar 24:00  Post exercise tips 28:38  The Role of Whole Foods vs Supplements 31:00 Final thoughts on exercise and diabetes management   RESOURCES MENTIONED Diabetes, Nutrition, and Wellness with Dana Roseman and Jennifer Smith https://www.podbean.com/eas/pb-njy66-190feba 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.

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 shares with Gary how to identify trustworthy sources of information amid online clutter and what to consider if you want to get your diabetes story published.

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.

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 SGLT2 inhibitors can help.

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 importance of redefining success through small, meaningful victories. Paula and Kristi highlight the fact that there is no perfect control in diabetes, and each individual’s journey is unique, filled with personal wins and challenges.

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 a nurse and CDCES, Anna Sabino mental health specialist and CDCES, and well as Dr. Paula Diab who is also a CDCES.

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 original book came to be.

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 in the US as well as in Europe. They share insights on the rapidly evolving landscape of diabetes tech, the challenges of comparing different systems, and the importance of patients and healthcare providers staying up to date.

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 food choices, and the importance of a comprehensive approach to diabetes management.

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. Learn why they became diabetes clinicians, the challenges that they help their clients overcome, who enjoys listening to Boyz II Men, and which team member would first die in a Zombie apocalypse!

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.

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 healthcare. This insightful duo also delves into how advancements in technology and medications are transforming diabetes care for pregnant women.

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 diabetes for over 50 years, shares her personal experiences and strategies for managing diabetes, emphasizing the significance of self-compassion and the acceptance of life’s unpredictability in diabetes management.

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 insulin delivery. Through this conversation, listeners will uncover how Austin balances academic pursuits, a professional career, and an active lifestyle, all while managing diabetes with cutting-edge technology. Discover actionable tips, personal anecdotes, and valuable insights into diabetes management, family planning, and embracing open-source innovation for better glucose control.

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 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 about the challenges of product development, the importance of community support, and the resilience required to balance personal and professional lives in the diabetes space!

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 Services, reflects on her experiences of raising a child with T1D and the unique challenges it presents. Together, they discuss strategies for balancing self-care, advocating for their children, and finding support within the diabetes community.

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, particularly regarding Medicare and coverage issues, and offers strategies for overcoming these obstacles. Learn how to take control of your healthcare journey and advocate for your needs.

In Episode 33 of Think Like a Pancreas-The Podcast, host Tavia Vital, along with guests Jessica and Jamie, share their personal experiences with parenting children diagnosed with type 1 diabetes. They discuss the emotional turmoil surrounding the diagnosis, the overwhelming nature of managing diabetes, and the journey towards acceptance and finding a new normal. Their conversation highlights the importance of community support, coping strategies, and the shared experiences of parents navigating the complexities of diabetes management. Listen to their heartfelt stories, challenges, and triumphs as they share invaluable insights and tips for managing life with T1D.

In the 32nd episode of ’Think Like a Pancreas--The Podcast’ host Anna Sabino and her guest, James Vander Mullen delve into the concept of diabetes burnout, particularly as it affects those living with Type 1 Diabetes (T1D). They offer insights from their personal experiences, emphasizing the critical role of mental health in managing T1D.

In Episode 31 of Think Like a Pancreas-The Podcast, host Gary Scheiner and guest Ginger Vieira discuss the innovative approaches being taken by Diamyd Medical in the quest for a cure for type 1 diabetes. They explore the significance of using precision medicine, and the role of GAD65 therapy to modulate the immune response in the early stages of type one diabetes. Gary and Ginger share the potential of benefits of Diamyd Medical’s Diagnode-3’s clinical trial, the screening process for participants, and the hope it brings to newly diagnosed individuals.

In Episode 30 of Think Like a Pancreas-The Podcast, we dive into the latest advancements in Continuous Glucose Monitors (CGMs). Host Gary Scheiner and guests Egils Bogdanovics, MD and Ginger Vieira explore the various methods of insulin delivery for diabetes management. The trio focus specifically on the differences between Multiple Daily Injections (MDI) and pump therapy.

Gary Scheiner and Rabbi Hirsh Meisels delve into the challenges of extended mealtimes during the Seder and discuss effective glucose management strategies. Learn about the importance of timing insulin dosages, especially in relation to the Seder’s unique structure, and gain insights into carb counting techniques for matzah and other Passover foods to ensure a balanced and healthy observance.

In episode 28 of Think Like a Pancreas--The Podcast, host, Gary Scheiner and his guest, Melissa Holloway discuss the highlights from the Advanced Technologies and Treatments for Diabetes (ATTD) Conference held in Amsterdam. They delve into emerging technologies for diabetes management, innovative medications, and new application software that can enhance the daily lives of those living with diabetes.

In this episode of the Think Like a Pancreas podcast, we dive into the latest advancements in Continuous Glucose Monitors (CGMs). Dana Roseman, the Director of Technology and Research at Integrated Diabetes Services, shares her expert insights on the notable improvements in CGM devices, emphasizing key developments and future trends. Finally, Dana and Gary provide a detailed comparison of the features and performance of the Libre3 and Dexcom G7.

Gary Scheiner and Alicia Downs discuss the new Tandem Mobi insulin pump, sharing their experiences and insights on its features, usability, and the technology behind it. They explore the pump’s form factor, user interface, algorithm, and how it compares to other systems in managing diabetes. The conversation also touches on the challenges users may face, including the limitations of the app and the importance of user engagement in diabetes management.

Tavia Vital and Anna Sabino, the clinicians behind Time Out For Caregivers, discuss the emotional and practical challenges faced by parents and caregivers of children with Type 1 diabetes. They explore the grief process, the importance of caregiver support, transitioning responsibilities, building communication and independence, finding community resources, and the role of mental health support in managing the complexities of diabetes care.

With a delightful blend of wit and wisdom, Jenny Smith, Gary Scheiner, and Ginger Vieira explore the rapid-fire effects of this ultra-fast inhaled insulin, likening it to a plane landing (or crashing, depending on who you ask).

Jenny Smith, RD, LD, CDCES, chats with Corinna Santa Ana about overcoming the ever-prevalent stigma in both diabetes and women’s health.

Jenny Smith steals the podcast host role to shine the spotlight on the usual host, Gary Scheiner, the Director of Lifestyle and Nutrition at Integrated Diabetes Services.

Listen in as Tavia, Anna, and Kristi dive into the intricate world of managing both type 1 diabetes and ADHD.

Join host Gary Scheiner as he delves into a captivating conversation with Tavia Vital, the Director of Intensive Diabetes Management at Integrated Diabetes Services as they explore Tavia’s multifaceted approach to diabetes care, highlighting her unique background and extensive experience.

Gary Scheiner, the host and owner of Integrated Diabetes Services, and Kathryn Gentile-Alvarez, the Head of Exercise Physiology at IDS, discuss Kathryn’s journey from intern to an essential member of the team.

Join host Gary Scheiner as he engages in a comprehensive discussion with Dr. Paula Diab, a physician and diabetologist from South Africa as they explore the complexities of weight management for insulin-dependent individuals, offering practical insights and expert advice.

Join host Gary Scheiner, MS, CDCES, as he interviews Dana Roseman, MPH, RDN, LDN, CDCES, the Director of Technology and Applied Research at Integrated Diabetes Services.