Pardon My Pancreas - Type 1 Diabetes with Matt Vande Vegte

T1D Case Study: From Unpredictable Blood Sugars to 92% Time in Range.

FTF Warrior Season 8 Episode 32

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0:00 | 30:32

 From 75% to 92% Time in Range! 

Jared’s story is a powerful reminder that you don’t have to settle for unpredictable blood sugars or feel like diabetes is controlling your life.

With the right knowledge, tools, and consistent effort, you can learn to understand your numbers—and thrive with diabetes instead of just managing it. 

Watch Jared’s story and see what’s possible! 

>> ENJOY!

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Welcome to the Pardon My Pancreas podcast!! This show is all about REAL life with type 1 diabetes, understanding fluctuations, and how to stabilize your blood sugar for good. Your host is Matt Vande Vegte is a certified personal trainer, nutritionist, and type 1 diabetic whose biggest goal in life is to help people with diabetes around the world live their lives fearlessly. Looking for an online health coaching program to help you live your best life? Go to https://www.ftfwarrior.com to learn more about his program for diabetics only that is focused on helping you reach your goals while living a happier and healthier life. Join the Tribe today!


This podcast is sponsored by FTF Warrior - An online health and fitness coaching company for type 1 diabetics dedicated to helping them master their blood sugars through any activity, exercise, or meal!


https://www.ftfwarrior.com

Follow Matt here:

Instagram: https://www.instagram.com/ftfwarrior/

Facebook: https://www.facebook.com/ftfwarrior/

YouTube: https://www.youtube.com/c/ftfwarrior
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Disclaimer: While we share our experiences with diabetes, nothing we discuss should be taken as medical advice. Please consult your doctor or medical professional for your health and diabetes management. 

SPEAKER_00

I dropped to 32. Oh no. And I was shh like I got home and I was like, Mom, something feels off. Because I've never was that low before. And I checked it, and I literally ate everything but the kitchen sink. And then later on, I checked it and I was high again. I was like 180. And I was like, well, better, I guess, too high than too low. Yeah, especially in the 30s. Yes. And I told her that. I was like, she was like, oh yeah, you don't like for a meal like that, you don't take insulin. I was like, well, thank you. Like that would have been helpful to know.

SPEAKER_01

Yes. Keep going and keep up the fight. All right. Well, Jared, I'm super pumped to have you on today. Um, I know I saw in the notes too that you were coming to us initially for Dawn Phenomenon, but just the doctors not being super helpful. And man, if I had a nickel every time I'd heard that, experienced it as well for me. So excited to chat about what did work for you, what stood out. But before we get into your uh your details and kind of where your blood sugars are at now, I'd love to maybe give the viewers, the audience, a little bit of info about you. So give us like a quick intro or summary about how long you've had type 1 diabetes, uh, you're in a pump or MDI, that sort of thing.

SPEAKER_00

So it was May 6, 2018, is when I first got diagnosed. Um, but the month before that, um I just noticed something was off, like my energy wasn't good. Um, my legs were cramping really bad. And I've played sports all my life, and I'm like, well, maybe I just need to eat more potassium, um, not getting electrolytes, drinking Gatorade, just kept having it. And there's a point where my legs hurt so bad where I was literally taking ice baths to help just with all the cramping. Wow. And so I was like, all right, this I've had enough. This has been going on for a month, I gotta see what's going on. So I checked, I went to my doctor's office, and my doctor was very good. Um, but he was like, Yeah, you might be diabetic. And at the time I was 23 years old, and I was like, Man, what a start to um start my Jordan year, you know, 23. And so then it I was my blood sugar at his office was at 425.

SPEAKER_01

Oh man.

SPEAKER_00

And my A1C's no arguing that, right? My A1C was off the chart because I think it goes up to like 25. And it was above 25. Yeah, they were like, Yeah, it's above the chart. So I'm like, okay, so what does this mean? He's like, you're going to the hospital. And I'm like, okay. So I went home. Well, on the way to the house just to get stuff for the hospital and get ready. My mom took me to the doctor, and she was like, Well, you hungry? And I was like, Yeah. And I was fasting the whole day because I was like, Well, I don't want to eat something, and then they have to take blood. So 425 was fasting. Um, and so then I ate a cheeseburger with fries, and she's like, Well, that's probably your last cheeseburger and fries before you have to start insulin and stuff. I was like, Yeah. And so then when I got to the hospital, I was around 500 after they took my uh blood sugar reading. And once I got to the hospital, it was just kind of very vague. Like I just don't know kind of what happened the first day or so, and I was only in there for about three days, but luckily the NF or NBA finals were on, so I could have that. And so they were just kind of they got me a nutritionist, and so he came by one day for like 30 minutes, and I was like, Yep, you just gotta do a shot, and that's pretty much it. And I'm like, Okay, so like how much unit, like what do I do? And he's like, Oh, you just do this, like read it, and yep, it's about 30 carbs, so just take how much insulin you need for that. And he's like, if you want orange juice, just eat orange instead of orange juice, or if you want apple juice, eat an apple, like just kind of lean out the juices. And I'm like, Well, I never really drank juices anyway, but okay. And so he was just not very helpful, and we kept asking the nurses, like, so what do I do? And they're like, Oh, just YouTube it, you'll be fine. Oh no, and I'm like, YouTube it? I'm like, what am I supposed to do? Like, I'm paying you guys thousands of dollars to be here, and you're just telling me to YouTube it. So thankfully, I just bought my laptop, and while I was there, I was just googling random stuff, like, what do I need to do? And I had it since 2018, and then it was just at the beginning or the end of last year, and my endocinologist, um, at first, um, when I started going to her, I thought she was pretty good, and she still is pretty good, but she just like, oh yeah, you just need to take insulin for it. And at one point, she said that I was her best client because I was at like 5.8, was my A1C. And then she just kept driving it home, like, hey, you need to be put on a pump, you need to put on put on a pump. And I'm like, I just don't know if I trust them yet. Just because my biggest fear was I put on this pump and then it malfunctions because I do heat in an air. I'm like, I work on stuff that breaks down all the time. I'm like, that was one of my biggest fears was like it just pumping me full of insulin one night and I'm dead asleep, and I don't wake up because of that.

SPEAKER_01

I had the exact same thought. I put off the pump for five years because I was like, one malfunction and I'm dead, you know. Like, I don't trust that. Yes, man. So a lot of that is just you kind of getting left to your own devices or backup devices since you weren't on a pump, but like they didn't give you much direction. That's she just said that's pretty common.

SPEAKER_00

Yeah, and she just said, Roll your one to ten carb ratio, and we'll just kind of see what happens. And I was like, Well, how do you count carbs? and she just kind of gave me a vague um answer, like, didn't go in deep on it, and I'm like, Okay, and she when I first got diagnosed, she says, Don't miss a shot for when you eat, and I'm like, Okay, and so I just always did at the beginning was it was about six to eight units when I eat. So this is probably one of the scariest laws that I've had. Um, we ate at Texas Roadhouse, I got salmon, green beans, and a salad, so total maybe like 10 carbs. Wow, I dropped to 32. Oh no, and I was shh like I got home and I was like, mom, something feels off because I've never was that low before. And I checked it, and I literally ate everything but the kitchen sink, and then later on I checked it and I was high again. I was like 180, and I was like, well, better, I guess, too high than too low. Yeah, especially in the 30s. Yes, and I told her that. I was like, she was like, Oh, yeah, you don't like for a meal like that, you don't take insulin. I was like, well, thank you. Like that would have been helpful to know.

SPEAKER_01

Yeah, it's so I guess it all worked out, but yeah, I mean it it's tough. I I give them credit because to teach all the nuances and context that's needed would take weeks, you know, minimum. I mean, our program is is pretty intense too. It's eight weeks. So I I get it, they've got 15 to 30 minutes to gotta squeeze in, but uh I wish they would at least leave it open-ended of like, here's what you need to know for now, and there's more, you know, instead of just like, oh, take insulin at your meals and this much to do it. But uh man, dirties, that is brutal. And and you know, obviously you mentioned 2018, so uh a couple of years go by while you're still doing your own thing, and then eventually you stumble across us. Tell me about what life was like before jumping into the program. What were you going through with blood sugars?

SPEAKER_00

So it was a little bit before I found your program. Um, I got put on an insulin pump, and I started that kind of showed me a little bit how to carb count because it did it all for you. And so I was like, oh, I was taking a lot more insulin back then. And so then when I first saw you and saw that you had the book, and so I read the book, and I didn't even think of like the protein, the fats, all that having an effect on my blood sugar. And so before, um, I looked it up last night, and in May, before I read your book, my timing range was 75, and now I'm coming back to it. Um, vacation kind of took a hit on it. It is back up to about 92 in range.

SPEAKER_01

Holy cow! There you go, and that's with vacation.

SPEAKER_00

Um, vacation it dropped down to 85. Oh, I didn't know quite what I was on. Ate a lot of seafood and stuff like that, so it was a lot more protein, and I didn't know how much because I never eat um fish because my wife doesn't like it, so I don't get it. Um that's amazing though.

SPEAKER_01

And and we'll just like pause there for a second because a lot of people, like in our community, this is a very normal and common conversation where you know, our clients, as you've seen on the coaching call, they're like, Oh man, I I had such a hard week. I was at 87. It's the worst. I'm like, hold on a second, 87. You were at 50 before you joined, you know, and recognizing like we we raised the bar on ourselves of expectations because we're like, well, I know I can get 95, 98, 100 time and range. So 87 feels like a failure sometimes, but it's like also taking a step back and being like, you went on vacation, didn't know how much carbs and proteins on it, you just guessed and still came out of that with 85% time and range. That's amazing. I'm super excited for you. And then to bounce back to 92% as your baseline. It's fantastic, Jerry.

unknown

Thank you.

SPEAKER_01

That is a big deal. Very cool. Um, so beforehand, then you mentioned you know blood sugars were uh a little tricky, and hopping to the program was uh a big part of you know the decision to get things in line or at 75% and getting it up to the 90 plus percentages. Um at what point in the program did you know it was working? You were like, okay, this is like I'm making progress and things are starting to click. What was that for you?

SPEAKER_00

So it was probably after I read your book, and then I was like, okay, like this guy, he he knows what he's talking about. Like he's he's legit. And then I got into program and I just kept obviously watching your videos and um participating in the online stuff. Um, but it's it's probably I would say the first month or so, everything started more clicking. And just last last night at our call, I was like, that makes more sense now. It's it's more, it's clicking a lot more now, and it's like I can identify what is going on with my blood sugar. But before I was just like, I I don't know why I'm high, I don't know what's going on because my last pump, um, I had it um because I have the omni five, I had it on my um my leg, and for like two or three days, I was at a hundred or two hundred. And I'm like, what's going on? And this isn't normal. I'm like, it has to be the pump, and so my time ran up, and that's when I thought about it, and then I had the same dinner that brought me up to 200 the night before, and then I changed my pump that night to my arm, and I had the same thing for lunch, and I almost went low. Wow, and I was like, Yep, I know it was my pump. Like before that, I would just be like, Well, I don't know what happened before just yeah, yeah, the problem solving, right?

SPEAKER_01

Like being able to assign meaning to it. I don't know about you, but the highs and lows for me were just I would get so mad if I didn't know why it happened because it felt random, right? It always felt like I was waiting for the other shoe to drop. And so just for me knowing why, I'm like at peace with it, you know, like it's 200. Oh, but it's because I didn't pre-bullet. All right, I can deal with that, it's my fault. You know, but when it hits 200 and you felt like you were doing the right thing, that's where it hurts. Like it just stings, you know. It's like, what the heck? This is so hard. So yeah, I totally get it. Being able to assign mirror or understand why it happened, and then in your case to fix it. Oh, okay, identify the pump, push it out, we're back on range. Let's go. That's amazing. Well, and actually, kind of in that range of of how we feel, right? So I mentioned I feel frustrated when I don't know what happened, and I certainly used to live in that zone. Um, how did it feel before you were working with us? So when you were trying to figure stuff out on your own, what was that like for you?

SPEAKER_00

Um, pretty frustrating because um before I had like dawn, I thought it was dawn's phenomenon. Um, because every night I would spike up to 200, want to know what was going on. And I asked my doctor, I was like, hey, this is what's going on, like what's going on? And she was like, Well, are you snacking before your bedtime? And I'm like, sometimes, but not very often. And she was like, Well, I think we just need to give you more insulin. Oh man. Okay. And we'd try that, and it would come down a little bit, but not very often. And it'd be almost every day. Wake up, I'd be 180, 200, and I would do a correction, and it would finally bring it down. And then she was at the point where she was like, Well, I think you're taking too much insulin during uh breakfast. I was like, Well, I don't eat breakfast, she's like, Oh, and then that's all about what she would say. So what do we need to do? Yeah, I don't know.

SPEAKER_01

Oh, that's wild. So she's just like, Well, I'm stomped, good luck. You figure it out, yeah. Oh my goodness.

SPEAKER_00

Which switched to the pub, I started kind of having a little bit more answers to it a little bit versus just doing manual injections.

SPEAKER_01

Yeah, no, I got a similar version of that. My endow basically said, Well, that's just how diabetes is sometimes. I was like, What do you mean? You can't control it. She's like, No, it just doesn't always do the things. I'm like, this is unacceptable. I'm gonna go figure this out. So I love that you had the same attitude of like they can't end there. We gotta get this thing figured out. Um so within that that that realm of kind of starting the program, you read the book, obviously, made some progress and jumped into coaching. What concerns did you have before jumping into the program? Some, you know, I guess I wasn't a stranger on the internet to you because you'd read the book, but what came to mind before jumping in?

SPEAKER_00

So um I was just kind of concerned, like, I'm like, okay, I know it works, but like down like in the back of your brain, I'm like, okay, am I gonna spend this money to for actually to work versus I do this and then it's kind of uh yep, there goes that one. Maybe we can try something else. But it if you put in the work, I mean it you clearly get what you get out of it. So absolutely, yeah. I can see that reliable. Sorry. Oh, go ahead. Um, my wife, when I told her about everything, and she's like, she was very concerned because she was kind of having like, okay, you're just gonna give this company this money, and we don't even know, like, is this legit? Like, is this a scam? Like, what so but now since she sees all the work and it's paying off, she's like, Okay, yeah, this is definitely worth it, because um, I just thought about this um a couple days ago. I'm like, yeah, I'm like, it was um the coaching and everything, it does take money, but one ER visit, one hospital visit, you're you're there. So it's like it's very worth worth it, especially because I'm glad I found it when I did, because I know um the majority of the people in the program, um, they're a little bit older. And it's like I know if they found this program when they're my age, just the better health that they would have for those other 20 or 30 years. I'm very, very fortunate to find your program when I did.

SPEAKER_01

I can't tell you how many one-on-one calls that I have where people are like, I wish I knew you existed 10 years ago and 20 years ago, 30 years ago. You know, I'm like, man, I was a kid at that point. Uh technically it didn't exist yet. But yeah, to be able to go back in time, it's like, man, I wish I could have, but at the very least, I did, and now it's better, right? Like that's always the frame that I I shift to is what can I do now, even if I can't change the past. So love that, but I agree with you. Get it done now so you have those 20, 30, 40 years with better health. Absolutely. Um, so within the program, obviously things are clicking a month in. You mentioned, was there one specific thing that clicked for you? Like I know for some people it's basal testing or the pre-bolis or um understanding like the relationship between insulin on board and exercise. Was there anything specific that stood out?

SPEAKER_00

Um, I would say probably the insulin on board because before I was just manual injection, and I just never even knew about it. And even with my pump that I've had for I would say six months to eight months, um, I just saw it on the screen and I'm like, huh, I wonder what that means. And so I Googled, I was like, okay, what's that? And never even thought about, yeah, I have six units on board after dinner, and let's go for a run. Then you just drop it's like I'm like, well, why did I drop like that? Or we went for a three-mile walk and that's it just dropped. Like just the insulin on board is one of the main reasons.

SPEAKER_01

Yeah, absolutely. Well, I know you have more of an active job as well, so I'm sure that played a big role in the roller coaster numbers too. Uh it's something you mentioned.

SPEAKER_00

What's that? Sorry, before um I got on the pump, I was actually they had my um long act or long acting insulin um set too high because I would literally eat my lunch and dinner, and I would only take maybe three or four units of fast-acting insulin a day. Oh wow. And I was telling my doctor, I was like, Why don't you take a shot at lunch? She says, Well, why are you dropping like this? I'm like, I don't know, you you tell me. It's like it was just insane. And I would tell my parents that, and they're like, Well, that's good. And stuff was like, Yeah, I guess, but I just don't know why I don't have to take shot, like, because I was doing more low carb and high protein, right? But but now it's like I have more um what's the word? Like variation or more access to more foods. Oh, yeah. Because like I can eat apples and bananas and fruit and stuff without like worrying about it. So that was huge.

SPEAKER_01

That's the freedom, right? And it was a lot of people are like, oh, 90% time and range, that's that's the goal. It's like that's not the goal, that's the first step, you know, get control so that you can have apples and bananas and whatever, you know, it doesn't have to be fruit, but cake. Everybody loves cake, uh just like fun stuff, you know, and to not have good to get derailed when blood sugars are are smooth after a meal like that. So tell me a bit about what it's like now on the other side of that, where you know you're getting the results, but things are more predictable. What's that like?

SPEAKER_00

Matt or blood sugar map, and I was showing her kind of what was going on, and just through your book, and um like I just kind of showed her the data on like what have changed my time and range, like it's it's been really good, and just kind of like was like, hey, this is the program, and this is what I've learned in this program, the book, just watching his videos and stuff before we got to um into the training. I'm like, this is all by myself. Like, what could happen when I'm in the training? And she's like, Well, that's a good point. And then I did the blood sugar map class, and she sat in with me on it, and she was like, Okay, like, yeah, he's he sounds like he knows what he's doing, he's um very knowledgeable, and I think we should we should do it, and she was like, It is your health, so and she obviously wants me around for long periods of time, and she doesn't want to take care of me, right? Walk or anything like that, so yeah, okay.

SPEAKER_01

So kind of a mixture of like, I've done my homework, you know, and like there's progress being made, and you can trust me on this. I need to, right? Like kind of a yeah, I think it's a healthy dynamic, and and glad you did. Obviously, this is very exciting as we're getting into the time and range, getting fruit and all the fun stuff. So uh, in that position you are in, what would you tell someone who might be on the fence right now, like on the outside looking in, not sure of what to do here? What's your advice to them?

SPEAKER_00

I would say definitely do it. Um, it is well worth it. Um, if you um can't do the program by any means, I would very strongly tell them to buy your book minimum because your book is fantastic and it shows a lot. Um, it kind of uncovers everything. And I would just really strongly suggest that they do the program because it is well worth it, especially the younger they are or the older they are, like it would just make your life more like more fulfilling, I guess is the word.

SPEAKER_01

Love that. Yeah, for sure. And I agree, yeah. Coaching, best thing we can do for you, but book a great place to start either way. Um, and then as we wrap up, any golden nuggets or or things that you were hoping to share as far as your journey or things that you want people to hear before we wrap up? That's a good question.

SPEAKER_00

I would just I think the golden nugget of the program that I've gone through so far, and what I've learned so far is how important your time and range is, and how that will like overall give you better health, and just how you can thrive with diabetes versus living your life on kind of the edge of your seat. Like, well, what is this gonna do to my blood sugar? What is this food gonna do? Oh, I better not eat the birthday cake, I better not do this, I better not do that. Like, you can actually start saying yes to more things and being more spontaneous.

SPEAKER_01

That's huge. Okay, so that there is hope that it can be controlled, and so you should control it so it doesn't control you. Right. Live your best life. I love that, yeah, 100%. Well, very cool. Man, I know a lot of people are gonna feel uh well, the hope from this. So I really appreciate you taking time today, Jared, to come on, share your story a bit. Um, for everybody watching, because I know Jared mentioned YouTube. Fortunately and unfortunately, a lot of people are told to watch YouTube from their diagnosis day. It's wild how doctors just outsource their responsibilities these days. But uh, it's true. And a lot of people recommend, like their doctors or endos, that they watch our YouTube channel. So for anybody watching, I'll fast track you to the best thing you can watch right now. Just go to diabetes inaction.com. We'll link it up in the description as well. Uh, because it's it's the the big overview of blood sugar formulas, how to take care of it, how to map everything out. And uh, if it all looks good, feel free to to book a call with we can help. But Jared, thank you for your time today again. Really appreciate you. Proud of you. And uh honestly, I would I want to take a step back and say that it's because you implemented that you're seeing results. So, like, as much as I'd like to be like, I did, I didn't do anything, you did the work, I just put it in front of you, right? So you put the work in, you're seeing the results, and I'm proud of you for that. It's a big deal.

SPEAKER_00

Thank you.

SPEAKER_01

Yeah, uh, everybody else, thanks for hanging out, and uh yeah, use the the resources in the description, maybe we'll see you on there someday. So, Jared, thank you. Have a great rest of your day, everybody else. Thanks for hanging out. Keep up the fight.