Think Like A Pancreas...The Podcast!

Insulin Insights for Mastering Meals During the Holidays

In episode three of our ongoing nutrition series, Jennifer Smith and Dana Roseman dive into the unique challenges of holiday eating for people living with diabetes. They share practical strategies for insulin management, discuss the benefits of technology in diabetes care, and highlight the importance of accepting blood sugar fluctuations during festive meals. Before heading into another holiday season, tune in to hear Jenny and Dana’s expert tips and personal insights for managing diabetes and enjoying the festivities. 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: ✔️The importance of knowing how your insulin delivery system works. ✔️ Ways to spend more time socializing and less time monitoring blood sugar levels over the holidays. ✔️ Large meals require longer insulin delivery. ✔️ How fasting holidays can help your diabetes management. CHAPTERS: 00:13  Welcome and introduction 02:59  Knowing your insulin delivery system 06:54  And then comes a GLP-1 07:47   Out of the box thinking helps with holiday eating 09:59  Making Peace with Blood Sugar Fluctuations 11:40  Strategies for Enjoying Holiday Treats 15:03  Jenny’s insulin strategy for her Thanksgiving meal 18:09  Adding physical activities to the holidays 19:38  What to do when the holiday requires fasting 22:52  Sitting, Drinking, and being Stressed! Final tips to get you through the holidays RESOURCES MENTIONED:  IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application [https://www.podbean.com/eas/pb-8pay7-1918cb9] https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w [https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w] Trio: An Open Source Overview [https://integrateddiabetes.com/trio-podcast-an-open-source-overview/?utm_source=newsletter&utm_medium=email&utm_campaign=proud_to_get_an_f&utm_term=2025-09-16] https://integrateddiabetes.com/diy-services-support/ [https://integrateddiabetes.com/diy-services-support/]   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. 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.

Integrated Diabetes Services Unfiltered! Life, Laughter, and Real Diabetes Care. Part 3

In Episode 58 of Think Like a Pancreas—The Podcast, we pull back the curtain on the final three clinicians! Enjoy a candid conversation with Kathryn Gentile-Alvarez, Jennifer Smith, and Dana Roseman. THE CLINICIANS Kathryn Gentile-Alvarez, MS, ACSM-CEP, EIM II, CPT, CSNC, CDCES is the Director of Exercise Physiology, Teen/Young Adult Specialist for Integrated Diabetes Services. As a Certified 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. 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. 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.   WHAT YOU’LL LEARN: ✔️ Who wanted to be Gary Scheiner when they grew up. ✔️ How they found their way to using open-sourced insulin delivery systems. ✔️ Who has never been on ice skates. ✔️ Which team members wanted to be veterinarians when they were small. ✔️ How diabetes devices could be dangerous in a Zombie apocalypse.   CHAPTERS 00:14  Welcome and introductions 00:54  Kathryn, Jenny, and Dana's Personal Journeys to Diabetes Education 05:26  Very different paths to surviving the college years with diabetes 09:50  The Aha moment in their diabetes care 12:30  How they found their way to use DIY Looping technology 16:06  Where in the world are the Integrated Diabetes Team clinicians? 16:30  Sports and Physical Activities they enjoy 18:41  When muscle memory failed Kathryn and Dana 20:53  The love...and hate for running 24:38  Gravy, the part-time Diabetes Alert Dog 25:08  The power of the Trynamic Trio 28:55  Everyone experiences diabetes mistakes 31:57  Noises that will get you killed in an apocalypse RESOURCES MENTIONED  IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application [https://www.podbean.com/eas/pb-8pay7-1918cb9] https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w [https://youtu.be/peMzQHn1j9w?si=-oe74TUOIWGy287w] Trio: An Open Source Overview [https://integrateddiabetes.com/trio-podcast-an-open-source-overview/?utm_source=newsletter&utm_medium=email&utm_campaign=proud_to_get_an_f&utm_term=2025-09-16] https://integrateddiabetes.com/diy-services-support/ [https://integrateddiabetes.com/diy-services-support/] 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.

Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes

With the increasing number of individuals living more than fifty years with type 1 diabetes, Episode 57 of Think Like a Pancreas—The Podcast features Kathryn Alvarez, Director of Exercise Physiology and Teen/Young Adult Specialist at Integrated Diabetes Services, in conversation with blogger and advocate Joanne Milo. Together, they discuss strategies for effectively navigating the later stages of 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.   This episode is sponsored by Tempramed, makers of Vivi Cap https://tempramed.com/pages/vivi-cap-boxd [https://tempramed.com/pages/vivi-cap-boxd] MEET YOUR HOST AND HER GUEST 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 [https://thesavvydiabetic.com/blog/], and helping to build the amazing loop and learn online community. WHAT YOU’LL LEARN: ✔️ More adults are being diagnosed with type 1 diabetes much later in life. ✔️ Community support is crucial for those living with diabetes. ✔️ Aging with Type 1 Diabetes presents unique challenges that need to be addressed. ✔️ Emergency preparedness is essential for managing diabetes as we age. ✔️ Advocacy is necessary to ensure proper care for aging individuals with diabetes. ✔️ Healthcare providers need to be educated about the needs of aging T1D patients. CHAPTERS 00:14  Welcome and introductions 01:36  The inspiration behind T1D to 100 06:52 Navigating a medical system that wasn’t prepared for seniors living with type 1 diabetes 11:34  Addressing the Challenges of Aging with Type 1 Diabetes 14:44  A new potential role for parents of adult children with type 1 diabetes 16:36  The role of the diabetes community to bring about change in aging care 21:30  The importance of community engagement for seniors with type 1 diabetes 28:51  Creating a Go Bag for Emergencies 32:25  Why you need a personal medical resume 36:03  End-of-life considerations for people with diabetes 37:14  The key to successful aging with type 1 diabetes 49:17 Advocacy and Awareness for Aging with Diabetes RESOURCES MENTIONED  https://t1dto100.com/ [https://t1dto100.com/]  https://www.facebook.com/groups/t1dto100 [https://www.facebook.com/groups/t1dto100]  https://www.instagram.com/t1dto100 [https://www.instagram.com/t1dto100/] https://www.linkedin.com/company/t1dto100 [https://www.linkedin.com/company/t1dto100/] Blog | The Savvy Diabetic [https://thesavvydiabetic.com/blog/] Secrets of the Longest Living People with Type one Diabetes by Sheri Colberg https://www.amazon.ca/Secrets-Longest-Living-People-Diabetes/dp/1600940188 [https://www.amazon.ca/Secrets-Longest-Living-People-Diabetes/dp/1600940188] 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! MORE GREAT EPISODES LIKE THIS The Burden of Diabetes and Self-Advocacy [https://www.podbean.com/eas/pb-mfqym-1883591] Diabetes, Nutrition, and Wellness with Jenny and Dana [https://www.podbean.com/eas/pb-njy66-190feba] 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.

Before the symptoms: The why and how of type 1 diabetes screening

In Episode 56 of Think Like a Pancreas—The Podcast, Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services, is joined by Gary Scheiner for a conversation on preventing type 1 diabetes. With improved access to screening tools, they explore the implications for people living with diabetes and their families. Gary shares the latest research and treatment options, highlighting how these advances can lead to better outcomes for those at risk of developing, or those diagnosed with, type 1 diabetes.   MEET YOUR HOST AND HER GUEST 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. Gary Scheiner is an award-winning CDCES Fellow, Masters-level Exercise Physiologist who received his diabetes training with the world-renowned Joslin Diabetes Center. He serves on the faculty of Children With Diabetes and is an active volunteer for the American Diabetes Association, Juvenile Diabetes Research Foundation, Diabetes Sisters and Setebaid Diabetes Camps. Gary serves on the clinical advisory boards for several diabetes device manufacturers and pharmaceutical companies, while bringing together an incredible team of experts with his company, Integrated Diabetes Services.   WHAT YOU’LL LEARN: ✔️ Who should be screened for type 1 diabetes. ✔️ How you or your loved ones can be screened. ✔️ Beta cell bubble-wrap strategies. ✔️ Next steps after screening.   CHAPTERS: 00:14  Welcome and introductions 02:00  Understanding the stages of developing type 1 diabetes 10:05  Who should be screened for type 1 diabetes? 14:15  The best age to consider screening 15:56  You’ve been screened for type 1 diabetes. What’s next? 21:33  Monitoring and insulin production preservation strategies 26:54  Medical intervention options to prevent stage 3, type 1 diabetes 35:43  To screen or not to screen is a personal decision   RESOURCES MENTIONED Integrated Diabetes Services offers consulting services to individuals and families who test positive for antibodies. Call 610-642-6055 for details. Most commercial labs such as Labcorp and Quest Diagnostics are equipped to perform antibody testing. Just ask your physician for a prescription the next time you have annual lab work. At-home test kits can be obtained from TrialNet. Free screening kits are available at TrialNet sites or through the mail for first-degree relatives of people with T1D ages 2–45, or second-degree relatives ages 2–20. Call 800-425-8361 for details. https://www.trialnet.org/ ASK is a free T1D antibody screening service for children, available through the Barbara Davis Center for Diabetes:  www.askhealth.org For a variety of resources on the T1D screening process, visit www.type1tested.com [http://www.type1tested.com] 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! MORE GREAT EPISODES LIKE THIS The Quest for a Cure: A Diamyd In the Rough [https://www.podbean.com/eas/pb-mfqym-1883591]   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.

Bouncing Back from Diabetes Burnout--Strategies from Experts Who’ve Been There

In Episode 55 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services Mental Health Clinician, Anna Sabino speaks with James van der Meulen about diabetes burnout. Together they share their stories of living with diabetes since childhood. They explained how they have learned to recognize and work through the mental challenges that come with this journey.   MEET YOUR HOST AND HER GUEST Anna Sabino MSW, CDCES has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D.   She is a graduate of Syracuse University with a dual degree in psychology and child and family studies.  She earned her Masters in Social Work from Washington University in St. Louis.  Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress. Anna’s greatest passion is helping individuals and families build a sense of confidence and comfort with their diabetes management.   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.   WHAT YOU’LL LEARN: ✔️ Diabetes is not one size fits all ✔️How to deal with diabetes interfering with daily demands. ✔️ Give yourself grace. You cannot expect perfection every day. ✔️ Burnout is part of being human   CHAPTERS 00:12  Welcome and introductions 03:04  The immense mental challenge of living with type 1 diabetes 04:13  How James deals with burnout 10:07  The Role of Technology in Diabetes Management 12:40   Understanding both your own role and that of technology significantly enhances your mental wellbeing. 14:21  Your diabetes burnout will vary 17:13  Burnout is the gatekeeper to other mental health issues 18:46  Parents must recognize burnout in their children 19:51  The mental challenge of managing your own diabetes care 24:23  How to avoid burnout as a parent of a child with diabetes 28:50 Grief for parents is a normal part of the process. 32:33 Learning to master self-doubt RESOURCES MENTIONED IDS Diabetes Experts, The Trynamic Trio Share Personal Experiences with Open-Source Application [https://www.podbean.com/eas/pb-kg2fu-18fcf33] Watch the full-length episode Coping with Burnout in Diabetes Management: Strategies for Success [https://www.podbean.com/eas/pb-2eyrx-188f194] 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! MORE GREAT EPISODES LIKE THIS Coping with Burnout in Diabetes Management: Strategies for Success [https://www.podbean.com/eas/pb-2eyrx-188f194]   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.