PodcastyMedycynaThink Like A Pancreas...The Podcast!

Think Like A Pancreas...The Podcast!

Integrated Diabetes Services
Think Like A Pancreas...The Podcast!
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  • Think Like A Pancreas...The Podcast!

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

    02.06.2026 | 19 min.
    Diabetes burnout is not a character flaw. It is a predictable response to a relentless, non-negotiable condition that never gives you a break — and yet it isn't discussed nearly enough.

    In this special episode of Think Like a Pancreas — The Podcast, we revisit our most important conversations about the emotional weight of living with type 1 diabetes.

    Dr. Paula Diab's patient, James van der Meulen, shares his experience of burnout during law school, and how he gets back on track.

    Mental health specialist Anna Sabino offers practical ways to navigate burnout and explains what it can be hiding underneath.

    And mental health professional Kristi Paguio joins Dr. Paula Diab to examine the challenges of advocating for yourself — and how to build a support team to help you run a race that never ends.

    MEET YOUR HOSTS AND THEIR GUESTS:
    Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.

    Dr Paula Diab MBChB, MFamMed, PhD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are.

    Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management.

    Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time. 

    James van der Meulen has been living with type 1 diabetes since he was four years old. He has successfully managed his diabetes through university and law school. He is now a successful corporate lawyer in South Africa.

     

    KEY TAKEAWAYS AND HIGHLIGHTS:
    ✔️Diabetes burnout is inevitable and NOT a personal failure.

    ✔️Like your diabetes, your burnout may vary.

    ✔️ On your worst days, simply perform the basics.

    CHAPTERS:
    00:00 The Elephant in the Room

    04:09 The Invisible Burden of Type 1 Diabetes

    08:21 The Importance Building Our Support Team

    11:40 If You are Living with Type 1 Diabetes, Never Forget That You ARE Incredible!

    16:24 Tips for Navigating Burnout

    RESOURCES:
    https://Integrateddiabetesservices.podbean.com/e/coping-with-burnout-in-diabetes-management/

     

    https://Integrateddiabetesservices.podbean.com/e/diabetes-is-the-ultimate-ultramarathon/

     

    https://Integrateddiabetesservices.podbean.com/e/diabetes-and-self-advocacy/

     

    CONNECT WITH US:
    🔵Website: integrateddiabetes.com

    🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

    🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

    SUBSCRIBE AND REVIEW:
    If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

    Disclaimer

    The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
  • Think Like A Pancreas...The Podcast!

    Food Label Secrets Every Person with Diabetes Should Know

    26.05.2026 | 25 min.
    Do food labels confuse you? You are not alone!

    In this episode of Think Like a Pancreas — The Podcast, Registered Dietitians Jennifer Smith (CDCES) and Dana Roseman cut through the marketing noise to help people with diabetes make smarter, more informed food choices.

    Learn what FDA-regulated terms like sugar-free and reduced sugar really mean, as well as which label claims are pure marketing gimmicks. From keto-friendly to naturally sweetened, not everything on the package means what you think it does.

    Why "walking the perimeter" of the grocery store is still the best strategy

    How switching to whole foods can actually change your insulin-to-carb ratios

    MEET YOUR HOSTS:
    Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

    Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

    KEY TAKEAWAYS AND HIGHLIGHTS:
    ✔️”Low sugar” is a marketing term and can mean whatever the manufacturer wishes.

    ✔️If you are injecting insulin, you cannot just take a “net carb” approach to dosing.

    ✔️ Don’t eat what you can’t pronounce.

    ✔️ Switching to whole foods can change your insulin-to-carb ratios.

    CHAPTERS:
    00:00 Welcome and Introduction

    02:08 Added sugar. No Sugar. Natural Sugar. What do they mean?

    06:25 What to look for on a label

    10:55 If you don’t recognize it as food on a label, maybe you shouldn’t eat it

    11:36 There is a time and a place for artificial sweeteners

    13:19 Where to begin making healthier choices

    14:38 Allulose and alternate sweeteners

    18:29 What to watch out for on food labels.

    22:09 “The” Nutrition Plan that you should follow

    CONNECT WITH US:
    🔵Website: integrateddiabetes.com

    🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

    🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

    SUBSCRIBE AND REVIEW:
    If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

     

    Disclaimer

    The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
  • Think Like A Pancreas...The Podcast!

    Taking Diabetes On the Road

    19.05.2026 | 41 min.
    You can’t leave diabetes at home when you travel, so what are the most important things to keep in mind when you’re on the road for business, pleasure, or necessity?

    In Episode 88 of Think Like a Pancreas—The Podcast, host Gary Scheiner speaks with fellow Integrated Diabetes Services clinician Dana Roseman about practical tips for maintaining blood sugar control in a variety of travel situations. Drawing on both personal and professional experience, they share insights that anyone with diabetes who has to travel will find helpful.

    MEET YOUR HOSTS:
    Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

    Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

    KEY TAKEAWAYS AND HIGHLIGHTS:
    ✔️It is important that you know how to troubleshoot your technology and be confident in your backup plan.

    ✔️ When packing, plan for the unexpected.

    ✔️ Use TSA pre-check where possible to improve your security experience.

    CHAPTERS:
    00:00 Welcome and Introductions

    03:27 Travel Mishaps and Preparation Strategies

    05:50 How to pack when traveling with diabetes

    09:30 Dietary Changes and Carb Counting on the Go

    15:00 Adjusting to Activity Levels and Environmental Changes

    20:31 Airport Security and International Travel Considerations

    24:57 Adjusting for Long Periods of Sitting

    31:19 Gary and Dana’s Ultimate Packing Checklist

    35:00 Taking a Diabetes Vacation: Is It Okay?

    38:01 Final Thoughts on Travel and Diabetes

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

    Adding Activity to Your Day

    GET PACKING Checklist

    CONNECT WITH US:
    🔵Website: integrateddiabetes.com

    🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

    🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

    SUBSCRIBE AND REVIEW:
    If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

    Disclaimer

    The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
  • Think Like A Pancreas...The Podcast!

    You Will Make It Through. Real Stories from T1D Moms

    12.05.2026 | 27 min.
    Raising a child with type 1 diabetes changes everything — and nobody quite prepares you for what the early days really feel like.

    In this special episode, we bring together voices from multiple conversations to create one honest, wide-ranging look at the journey of T1D parents.

    You'll hear from Jessica, whose daughter Grace was diagnosed at four and a half after a flyer on a pediatrician's wall caught her eye at just the right moment. From Jamie, whose daughter Ellie arrived at her diagnosis after three emergency room visits in 36 hours. From Ali, a mom who navigated two toddler T1D diagnoses a year apart. And from Laura, who despite having T1D herself, found herself having to relearn things when her two-year-old was diagnosed.

    Together with host Tavia Vital a who is also person with diabetes,  registered nurse, certified diabetes educator, and T1D mom herself, these stories serve as a reminder that you are not alone amidst the overwhelm, the isolation, the exhaustion, of slowly finding of your footing as a parent of a child with type 1 diabetes.

    You will make it through.

     

    MEET YOUR HOST AND HER GUESTS:
    Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique.

    Jessica is mother from Colorado who’s daughter Grace was diagnosed with type 1 diabetes at four and a half years old. Jess first appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!”

    Jamie is from Ontario, Canada. Her daughter Ellie was diagnosed with type 1 diabetes at 21 months old. Jamie also originally appeared on Think Like a Pancreas—The Podcast episode 33, 3 Moms and a Diabetes Diagnosis: From “Oh no!” to “Nailed it!”

    Laura Harkin has type 1 diabetes and has a son with type 1 as well. Her story was first shared on Think Like a Pancreas—The Podcast episode 35, And then there were two! When your child is also diagnosed with diabetes.

    Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES was diagnosed with type 1 diabetes at age twelve. Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive.

    Ali Adler is navigating the extraordinary challenge of raising two young children with type 1 diabetes. Her  oldest son, Tom, was diagnosed at just two and a half years old. Drawing on her experience from her brother’s diagnosis during her teenage years, Ali recognized the signs and acted quickly. One year later, her youngest son, Joe, was also diagnosed, making diabetes management a central part of family life. Ali

    KEY TAKEAWAYS AND HIGHLIGHTS:
    ✔️Type 1 diabetes can happen at any age.

    ✔️While you can still live a normal life after a T1D diagnosis, “normal” will look different.

    ✔️ You will spend a lot of time looking for reasons…and not finding them. That’s okay.

    ✔️ Find your village. It may look differently from what you had originally planned.

     

    CHAPTERS:
    00:00 The Diagnosis

    10:45 When Your Whole World Changes

    16:09 What Nobody Warns You About

    20:16  Finding Your Village

    22:48 Navigating Changing Relationships

    25:02 From Here to There

    RESOURCES:
    Time out for Caregivers

     

    CONNECT WITH US:
    🔵Website: integrateddiabetes.com

    🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

    🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

    SUBSCRIBE AND REVIEW:
    If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

    Disclaimer

    The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing
  • Think Like A Pancreas...The Podcast!

    Pros and Cons of Using AI for Type 1 Diabetes Management

    05.05.2026 | 43 min.
    Can AI help you better manage your diabetes care?

    In this episode of Think Like a Pancreas—The Podcast, clinicians Alicia Downs and Jennifer Smith dig into the pervasive world of Artificial Intelligence and discuss its role in diabetes care.

    AI is integrated into everything from targeted ads to "smart" insulin pumps, but what is the difference between generative AI (like ChatGPT) and the "AI in a box" found in clinical algorithms.

    Alicia and Jenny discuss the biases that most systems have, the tasks where AI shines and note where it is lacking.

     

    MEET YOUR HOSTS:
    Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

    Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated, compassionate, informed and equitable care to all people.

     

    KEY TAKEAWAYS AND HIGHLIGHTS:
    ✔️No the source of your AI. It isn’t all created equally.

    ✔️The prompts you use dictate the results you receive.

    ✔️ Know the source of your AI

    ✔️AI does not have a lot of sources to draw from to get information on diabetes.

     

    CHAPTERS:
    00:00 Welcome & Introductions

    01:58 AI is Everywhere We Login

    04:35 Understanding Your AI’s Bias

    10:34 The Problem of the Missing Human Component

    18:44 AI for Carb Counting. Does it work?

    22:09 What Can You Use AI For?

    26:03 An Educator Moves You Beyond the Obvious

    34:21 AI Doesn’t Know Your Algorithm

    37:33 AI. What’s It Really Good For?

    39:35 Verify Where Your AI References

     

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

     

    CONNECT WITH US:
    🔵Website: integrateddiabetes.com

    🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

    🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/appointments/   or email [email protected]

    SUBSCRIBE AND REVIEW:
    If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

    Disclaimer

    The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
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O Think Like A Pancreas...The Podcast!
Living It. Teaching It. Transforming Diabetes Care Together! Think Like a Pancreas—The Podcast is where diabetes expertise meets real-life experience. Hosted by a compassionate team of Certified Diabetes Care and Education Specialists who live with type 1 diabetes, this show delivers practical guidance, the latest diabetes management strategies, and emotional support for those affected by diabetes. Our goal is simple: keep you informed, inspired, and yes, a little entertained as you navigate life with diabetes. In every episode, our clinicians provide listeners with actionable tips, honest conversations, and relatable stories. Subscribe today and join a community where diabetes care is personal because we live it too!
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