Think Like A Pancreas...The Podcast!

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 improving your relationship with food, your body, and your insulin. MEET YOUR HOSTS: Kristi Paguio LMSW, LCSW, CDCES is a Mental Health Specialist. She has been working in the field of diabetes since 2007 as a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has had the privilege of working with people across the lifespan who are impacted by diabetes. She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. WHAT YOU’LL LEARN:  ✔️Disordered eating is a broad term that encompasses various unhealthy food relationships. ✔️ Cultural pressures can lead to unhealthy eating behaviors and perceptions of food. ✔️ Food should be viewed as a source of joy and connection, not just a means to manage diabetes. ✔️Normalize healthy eating for the entire family.   CHAPTERS: 00:40 Welcome and introduction 03:12 What constitutes disordered eating? 06:25 Cultural influences vs the needs of a healthy body 09:24 The “Food Police” 11:46 All foods fit in your diet 13:51 Helping someone experiencing disordered eating 18:05 Restriction vs Indulgence. Finding the middle ground when it comes to food. 20:33 The impact of judgement when you have diabetes 23:06 Why disordered eating is more common when living with diabetes 24:00 Seeking help for disordered eating with diabetes RESOURCES If you are seeking a team to assist you with issues surrounding disordered eating and your diabetes, Integrated Diabetes Services has a full team of professionals who are Certified Diabetes Care and Education Specialists who live with type 1 diabetes. They can help with all aspects of your self-care. Call 1 (610) 642-6055 or email info@integratedservices.com [info@integratedservices.com] to schedule an appointment. Articles: Eating disorders are on the rise [https://integrateddiabetes.com/eating-disorders-are-on-the-rise/]. SUBSCRIBE AND REVIEW If this episode helped you or you have a question, take a moment to leave a short note. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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 and learn about the areas of care that even Gary could improve on. MEET YOUR HOST AND HIS GUEST: Gary Scheiner, MS, CDCES is the founder and Clinical Director of Integrated Diabetes Services. An award-winning Certified Diabetes Care & Education Specialist, Master’s-level Exercise Physiologist, and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. He was named 2014 Diabetes Educator of the Year by the American Association of Diabetes Educators. Gary earned a Bachelor of Arts in Psychology from Washington University in St. Louis and a Master of Science in Exercise Physiology from Benedictine University. He received his diabetes training with the world-renowned Joslin Diabetes Center. Gary serves on the faculty of several prominent organizations and the clinical advisory boards for a number of diabetes device manufacturers and pharmaceutical companies. Cheryl Koch, MD is a diabetes & metabolism endocrinologist in Bryn Mawr, PA and has over 35 years of experience in the medical field. Dr. Koch has extensive experience in Thyroid Disorders, Diabetes & Glucose Monitoring, and Osteoporosis & Screening. She graduated from Penn State University College of Medicine in 1989. She is affiliated with medical facilities such as Hospital of the University of Pennsylvania and Lankenau Medical Center. .   WHAT YOU’LL LEARN: ✔️Every diabetes patient is different. ✔️Your doctor is human too. ✔️The value of making small changes. ✔️Your doctor’s job is to help. You don’t have to be perfect. ✔️Find an endo that is interested in you and matches your needs.   CHAPTERS: 00:50 Welcome and Introduction 07:56 The appeal of endocrinology 10:04 Staying up-to-date with diabetes advances 12:46 Getting  the most out of your endo visits 15:31 When it’s okay to break up with your endo 17:40 The value of CDCES in diabetes education 18:54 Areas that Gary Scheiner struggles with in his diabetes care 23:57 Dr. Koch’s parting advice for building trust with your endo   RESOURCES: How To Find a Health Care Team You Love – Integrated Diabetes Services [https://integrateddiabetes.com/how-to-find-a-health-care-team-you-love/] The Power of a Team in Your Diabetes Weight Loss Journey – Integrated Diabetes Services [https://integrateddiabetes.com/the-power-of-a-team-in-your-diabetes-weight-loss-journey/]   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/ [https://integrateddiabetes.com/how-to-start-the-process/] ,  or email info@integrateddiabetes.com [info@integrateddiabetes.com] SUBSCRIBE AND REVIEW: If this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

The Power of Protein

In this episode of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians, Gary Scheiner and Dana Roseman explore the impact of protein on people living with diabetes. the role and impact of protein in the lives of people with diabetes. Listen as they share science-backed answers to common questions about protein’s role in blood sugar management, ideal protein sources, dietary balance, and long-term health. MEET YOUR HOSTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. WHAT YOU’LL LEARN: ✔️Protein requires you to use the entire alphabet of amino acids. ✔️The value of having a consistent amount of daily protein. ✔️Protein becomes more important as you age. CHAPTERS: 00:51 Welcome and Introduction 02:51 The role of protein in a healthy body 04:18 Better sources of protein 07:50 How much protein is enough for YOU? 11:28 What you should know about protein supplements 13:24 Bolusing for protein 18:51 Are you getting enough protein? 21:56 Can you ever have too much protein? 24:57 What you need to remember about protein and type 1 diabetes RESOURCES MENTIONED: Protein List from Integrated Diabetes Services [https://drive.google.com/file/d/1gkSfqaeLEX-1ANi7FzkVAC6a_EzUHjeS/view?usp=sharing] 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/ [https://integrateddiabetes.com/how-to-start-the-process/] ,  or email info@integrateddiabetes.com [info@integrateddiabetes.com] SUBSCRIBE AND REVIEW If this episode helped you, take a moment to leave a short review. We love to hear from you! And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

The 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 leading CGMs in “Libre 3 vs Dexcom G7.” This beloved podcast helping listeners make informed choices. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Riva Greenberg is a multi-time author, columnist, and blogger. She has lived with type 1 diabetes for over 50 years and has presented her “Flourishing Approach” to healthcare professionals and people with diabetes all over the world.   WHAT YOU’LL LEARN: ✔️80% of your management is what you do over and over. ✔️Why it is impossible to “control” your blood sugars, but how you can positively influence them. ✔️The value of data when managing your diabetes care.   CHAPTERS 00:15 Welcome and introduction 02:28 Understanding your insulin 8:08 The value of understanding your typical meals 10:13 Meet Riva Greenberg 12:18 Why can’t diabetes and blood sugar levels be controlled? 15:25 Glucometer commercials should picture readings of 283 mg/dl 19:24 The evolution of CGMs 22:11 Dexcom G7 vs Libre 3+ CONNECT WITH US 🔵Website: integrateddiabetes.com 🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook 🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ [https://integrateddiabetes.com/how-to-start-the-process/] ,  or email info@integrateddiabetes.com [info@integrateddiabetes.com] SUBSCRIBE AND REVIEW If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode. Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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 Application Number 1…. Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes. MEET YOUR HOST AND HIS GUESTS: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. Kristi Paguio LMSW, CDCES, CSOWM is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management. Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  Amy Sczepanski has been navigating life with diabetes since 1997 and is now adventuring her way from the redwoods of Eureka, California to her new home in Pennsylvania. Amy brings energy, empathy, and a sense of humor to her new role at Integrated Diabetes Services working with clients and clinicians alike. She is a proud cat mom, avid lover of all things outdoors, and is happily diving into work that she loves. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique. Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified Diabetes Care & Education Specialist and Exercise Physiologist, she specializes in sports performance, technology integration—including open-source and DIY systems—and counseling young people and families affected by type 1 diabetes. Diagnosed herself at age twelve, Kathryn holds degrees in Exercise Physiology from Ave Maria University and West Chester University, and certifications from ACSM and ISSA. Her work focuses on using advanced technology and personalized exercise prescriptions to help people with diabetes manage their health and thrive. Joanne Milo has lived with Type 1 diabetes for 60 years and just launched a brand-new project called T1D to 100. This website is an incredible resource for people aiming to thrive with type one diabetes in every decade of life. Joanne is also well-known for her long running blog, the Savvy Diabetic, and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN: ✔️You are not alone. Diabetes impacts more than just your physical health. ✔️Optimizing your diabetes outcomes can take a level of faith. ✔️ Healthcare wasn’t prepared for people living with type 1 diabetes to live longer, but after spending their lives advocating for improvements, they aren’t stopping now. CHAPTERS 00:37 Introduction 03:10 Amy’s Mental Health Crisis 07:34 The Turning Point: A Cry for Help 10:38 Thoughts on Open-Sourced insulin delivery systems 12:43 Learning to trusting the technology 20:24 Joanne Milo highlights the worries of seniors with type 1 diabetes 26:59 How can we best serve the aging T1D population? RESOURCES MENTIONED The Savvy Diabetic [https://thesavvydiabetic.com/] T1D to 100 [https://t1dto100.com/]