Think Like A Pancreas...The Podcast!

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

Fresh from the 2026 ATTD Conference in Barcelona, Gary Scheiner shares a comprehensive recap of the latest breakthroughs in diabetes technology, clinical research, and practical management strategies. Learn about upcoming changes from companies like Tandem, new products from Abbott, and what research is saying skin care for people with diabetes. MEET YOUR HOST: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Multiple new infusion set options are coming for insulin pumpers. ✔️Omnipod DASH pump will be available at least until 2027. ✔️ The importance of time in range. ✔️ The benefit of whey protein before exercise. CHAPTERS: 00:00 Introduction to the ATTD Conference 03:12 Innovative Product Developments in Diabetes Care 09:00 The Truth Behind the Steel Needle Infusion Set Shortage 10:22 The Use of Technology in the Elderly 12:05 Updates from Dexcom 13:31 Using Whey Protein to Prevent Exercise-Induced Lows 15:01 Scientific Research on Hormones and Time In Range 16:57 Not All Ultra-Rapid Insulins are Created the Same 17:33 Air Travel’s Impact on Blood Sugar Levels 18:32 Skincare and Diabetes Management 23:25 The Role of Alternative Meds in Type 1 Care 26:33 The Use of Advanced Insulin Pump Features   RESOURCES: 2025 ATTD Discoveries with Melissa Holloway [https://www.podbean.com/eas/pb-gemp7-186589c]   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 the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!   Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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

There’s plenty of buzz about inflammation these days—but what does it really mean to manage inflammation and insulin resistance when you live with type 1 diabetes? In episode 80 of Think Like a Pancreas—The Podcast, clinicians Dana Roseman, Jennifer Smith, and Dr. Paula Diab dive into the relationship between inflammation, blood sugar variability, and effective diabetes management. They reveal how the “wellness triad” of food, exercise, and sleep can help tame inflammation. From the power of Omega-3s and Vitamin D to the emerging role of GLP-1 medications and why gut health matters, learn how to lower insulin resistance and support your body’s natural healing. MEET YOUR HOSTS: Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. Dr Paula Diab MD, CDCES is the Director of Weight Management at Integrated Diabetes Services. She is a Family Physician and Diabetologist who runs a multi-disciplinary practice specializing in the management of chronic diseases, particularly diabetes and obesity in South Africa. Her approach is to walk the journey with her patients and to allow them to manage their disease rather than allow the disease to define who they are. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ It is important to work with a clinician who looks beyond the numbers ✔️Despite getting a lot of sunshine, people living with an autoimmune condition may be low in Vitamin D. ✔️Gut Health is often overlooked.   CHAPTERS: 00:00 Meet Dana, Jenny, and Paula 02:28 Understanding Inflammation and Diabetes 06:13 The role of supplements to reduce inflammation and insulin resistance 07:15 The Triad of Health and Wellness 13:19 Medicinal options to fight inflammation. 17:57 The importance of a healthcare provider who can analyze your overall lifestyle 20:02 The Understated Value of Exercise  21:28 Reducing Inflammation Naturally 23:41Bringing it all together   RESOURCES: Can turmeric help people with diabetes manage their weight and blood sugar? – Integrated Diabetes Services [https://integrateddiabetes.com/can-turmeric-help-people-with-diabetes-manage-their-weight-and-blood-sugar/]   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 the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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

Is your diabetes tech helping or hindering your mental health? IN EPISODE 79 of Think Like a Pancreas—The Podcast , Integrated Diabetes Services clinicians Alicia Downs and Anna Sabino explore how diabetes technology can impact your mental wellbeing—both positively and negatively. Having each lived with type 1 diabetes for over 20 years, Alicia and Anna share why it’s sometimes important to pause and listen to your body rather than focus solely on device data. Tune in as they provide practical strategies to help you make the most of your diabetes tools—and recognize when technology may be contributing to burnout. MEET YOUR HOSTS: Alicia Downs,  RN, MSN, CDCES,  BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated compassionate informed and equitable care to all people. Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️ Tech or no tech, it is important to listen to your body. ✔️ The importance of understanding the goal of using technology. ✔️ How to learn from failure. ✔️ We drive the behavior of our devices. ✔️ How you and your tech can become a winning team.   CHAPTERS: 00:00  Intro: Meet Anna Sabino and Alicia Downs 04:30 The Challenge of Waiting: CGM Lag and Rage Bolusing 06:15 Overcoming Information Overload and Paralysis 08:50 Balancing Overwhelm and Trust 14:32 Trusting Your Tech Does Not Mean Blind Trust 18:25 Navigating Discomfort 22:22 Tools for Setting Realistic Operating Expectations 25:24 The Need for Constant Diabetes Education 28:54 Identifying Your Goals for Using Technology 32:57 Adjusting Your Perspective 37:58 How to Identify and Deal Tech Burnout 43:45 Learning Integration 48:08 Understanding the fundamentals 51:09 How and when to react RESOURCES: How to Manage Diabetes Alarm Fatigue for Better Sleep [https://integrateddiabetes.com/how-to-manage-diabetes-alarm-fatigue-for-better-sleep/] 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 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.

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

In episode 78 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Owner and Clinical Director, Gary Scheiner takes a humourous, but hard-hitting look at the type one diabetes hurdles that make you want to scream! From the fact that the body doesn’t have an insulin back-up system to battles with health care providers, Gary shares the things that truly frustrate him. Listen to this episode and hear Gary separate the science from the stupid. MEET YOUR HOST: Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985.  Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor. WHAT YOU’LL LEARN: ✔️Insulin isn’t the only hormone lacking in people with type 1 diabetes. ✔️Even clinicians have insurance issues ✔️Not all medical professionals are experts in your diabetes tools. CHAPTERS: 00:00 Welcome and introduction 02:01 Biological beefs 12:18 Technology and support tribulations 17:30 The truth about expiry dates 20:24 Health insurance headaches 24:19 The hypocrisy of big pharma 27:12 Red tape and bureaucracy 29:57 Prescriber knowledge gaps 31:24 Medical Research 32:59 mmol? Mg/dL? Or??? 33:56 Pronunciation and diabetes word frustrations 36:36 DUH research 37:56 Stop selling people with diabetes short   RESOURCES: TRIO Open Sourced Insulin delivery                https://youtu.be/mn-2aH2hns8 [https://youtu.be/mn-2aH2hns8] 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 the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode! Disclaimer The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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

Are the latest food guidelines leaving you confused? You're not alone! In episode 77 of Think Like a Pancreas—The Podcast, registered dietitians and certified diabetes care and education specialists Dana Roseman and Jennifer Smith break down the recently updated USA Nutritional Guidelines. They put on their dietitian hats to explore exactly what these changes mean for people living with Type 1 Diabetes. From turning the food pyramid on its head to navigating the wild world of "protein-added" snacks, Dana and Jenny offer insights into what this means for people living with diabetes. MEET YOUR HOSTS: Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems. Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration. KEY TAKEAWAYS AND HIGHLIGHTS: ✔️The value of the “Plate Method” of healthy eating ✔️Fat is important in our diet. ✔️Sometimes you are getting a lot of extra sugar in order to get that extra boost of protein. ✔️The 2026 Food Guidelines are not new. They are updated. ⭐ Comment with your most memorable school cafeteria food! CHAPTERS: 00:00 Welcome and introduction 02:57 The end of the Food Pyramid 05:07 Emphasis on Protein in Diet 08:43 Understanding Processed vs Whole Foods 11:36 Protein enriched can also mean “more sugar added” 12:44 The role of saturated fats and how to use them 16:06 Nutrition isn’t one size fits all 17:33 The role of nutritional guidelines in grade school. 20:20 Making better food choices RESOURCES: Focus on Protein for Stability with Diabetes [https://integrateddiabetes.com/focus-on-protein-for-stability-with-diabetes/] Type 1 Diabetes: What Nutrition Macros Should I Follow? [https://integrateddiabetes.com/type-1-diabetes-what-nutrition-macros-should-i-follow/]   Turning the food pyramid on its head…The Simpsons [https://www.youtube.com/watch?v=fIGXkh6S8Zw]    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 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.