Taking Control Of Your Diabetes® - The Podcast!

In this episode of the TCOYD Podcast, Drs. Edelman and Pettus are joined by pediatric endocrinologist Dr. Jamie Wood, medical director of pediatric diabetes at Rainbow Babies & Children's Hospital and an investigator on the INHALE-1 trial, to discuss inhaled insulin in children and its place in pediatric practice.The conversation centers on the recent approval of Afrezza down to age six and what INHALE-1 actually demonstrated. Dr. Wood walks through the trial design, the A1C analysis, the FEV1 and pulmonary safety data, the weight and BMI findings, and the practical mechanics of dosing in a pediatric population. Rather than framing it as a replacement for injections or automated insulin delivery (AID), the discussion focuses on where this option fits, from the needle-averse newly diagnosed patient, to the teen trying to bolus discreetly during a 20-minute lunch period.Drs. Edelman, Pettus, and Wood also get into the clinical realities that shape real-world use: the 2:1 to 3:1 conversion versus subcutaneous insulin, the set-dose cartridges and how they reframe carb counting, a refined titration approach, side effects, and how inhaled insulin can be layered alongside pumps and AID. For a population where mealtime bolusing remains one of the most stubborn unmet needs, it is a grounded look at a new tool and the patients it may help most.Key Topics The recent approval of inhaled insulin for children as young as six How the INHALE-1 pediatric trial was designed A1C results and what the primary endpoint analysis showed Continuous glucose monitor (CGM) metrics across the two groupsLung-function (FEV1) monitoring and pediatric safety Weight and body mass index (BMI) findings Why mealtime dosing is a leading unmet need in pediatric type 1 diabetes (T1D) The set-dose cartridge approach and how it reframes meal sizes A real-world titration method for inhaled insulin Managing cough and other practical considerations Needle phobia and the kids who struggle most with injections Using inhaled insulin alongside automated insulin delivery (AID) systems What's coming next, including a smaller cartridge dose and a new-onset trialThis episode is supported by an unrestricted educational grant from MannKind Corporation.Subscribe for practical diabetes management tips, technology updates, and treatment breakthroughs that help people with diabetes live healthier, more flexible lives.More diabetes resources:Website: tcoyd.orgBlog: tcoyd.org/blogPodcast: tcoydthepodcast.transistor.fmInstagram: / tcoydFacebook: / tcoydStay connected! Sign up for our monthly newsletter here!Support TCOYD's educational programs: tcoyd.org/donate ★ Support this podcast ★

Continuous glucose monitoring didn’t start as sleek apps and tiny sensors — it began with chunky receivers, short wear times, and a lot of skepticism. In this episode, Dr. Jeremy Pettus and Dr. Steve Edelman sit down with Dexcom CEO and original sensor engineer Jake Leach to trace the evolution of CGM from those early “Tylenol-shaped” receivers and repurposed pagers to today’s G7 system and beyond.They walk through the major turning points: abandoning long-term implants for subcutaneous sensors, proving that real-time CGM meaningfully improves time in range and safety, and pushing back against old-school thinking that insisted patients shouldn’t see their own data. From STS 3-Day to Seven Plus, G4, G5, G6, and now G7, Dr. Edelman, Dr. Pettus, and Jake Leach break down what each generation added — better accuracy, easier insertion, smartphone and cloud connectivity, and integration with pumps and AID systems.Most importantly, Dr. Edelman, Dr. Pettus, and Dexcom CEO Jake Leach, focus on what’s coming next and what it means for people living with diabetes today: the 15 day Dexcom G7 sensor, Smart Basal insulin titration for people with type 2 diabetes, AI-powered food logging, and the upcoming G8 platform designed to measure multiple analytes (glucose plus ketones and more) — all while pushing toward broader access and affordability.Key Topics:Early Dexcom Days & STS 3-Day: How Dexcom pivoted from implantable sensors to disposable subcutaneous CGMs and what the earliest systems were really like.Blinded vs Real-Time CGM: The ethics debate, safety implications, and studies proving real-time data improves time in range and reduces hypoglycemia.Seven Plus, G4 & G5: Major accuracy improvements, longer wear times, and the move to smartphone-based monitoring.G6 & Auto-Applicators: Eliminating mandatory calibrations and making sensor insertion faster and easier.G7 Wins & Growing Pains: Reduced size, faster warm-up, early reliability challenges, and how Dexcom addressed manufacturing and support issues.15-Day Wear & Smart Basal: Extended wear life and CGM-guided basal insulin titration for type 2 diabetes.G8 & Multi-Analyte Sensing: A preview of Dexcom’s next-generation platform measuring glucose plus ketones and other markers.AI Food Logging & Smarter Care: Photo-based meal tracking and pairing nutrition data with glucose trends.Access & Affordability: Expanding CGM access globally and using data to reshape how diabetes care is delivered.0:23 - Introduction & TCOYD’s 30th Anniversary 1:39 - Meet Jake Leach: 21 Years at Dexcom 3:08 - The Early Days: From Implantable Sensors to Patches 5:26 - The First Commercial CGM (STS 3-Day) & The "Pager" Receiver 8:35 - The Evolution to 7-Day Wear (Seven Plus) 10:15 - The Early Struggles with Insurance Coverage 12:32 - Why Unblinded Real-Time Data Changed Everything 16:36 - The G4 Era: Improved Accuracy & The "Share" Cradle 20:26 - G5: The Shift to Smartphone Connectivity 27:04 - Real Talk: Addressing G7 Connectivity & Sensor Failures 29:07 - Dexcom's "Unlimited Replacement" Policy for Failed Sensors 31:39 - CONFIRMED: The New 15-Day Sensor Launch 32:43 - "Smart Basal": A New Tool for Type 2 Diabetes 35:44 - G8 Reveal: Measuring Ketones, Lactate & Potassium 39:12 - New Feature: AI Smart Food Logging 41:22 - The Future of CGM: Pre-Diabetes & Heart Health 46:34 - Closing Thoughts✨ Subscribe for practical diabetes management tips, technology updates, and treatment breakthroughs that help people with diabetes live healthier, more flexible lives.More diabetes resources:Website: tcoyd.orgBlog: tcoyd.org/blogPodcast: tcoydthepodcast.transistor.fmInstagram: / tcoyd Facebook: / tcoyd Stay connected! Sign up for our monthly newsletter here! Support TCOYD's educational programs: tcoyd.org/donate ★ Support this podcast ★

Type 1 diabetes doesn’t always travel alone — in fact, it often brings other autoimmune conditions along for the ride. In this episode, Dr. Jeremy Pettus and Dr. Steve Edelman shine a light on the most common ones that tend to show up with T1D, why they happen in the first place, when you should be screened, and what subtle symptoms should raise a red flag.They walk through what’s common but manageable, like thyroid issues and celiac disease — as well as what’s rare but critical not to miss, like Addison’s disease (adrenal failure), which can be dangerous if left undiagnosed but incredibly treatable once caught early.Most importantly, Jeremy and Steve explain how simple blood tests can catch these conditions before they spiral, and how the right medication can completely change how you feel day-to-day.Key Topics:• T1D & Autoimmunity 101: Why having one autoimmune condition raises your risk for others• Thyroid Disorders: The most common — hyper vs. hypo, yearly screening, easy treatment• Celiac Disease: Why it’s up to 10x more common in T1D and often missed without symptoms• Addison’s Disease Awareness: The “silent” cortisol deficiency you don’t want to miss• Proactive Care Mindset: How to build autoimmune screening into your diabetes warranty plan(00:00) Intro: The "Raindrop" Analogy (02:26) Thyroid Disease: The Most Common T1D Link (05:25) Hypothyroidism (Low Thyroid): Symptoms & Easy Treatment (09:30) Hyperthyroidism (Graves' Disease): Symptoms & Cures (13:25) Your "Diabetes Warranty": Why You Need a Yearly TSH (14:48) Celiac Disease: The 10% Risk Factor (19:28) Celiac Screening vs. "Gluten Sensitivity" (25:31) Addison's Disease: The Other One to Know (29:43) Final Takeaway: Be Your Own AdvocateVisit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★

The diagnosis of Cushing's Syndrome is often missed because its underlying cause, hypercortisolism, masks itself as 'just diabetes,' 'just stress,' or 'just getting older,' which can lead to serious problems. In this conversation, Dr. Steve Edelman talks with a military veteran named Phil and his wife Cherese about years of unexplained fatigue, tough-to-control blood sugars, and high blood pressure, and the one test that made everything make sense. This episode discusses the early warning signs, how to advocate for answers and the hypercortisolism treatments that helped Phil feel like himself again. You’ll also hear why targeted hypercortisolism treatments and diabetes-specific approvals are on their way.You’ll learn why hypercortisolism is more common than most people realize, how it can hide behind type 2 diabetes, and what tests and treatments can make a life-changing difference.Why hypercortisolism is so often overlooked: Symptoms overlap with diabetes, stress, and other common health issues.Phil’s story of resilience: From managing diabetes with multiple medications to discovering hypercortisolism as the root cause.The partner’s perspective: How Cherese noticed the warning signs and pushed for further testing.The Catalyst Study: Why research shows up to 1 in 4 people with hard-to-control type 2 diabetes may have hypercortisolism.Diagnosis explained: The 1 mg overnight dexamethasone suppression test and why it matters.Treatment and transformation: How targeted therapies improved Phil’s blood sugars, energy, sleep, and overall quality of life.Key takeaways: Be your own best advocate—if your numbers don’t add up, it’s worth asking why.Timecodes: 0:00 – What is Cushing's Syndrome (hypercortisolism) & guest setup0:41 – Steroids & cortisol 101: why persistently high cortisol wreaks havoc2:01 – Phil’s backstory: diabetes diagnosis and years of “uncontrolled” numbers4:55 – Escalating meds, rising A1C, growing fatigue—when things stop making sense7:25 – Cherese’s Story: lifestyle overhaul, then deeper testing when sugars don’t improve10:47 – Classic signs of Cushing's Syndrome (buffalo hump, thin arms) & sleep issues11:23 – CATALYST study: up to 1 in 4 with tough-to-control T2D show evidence of hypercortisolism13:10 – Diagnosing Cushing's: The hypercortisolism suppression test16:06 – Treatment wins: targeted therapy improves glucose, mood, sleep; “new era” in care20:45 – Takeaways: Recognizing Cushing's, self-advocacy & red flagsImportant Links:Cortisol in Control website: https://www.cortisolincontrol.com/ https://www.cortisolmatters.com/patientVisit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★

Living with type 1 diabetes is a daily grind, full of numbers, decisions, and constant adjustments, but it doesn’t have to feel overwhelming. In this episode, Dr. Steve Edelman and Dr. Jeremy Pettus two endocrinologists who also live with T1D, share their top 10 tips for making life with diabetes more manageable and a little easier to navigate. They cover everything from setting realistic blood sugar goals and understanding the metrics that matter most, to smart supply hacks that can save you stress when you least expect it. They also dive into why celebrating the small wins like getting through the night without a low or nailing your pre-meal insulin timing can make a big difference in your long-term mindset. Whether you’re newly diagnosed or decades into the journey, this episode is packed with advice you can use today and into the future.Key Topics:Perfection Isn’t the Goal: Why aiming for progress—and not flawless numbers—keeps you healthier and less stressed.Know the Benchmarks That Matter: A1C, time in range, and minimizing hypoglycemia are key to long-term health.Celebrate the Small Wins: Even the little victories count, and they help build momentum in the day-to-day grind.Be Prepared With Backups: Why extra insulin, CGMs, and supplies are non-negotiable.Don’t Forget the “Non-Blood Sugar Stuff”: Eye exams, blood pressure, and cholesterol deserve just as much attention.And There’s More… From food strategies to mental health hacks, this episode is packed with practical advice you won’t want to miss—tune in for all 10 tips!Visit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★

What if you could learn about type 1 diabetes before symptoms even appear? In this powerful episode, Dr. Steve Edelman and Dr. Jeremy Pettus sit down with Senior Football Insider and Sanofi Spokesperson Adam Schefter to talk about why early screening for T1D is a conversation every family should be having.Adam shares his personal connection to type 1 diabetes through his wife’s experience and how it changed his outlook on health, preparation, and the role of care partners. Together, they break down the importance of understanding early-stage T1D, how screening works, and why early knowledge is more than just information—it’s peace of mind.Whether you’re newly diagnosed, a care partner, or simply looking to stay informed, this episode offers insight, support, and a meaningful call to action.Key Topics:Adam’s connection to T1D: How his wife’s diagnosis impacted their family and sparked his passion for awareness and advocacy.Why early screening matters: The power of knowing about type 1 diabetes before symptoms begin—and how it can change everything.Understanding early-stage T1D: What auto antibodies are, what they indicate, and how type 1 develops in stages.Advice for care partners and families: Why loved ones should consider screening too, and how to start the conversation with a healthcare provider.Awareness is everything: How misinformation and lack of understanding can delay diagnosis—and why it's time to change that.Start the conversation: How to learn more about screening and what families can do today to stay one step ahead.Visit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★

Conversations about diabetes and health can be awkward—especially when you're a teenager trying to figure it all out. In this episode, Dr. Steve Edelman welcomes diabetes influencer Mary Comeau and pediatric endocrinologist Dr. Manasi Jaiman to break down the real issues young people with type 1 diabetes face when navigating adolescence, independence, and taboo topics like sex, alcohol, marijuana, driving, and overbearing parents. With personal stories, practical advice, and some laughs along the way, this episode is all about helping young adults with T1D build confidence, advocate for themselves, and feel less alone.Key Topics:Mary’s teenage experience with T1D and the emotional rollercoaster of acting like it “wasn’t there.”Why teens with diabetes often feel disconnected from their doctors—and how to find one who understands.The challenge of transitioning from pediatric to adult care and why many clinics still don’t get it right.How to navigate tension with parents—especially when they micromanage diabetes care.Starting conversations about sex and diabetes: why it matters and how to get the right support.Dating with diabetes: real-life stories, embarrassing moments, and how to educate your partner.Alcohol, blood sugar, and good decisions: what to drink, what to avoid, and how to stay safe.Weed and diabetes: effects of marijuana (and the munchies), tips for safer use, and what to watch for.Driving with diabetes: why planning matters and how to prepare a “driving diabetes kit.”How Mary built a massive online community by being open about her diabetes—and why connecting with others can change everything.See a whole video series dedicated for teens with Mary and Dr. Manasi Jaiman: tcoyd.org/video-teens-young-adults-type-1-diabetes/Follow Mary: instagram.com/mary_comeauVisit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★

When complications like chronic kidney disease and Type 1 diabetes intersect, it can feel overwhelming. In this episode, Dr. Steve Edelman sits down with Kristen Hohmann, a Type 1 diabetic who underwent both kidney and pancreas transplants, to explore her journey of managing diabetes, overcoming kidney failure, and pursuing the life-changing decision to undergo a dual organ transplant. Kristen shares the emotional, physical, and mental challenges she faced along the way, offering valuable insights into the transplant process and the importance of self-advocacy.Key Topics:Kristen’s diagnosis of Type 1 diabetes and the progression to kidney failureThe emotional toll of needing a kidney transplantHow Kristen researched and decided on a kidney and pancreas transplantThe transplant process: Waiting for a donor and the realities of the surgeryThe challenges of recovery and life after receiving a new kidney and pancreasHow self-advocacy played a crucial role in Kristen’s journeyThe importance of a multidisciplinary approach to diabetes care and transplant managementInsights into life after diabetes and the impact of the transplant on Kristen’s healthAmerican Diabetes Association (ADA): diabetes.orgNational Kidney Foundation: kidney.orgMayo Clinic Transplant Services: mayoclinic.orgVisit TCOYD's Website for more diabetes edutainment for people living with diabetes: tcoyd.org**Tune in for two new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**Follow our social media channels to empower yourself with the essential areas of diabetes knowledge led by two endocrinologists living with type 1 diabetes: Facebook | Instagram | YouTube ★ Support this podcast ★