August 14, 2024 • 26 mins
Welcome to another inspiring episode of Think Like a Pancreas! Join host Gary Scheiner as he interviews Dana Roseman, the Director of Technology and Applied Research at Integrated Diabetes Services. Dana brings a wealth of knowledge from her professional background as a dietitian and Certified Diabetes Care and Education Specialist, combined with her personal experience of living with type 1 diabetes for 28 years.
In This Episode, You'll Learn:
- Introduction and Background: Meet Dana Roseman and learn about her impressive professional journey, including her master's in public health and experience managing diabetes through three successful pregnancies.
- Athletic Pursuits and Achievements: Discover Dana's active lifestyle and athletic accomplishments, from hiking and rock climbing to marathons and triathlons. Hear about her goal of aging gracefully while staying active with her children.
- Diabetes Management and Technology: Gain insights into Dana's role at Integrated Diabetes Services, where she helps clients manage their diabetes effectively. Learn about her extensive experience with diabetes technology, including continuous glucose monitors, insulin pumps, and the open-source looping system.
- Favorite Foods and Lifestyle: Get a glimpse into Dana's personal life, including her love for Bluebell Ice Cream, IPAs, and her favorite sports teams, the Dallas Cowboys and Mavericks. Hear about her favorite movies and how she balances her lifestyle with diabetes management.
- Future Plans and Envisioning a Cure: Dana shares her future plans as an empty nester, her interest in aging gracefully with diabetes, and her thoughts on a potential cure. She humorously discusses what she might do if a cure were found, including indulging in cereal and repurposing her diabetes supply cabinet.
Meet the Hosts and Guest: Join host Gary Scheiner and guest Dana Roseman as they share their experiences and expertise in diabetes management. Dana’s journey and insights provide valuable lessons for anyone living with or caring for someone with type 1 diabetes.
Conclusion and Resources: Don't miss this episode filled with practical advice and inspiring stories! Reach out to Dana or the Integrated Diabetes Services team with any questions or concerns. Explore additional resources and support networks to enhance your diabetes management journey.
Join Us: Subscribe now to Think Like a Pancreas for more episodes packed with expert advice and practical tips. Share this episode with fellow diabetes warriors, and leave a review to let us know your thoughts!
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:06):
Welcome to Think Like a Pancreas, the podcast.
Our goal is to keep you informed, inspired,
and a little entertained on all things diabetes.
The information contained in the program is based on the
experience and opinions of the Integrated Diabetes Services
Clinical Team.
Since this is a very individualized condition,
(00:26):
please check with your healthcare provider before
implementing any of the weird stuff we may happen to share
with you today.
My name is Gary Scheiner.
I'm owner and clinical director of Integrated Diabetes
Services.
And today we got something a little bit,
a little special for you.
Let me see if I can get this.
Today is...
(00:47):
Oh, wow.
The Dana Roseman show.
Amazing.
And you kicked my, close to my favorite color.
It's purple -ish, so I love it.
It's rose -ish.
I love this music.
Oh, okay.
Okay.
Well, and you probably don't know this about me,
but my maiden name was Pinker.
(01:08):
So between Pinker and Roseman, I've got the colors.
Yeah.
There you go.
Wonderful.
All right.
So you already know a little bit about Dana.
So Dana is our director of technology and applied research
at Integrated Diabetes, and she's a dietician by trade.
So she has really expanded on her skillset for our
(01:29):
patients' benefit.
So Dana,
tell us a little bit about your professional background.
Where are you coming from?
Well, I actually started with a master's in public health.
I was doing kind of big population work in smoking
sensation.
I started a school -based health clinic,
and then as my diabetes management became a little bit more
(01:54):
specified for me as I was planning pregnancies,
to do more diabetes management one -on -one and kind of
share my expertise.
I always say my diabetes is kind of,
me becoming a diabetes educator is a silver lining of my
diabetes.
And so I went back to school and became a registered
(02:16):
dietician and then a certified care and education
specialist.
And I have a certificate in child and adult obesity
practices.
And just, that's my kind of start to doing what I love.
Okay.
And you've had diabetes for how long now?
28 years.
Wow.
Okay.
So your pregnancies were during diabetes.
(02:40):
Yes.
And it was, you know, another full -time job on time,
my full -time job.
But I do remember, you know,
and you've had diabetes a long time too.
And back then things were really different and practices
were really different.
And I mean, I think my, be in my endocrinologist was like,
yeah,
just have that one child and kind of check that off your
(03:02):
list.
And there's anything to know about me,
it's tell me that I can't do it.
And I am for sure going to do it.
And so much to my family's chagrin on other things,
not necessarily diabetes related,
but I did go ahead and have three beautiful children,
three pregnancies successfully.
Not without a lot of hard work,
(03:22):
but definitely worth it in the payoff.
Okay, what are the kids doing now?
Oh, my God,
you're not going to believe that my older two kids are
leaving for Israel this morning,
they are going to do birthright.
And my those two graduated college, they're working,
they're successful adults.
And then my baby just graduated high school and leaving the
(03:44):
nest in a couple of weeks.
But I'm talking to you right now from the middle of the
Rocky Mountains,
we are doing a little bit of a remote working on top of our
remote working.
And so I am having lots of opportunity to do the things I
love,
which is go outside and hike and rock climb and do all the
(04:05):
active stuff that people are surprised that I do.
So I tell you what happened last time I went to Colorado,
it was what the Barbara Davis does these educational
programs in in Keystone.
So for that and enjoying the meeting,
we got some time off and I rented a bike.
(04:26):
I love biking and I decided I'm just going to go for a ride
and rode up into the mountains.
And there was a drought taking place at the time.
So there was this risk of wildfires.
Well, the drought ended while I was up in the mountains.
And it didn't come down in the form of rain,
it came down in the size of golf ball size hail.
There is nothing worse than getting caught outdoors on a
(04:50):
bike getting hit by a ball size hail.
I had booms all over.
You needed a new helmet after that.
Yeah, and literally I could have cracked my goal.
I took refuge just under a tree to try to get away from the
golf balls falling.
You and the bears were kind of hanging out together?
Yeah, yeah.
We were all kind of huddling together trying to keep
ourselves safe.
(05:11):
It's a great place otherwise unless the weather decides to
attack.
Now, when you joined our team at Integrated Diabetes,
we were mostly having you work with people on nutrition
stuff because that was your degree and all.
But it's really expanded.
Tell everybody a little bit about how that's grown.
(05:32):
Well,
I think that I still do practice a couple of days a week in
clinic in an endocrine center.
And so I have a lot of experience with people who have Kind
of other health conditions in the endocrinology umbrella
thyroid disease osteoporosis metabolic disease.
And so I have the opportunity to do a lot more than just
(05:56):
nutrition.
A lot of people I work with are on what we consider adjunct
therapy, you know, to help not only their diabetes,
but maybe their insulin sensitivity.
And so I have a really Good basis of understanding for
that.
And I also work a lot with teens that are transitioning to
college and a lot of kids that are trying to get more
(06:17):
independent maybe work.
With them to own their diabetes management a little bit
more.
And then I really love still to work with folks that are
active doing, you know, sports, training for things.
I just,
I kind of love to put my own personal experience into that
to help people Kind of go in a positive direction.
(06:39):
And then I also do the elevate your expertise program for
healthcare professionals who come to integrated diabetes,
who want to kind of up their game.
Yeah, that's it.
And so that's kind of a fun opportunity to talk to
providers who I'm always so impressed with you.
You know,
maybe don't have a team like we are so fortunate to have to
(07:01):
work with people who we can, you know,
share and learn from and someone who maybe doesn't have
that in their, their, their practice.
And so they come to us and they learn a little bit more
about diabetes technology,
but specifically how to help their patients get the most
out of that technology.
And so that's really a fun aspect.
(07:23):
Are there any really interesting athletic type events or
athletic achievements that you've had personally Oh,
Dana's a little bit frozen right now.
I'll tell you about mine.
You know, I'm 58 years old,
but I'm still able to get out on the basketball court and
keep up with guys that are half my age and older and some
(07:45):
that are younger.
No,
I don't have the speed or quickness that these guys have,
but That you were mean.
You know, I don't know.
I'm not seeing your video.
Thank you.
(08:11):
You there, Dana.
There you are.
Okay.
Yeah.
Was that you or me?
I don't know.
I don't know.
I'm not sure.
It might've been in my end because you froze and then my
internet, the whole thing dropped out,
but hopefully Teresa will be able to cut and pay.
Editing is magical.
So I was going to ask you, uh,
(08:31):
are there any athletic events or achievements that you've
had that are noteworthy?
Um, I don't know.
I mean, a lot.
I don't sit still very well.
And so every day I like to get something,
but in terms of like a specific race that I'm training for,
I don't have that right now.
(08:51):
I usually keep an ongoing training program so that I can
kind of do what I want to do.
You know,
I'm going to do a bunch of 10 mile hikes while we're up
here, you know, long distance activities,
but I'm doing that on my own, not necessarily races.
Every year I do a several day hiking trip with a dear
(09:15):
friend of mine, and we go out in kind of a camping trip.
And it's usually a four or five day trip that we hit a lot
of elevation.
And I'll train for that because we're going to do that in
October.
But I think I sadly used to do marathons, half marathons.
One of my very favorite half marathons was at the base of
(09:37):
Vail Mountain to the top of Vail Mountain.
I used to do triathlons,
but my back has really crapped out as a former competitive
figure skater.
I don't know if you know that about me,
but my back has sadly not been my friend the past couple of
years.
So I'm no longer running,
but I'm finding other things to do that kind of scratch
(09:58):
that itch.
You're on thin ice, Roseman.
I know that is such a bad plan.
But yeah, I would love to get back on the ice as well.
So I don't know, working on it.
I know about the injuries.
I still play basketball and I'm 58,
but I'm able to keep up with guys half my age pretty well.
(10:19):
Some older, younger,
but I don't have the quickness anymore,
but I've got the stamina and I can shoot well,
stuff like that.
Yeah, I did a couple of hundred mile bike rides.
That's more my speed now.
I can go slow and steady, wins the race kind of thing.
My goal in life is to be able to at least make a...
(10:40):
when I'm a hundred.
Well,
and mine is to keep doing the hiking and travel and do all
the things that I want to do with my kids, you know,
skiing in the winter and hiking in the summer.
So yeah,
I want to be able to not slow them down and I want them to
have to keep up with me.
Yeah, we want to make sure all of our clients can do their,
(11:00):
meet their goals and do what they want to do as they're
aging as well.
What are some of the specific services that you're offering
to integrated diabetes services clients?
Well,
I would say just along those lines that I think a lot of
our clients come to us and diabetes is just really hard and
it prevents them from doing things that they want to do.
(11:23):
And so I think taking a wide lens and really kind of
evaluating how they're managing their diabetes is really
the first step because if something is so burdensome that
they can't think about doing the things they love,
eating out, you know, I have a lot of.
the patients that sometimes come and say,
I just don't eat out anymore.
And I used to love that.
Well, that's just, okay.
That's not acceptable, you know?
(11:46):
I mean,
I think one of my main goals with every person that I talk
to is that diabetes takes a complete backseat and it is not
a front and center issue in their life.
And so I don't know if that really answers your question,
but that's definitely how I approach it.
Most of the people afraid to eat out and live normal lives
have just read Dr.
Bernstein's book and think that, you know, if I eat carbs,
(12:09):
I'm gonna shrivel up and die.
And like to help people live more normal lives as close as
a normal life as you can get is that somebody with
diabetes.
Well,
and something that we have such a nice opportunity to is
really know the people that we work with and really dive
into their goals and hopes and dreams and what they wanna
achieve.
(12:30):
I mean,
I don't ever want diabetes to hold somebody back from what
they wanna do,
but someone goes to their endocrinologist's office and
their 15 minute appointment, all they're told is, yeah,
watch your carbs and improve your blood sugars.
I mean, those are not action items.
Those are, you know,
hopes and dreams that can't be achievable without action.
Yeah, I got clients that are eating 250, 300,
(12:52):
350 grams of carb a day and managing really well.
You know, they need that for energy purposes.
They're very active.
I eat a lot of carbs myself and usually I'm able to manage
the blood sugars pretty well.
To me, it's all about its quantity and its timing.
Well,
strategies are everything and I swear this is gonna be on
(13:14):
my tombstone one day,
but there is nothing spontaneous about diabetes management,
right?
So if you know that you're gonna eat that many carbs or you
know you're gonna go be active and you kind of have to
prepare and I think that's where a lot of people,
they just,
they wanna go live their life and not have to prepare,
but diabetes gets in the way every single time.
(13:36):
And so, you know, coming up with strategies is.
is so key.
Yeah I mean you've got the you've got the masters in public
health, you're you know the registered dietician,
you've got a lot of both personal and professional
experience with physical activity,
different forms of sports and exercise,
yet your title here renounces all of that and you're
(13:57):
director of technology and applied.
I mean you are an avid fan of technology and absolutely
you're trying some new stuff today I heard.
Yeah so I've been a long time looper,
I think there's not a continuous glucose monitor or insulin
pump that I have not used and I just crave the experience
(14:22):
to understand different technologies with diabetes and so
long time with the open source algorithm I've been looping
for coming up on eight years.
So really when it was just newly begun,
I think there were 2 ,000
people globally who were looping when I started and now
there's over 30 ,000.
(14:44):
But I just started this week using iAPS,
which has transitioned to a new name called TRIO.
And so experimenting with that a little bit,
I shouldn't even say experimenting,
learning how to navigate that a little bit with some of my
other integrated diabetes colleagues and having a good time
just kind of exploring that.
(15:06):
There's not a lot about diabetes management that is fun,
but if we can use new experiences and just new
opportunities to learn,
I kind of consider that sort of fun in air quotes.
So that's what I'm using this week.
You're like a fireman who runs into the fire to save
(15:27):
people.
Most people see these new technologies and they run away
screaming.
You run in head first and you learn it and absorb it and
learn how to use it.
It's great because you can help other people with it as
well.
Yeah, absolutely.
And I mean,
it definitely has created some times with my relationship
with healthcare providers in the past.
(15:48):
If I felt like I wanted to do something for my diabetes
management and that maybe wasn't the best practice,
definitely has caused myself to be my own advocate,
which I think so many people need to do with the space of
Type 1 diabetes,
just to understand the disease so that they can educate
their providers.
Had an endocrinologist just say, let's just part ways here,
(16:13):
right?
Because he wasn't comfortable with what I was doing.
And I think me being able to explain to him and educate him
left us on really positive terms, but that yeah,
we agreed to kind of go our separate ways.
Yeah.
Okay.
All right.
Now,
I think we've been using the loop about the same length of
(16:34):
time.
And the person who got me engaged with loop and interested
in it was Aaron Kowalski who's now president of JDRF.
Well, it's not JDRF anymore.
It's a breakthrough T1D.
Right, right.
He came to one of our local board meetings and, you know,
cause I think we were the only two people there who had
(16:56):
type one personally.
So he was showing it off to me.
He said, I could do that.
I can give that a try.
So, yeah, gave it a try.
Aaron was at my house several years ago for a research
update he hosted at my house and he was there.
And I cannot remember if he was looping at that time but I
think he must have been cause I think we talked about it.
(17:18):
Yeah.
At the time, I think he and I were both,
we had to use an old mini med pump and the highly link
signal converter, all this apparatus now it's so easy.
beams right into an Omnipod dash and it's quick.
Well,
it's really kind of ironic because the person that really
(17:39):
got me motivated to start looping was an Omnipod employee.
And of course at that time, Omnipod wasn't looping or,
you know, loop equivalent.
So kind of funny.
Yeah.
All right.
So as a dietician,
I got to ask you about what is your favorite food and
don't, don't consider the health quality.
What is your, Oh, I won't.
(18:01):
What is it?
Yeah.
Ice cream.
Any variety of ice cream.
Yeah.
Love it.
You die for, what's the flavor?
I really love any sort of Raylene Carmel kind of,
but you know, chocolate's always a go -to.
Okay.
(18:21):
Is there a brand or a place near you?
I'm a Texas girl and Bluebell Ice Cream is the top dog in
the world.
I mean, if you've never had Bluebell,
then you're missing out.
So Bluebell is definitely, you've had Bluebell, right?
I've had Bluebell.
Yeah.
Yeah.
I mean, even the plain vanilla is delicious.
When I go to Texas, I got to get my Shiner beer.
(18:44):
That's good.
Yeah.
Yeah.
You didn't sound as amazing about the beer as you do about
ice cream.
No, I mean, I love beer.
Don't get me wrong.
Shiner.
I just don't like the box.
I like an IPA.
That's my, that's my desire.
All right.
Oh, Philly.
We get yingling.
Yingling lagers.
You already gave away,
you're a Texan and a Dallas person at that.
(19:06):
So what's, what's your favorite sports team?
Cowboys.
Sorry to say you and I can still be friends.
I understand this is like going to your,
the darkest part of your soul.
Yeah.
I know.
And I kind of don't understand it.
I mean, I do historically, but I am not, I mean,
I'm a sports fan, but I am not a, um,
(19:27):
like I wouldn't have a rival, you know, I just don't, uh,
kind of get into that.
I went to the University of Texas and there is a big
rivalry between University of Texas and Oklahoma University
and so it's always a.
So I will say I'm anti you that particular football game
weekend.
I still remember years and years ago when I interviewed you
(19:50):
for the position, I always make a pros and cons list.
Right.
The cons list Cowboys fan,
but that's a big con to me and I was really I hear you.
I'm really proud of you for overcoming that big growth
opportunity for you.
Well done, Gary.
My wife kind of smacked me in the head and said,
he's talking about just hire it.
(20:13):
Yeah, exactly.
That's what happened.
Yeah, you got a favorite movie.
Oh, um, so I, gosh, um, it's so funny.
I love Crazy Stupid Love.
I love that movie.
I could stop and watch it at any moment.
It's not excellent cinema.
(20:34):
It is not the most amazing storyline.
I do tend to like huge productions, historical fiction.
I love that.
Like we just as a family rewatched all of Game of Thrones,
all 70 hours of TV.
And I cannot tell you how happy it made me.
I don't know if you're a fan or not.
But I'm trying to think of other movies that I love.
(20:58):
I haven't been asked that question in a long time.
But yeah,
I could stop that movie and watch it all day long.
Okay.
Historical fiction.
I'm a fan of Gladiator.
Yeah, not that.
Classic cinema in Casablanca still makes me get a little
weepy at the end.
It's my dad's favorite movie.
(21:19):
Musical.
Yeah,
I used to love My Fair Lady when I was younger was like my
favorite because I was really into Broadway and just loved
that movie.
And so every year for Mother's Day,
we used to try and find a production of it if we could find
one.
Kids are good to you.
Yeah.
Where do you see yourself in the next five to 10 years?
(21:41):
What are you going to be doing?
Um, so that is an excellent question.
I am at the precipice of going to be an empty nester with
some extra time on my hands.
I have recently started to train for that as if I were
going into a competition, or just a new event.
And so my training has included expanding some hobbies,
(22:06):
which now includes throwing play for ceramics.
And so I am in the studio a couple of times a week.
I'm loving that.
So that's kind of fulfilling some creativity that I maybe
haven't been able to do deep dives on while the kids were
home.
And then, you know, finding more opportunities.
(22:27):
opportunities professionally to expand my skill set and
just keep learning.
I'm very interested right now in aging gracefully with
diabetes,
as is probably a personal goal and also can be applied to
you professionally.
And so certainly for women's health,
going into kind of the next stage of life and learning to
(22:47):
or or finding ways to age gracefully with type one
diabetes,
because I don't think there's a lot of information about
that.
I think that sadly,
most of the research for a lot of diabetes management is,
as we well know,
type two diabetes and specifically for women with type one.
So that's definitely something I'm more I'm learning about
(23:09):
and reading about a little bit more often.
Nothing else.
You're a great role model for the aging gracefully part.
He did really well so far.
We'll say there's still many decades to go.
OK, OK, last question.
the day of an actual cure.
And I got to preview this by saying,
(23:30):
a cure means we no longer have to be thinking about our
blood sugars.
Either it's automatically managed for us,
or there's some biological cure for it.
Our beta cells come back to life, whatever.
But the day that you're cured,
what are you going to do that day?
Well, do you consider technology a cure?
Because I always tell people like,
(23:51):
I don't think we're going to have a cure in the next,
I mean,
how many years have you been told you're going to have a
cure?
I've been waiting, you know, almost 30 years.
But I think technology here and now is actually letting us
feel like we have a cure.
Certainly I have to wear a continuous glucose monitor.
I have to wear an insulin pump.
And I have all those things that I have to do with that.
But it's pretty darn good compared to how it was 30 years
(24:14):
ago when you and I both, you know,
started dealing with this.
But, you know, what am I going to do on that day?
It's probably not a whole lot different than what I'm doing
now, because that's my goal,
is not to let diabetes stop me in any absolute activity or
any food or anything that I want to do.
So I would say that if I answered that question any
(24:36):
differently,
that I would probably have some things I'd want to change,
right?
I suppose, yeah.
That's a very philosophical way to look at it.
Yeah, I mean, I just think that if I want to do X, Y,
and Z, you know, sail around the world or, you know,
go sleep in the desert for 12 days.
(24:58):
I mean, let's just figure out a way to do it.
I don't think that a cure would change my approach to that.
Maybe I'm, yeah, I don't think I'm being naive.
I think that's just how I approach it.
At least maybe have a party, do something fun.
Oh, you know what I might do, actually?
I might sit down and have a whole bag of gummy worms.
(25:21):
Hey.
I mean, I could do that now,
but I'd have to kind of think about it.
So yeah, I don't know.
You're not going to get a great answer from me.
I don't know.
Are you going to be in a bubble bath and eat the gummy
worms or just eat them?
Yeah, I don't know.
I feel like that's even a lame answer.
I don't think I'd have a party either.
I think I would just be like.
It's not a lame answer.
I got to show you what I'm.
(25:45):
I've been saving something for a long time.
Yeah.
Cereal.
What is the expiration date of that?
Oh, it's not.
Yeah, it's long expired.
September 17th, 2002.
Oh my God.
Homer's Cinnamon Donut Cereal.
(26:07):
So I'm eating the whole box.
Oh, that's what you would do.
Yeah.
But wouldn't it be ironic if this stuff kills me and I
survived it for 40, 50 years with diabetes?
Yeah, 100%.
You know what, actually, I.
I now know the answer to your question.
I would get rid of,
I have a diabetes cabinet that is full of all my crap.
(26:31):
I would clear that out and I would buy something fabulous
to fill the space.
Okay, that's now my answer.
Okay, yeah.
Maybe new clothes, maybe food.
Yeah, shoes.
Fill it with shoes.
There you go.
Fill it with shoes.
Cause I mean, we got a lot of crap to carry.
That's Dana Roseman, folks.
(26:52):
She is a- Wise words.
Genius when it comes to technology, nutrition, fitness,
all things diabetes and a shoe collector.
And a fan of the Dallas Cowboys.
Give you- I know.
Yeah, Tim.
And the Mavericks.
You cannot forget the Mavericks after their show.
Yeah, I was rooting for Luca.
(27:14):
I'll admit it.
Oh my God.
Yes, I know.
They just didn't show up.
It's okay.
We got next year.
We'll be back.
Yeah.
Maybe my Sixers will be there next year to face it.
We'll see.
All right.
That's just what we need.
Another Dallas Phillies show off.
Another rivalry.
Between the two.
All right.
Well, I want to thank everybody for joining us today.
(27:34):
And Dana, thank you for your time.
On behalf of Think Like a Pancreas, the podcast,
I'm Gary Scheiner.
Everybody have a great rest of your week.
Thanks.
Bye, Gary.
Welcome to Think Like a Pancreas, the podcast.
Our goal is to keep you informed, inspired,
and a little entertained on all things diabetes.
The information contained in the program is based on the
experience and opinions of the Integrated Diabetes Services
Clinical Team.
Since this is a very individualized condition,
(00:26):
please check with your healthcare provider before
implementing any of the weird stuff we may happen to share
with you today.
My name is Gary Scheiner.
I'm owner and clinical director of Integrated Diabetes
Services.
And today we got something a little bit,
a little special for you.
Let me see if I can get this.
Today is...
(00:47):
Oh, wow.
The Dana Roseman show.
Amazing.
And you kicked my, close to my favorite color.
It's purple -ish, so I love it.
It's rose -ish.
I love this music.
Oh, okay.
Okay.
Well, and you probably don't know this about me,
but my maiden name was Pinker.
(01:08):
So between Pinker and Roseman, I've got the colors.
Yeah.
There you go.
Wonderful.
All right.
So you already know a little bit about Dana.
So Dana is our director of technology and applied research
at Integrated Diabetes, and she's a dietician by trade.
So she has really expanded on her skillset for our
(01:29):
patients' benefit.
So Dana,
tell us a little bit about your professional background.
Where are you coming from?
Well, I actually started with a master's in public health.
I was doing kind of big population work in smoking
sensation.
I started a school -based health clinic,
and then as my diabetes management became a little bit more
(01:54):
specified for me as I was planning pregnancies,
to do more diabetes management one -on -one and kind of
share my expertise.
I always say my diabetes is kind of,
me becoming a diabetes educator is a silver lining of my
diabetes.
And so I went back to school and became a registered
(02:16):
dietician and then a certified care and education
specialist.
And I have a certificate in child and adult obesity
practices.
And just, that's my kind of start to doing what I love.
Okay.
And you've had diabetes for how long now?
28 years.
Wow.
Okay.
So your pregnancies were during diabetes.
(02:40):
Yes.
And it was, you know, another full -time job on time,
my full -time job.
But I do remember, you know,
and you've had diabetes a long time too.
And back then things were really different and practices
were really different.
And I mean, I think my, be in my endocrinologist was like,
yeah,
just have that one child and kind of check that off your
(03:02):
list.
And there's anything to know about me,
it's tell me that I can't do it.
And I am for sure going to do it.
And so much to my family's chagrin on other things,
not necessarily diabetes related,
but I did go ahead and have three beautiful children,
three pregnancies successfully.
Not without a lot of hard work,
(03:22):
but definitely worth it in the payoff.
Okay, what are the kids doing now?
Oh, my God,
you're not going to believe that my older two kids are
leaving for Israel this morning,
they are going to do birthright.
And my those two graduated college, they're working,
they're successful adults.
And then my baby just graduated high school and leaving the
(03:44):
nest in a couple of weeks.
But I'm talking to you right now from the middle of the
Rocky Mountains,
we are doing a little bit of a remote working on top of our
remote working.
And so I am having lots of opportunity to do the things I
love,
which is go outside and hike and rock climb and do all the
(04:05):
active stuff that people are surprised that I do.
So I tell you what happened last time I went to Colorado,
it was what the Barbara Davis does these educational
programs in in Keystone.
So for that and enjoying the meeting,
we got some time off and I rented a bike.
(04:26):
I love biking and I decided I'm just going to go for a ride
and rode up into the mountains.
And there was a drought taking place at the time.
So there was this risk of wildfires.
Well, the drought ended while I was up in the mountains.
And it didn't come down in the form of rain,
it came down in the size of golf ball size hail.
There is nothing worse than getting caught outdoors on a
(04:50):
bike getting hit by a ball size hail.
I had booms all over.
You needed a new helmet after that.
Yeah, and literally I could have cracked my goal.
I took refuge just under a tree to try to get away from the
golf balls falling.
You and the bears were kind of hanging out together?
Yeah, yeah.
We were all kind of huddling together trying to keep
ourselves safe.
(05:11):
It's a great place otherwise unless the weather decides to
attack.
Now, when you joined our team at Integrated Diabetes,
we were mostly having you work with people on nutrition
stuff because that was your degree and all.
But it's really expanded.
Tell everybody a little bit about how that's grown.
(05:32):
Well,
I think that I still do practice a couple of days a week in
clinic in an endocrine center.
And so I have a lot of experience with people who have Kind
of other health conditions in the endocrinology umbrella
thyroid disease osteoporosis metabolic disease.
And so I have the opportunity to do a lot more than just
(05:56):
nutrition.
A lot of people I work with are on what we consider adjunct
therapy, you know, to help not only their diabetes,
but maybe their insulin sensitivity.
And so I have a really Good basis of understanding for
that.
And I also work a lot with teens that are transitioning to
college and a lot of kids that are trying to get more
(06:17):
independent maybe work.
With them to own their diabetes management a little bit
more.
And then I really love still to work with folks that are
active doing, you know, sports, training for things.
I just,
I kind of love to put my own personal experience into that
to help people Kind of go in a positive direction.
(06:39):
And then I also do the elevate your expertise program for
healthcare professionals who come to integrated diabetes,
who want to kind of up their game.
Yeah, that's it.
And so that's kind of a fun opportunity to talk to
providers who I'm always so impressed with you.
You know,
maybe don't have a team like we are so fortunate to have to
(07:01):
work with people who we can, you know,
share and learn from and someone who maybe doesn't have
that in their, their, their practice.
And so they come to us and they learn a little bit more
about diabetes technology,
but specifically how to help their patients get the most
out of that technology.
And so that's really a fun aspect.
(07:23):
Are there any really interesting athletic type events or
athletic achievements that you've had personally Oh,
Dana's a little bit frozen right now.
I'll tell you about mine.
You know, I'm 58 years old,
but I'm still able to get out on the basketball court and
keep up with guys that are half my age and older and some
(07:45):
that are younger.
No,
I don't have the speed or quickness that these guys have,
but That you were mean.
You know, I don't know.
I'm not seeing your video.
Thank you.
(08:11):
You there, Dana.
There you are.
Okay.
Yeah.
Was that you or me?
I don't know.
I don't know.
I'm not sure.
It might've been in my end because you froze and then my
internet, the whole thing dropped out,
but hopefully Teresa will be able to cut and pay.
Editing is magical.
So I was going to ask you, uh,
(08:31):
are there any athletic events or achievements that you've
had that are noteworthy?
Um, I don't know.
I mean, a lot.
I don't sit still very well.
And so every day I like to get something,
but in terms of like a specific race that I'm training for,
I don't have that right now.
(08:51):
I usually keep an ongoing training program so that I can
kind of do what I want to do.
You know,
I'm going to do a bunch of 10 mile hikes while we're up
here, you know, long distance activities,
but I'm doing that on my own, not necessarily races.
Every year I do a several day hiking trip with a dear
(09:15):
friend of mine, and we go out in kind of a camping trip.
And it's usually a four or five day trip that we hit a lot
of elevation.
And I'll train for that because we're going to do that in
October.
But I think I sadly used to do marathons, half marathons.
One of my very favorite half marathons was at the base of
(09:37):
Vail Mountain to the top of Vail Mountain.
I used to do triathlons,
but my back has really crapped out as a former competitive
figure skater.
I don't know if you know that about me,
but my back has sadly not been my friend the past couple of
years.
So I'm no longer running,
but I'm finding other things to do that kind of scratch
(09:58):
that itch.
You're on thin ice, Roseman.
I know that is such a bad plan.
But yeah, I would love to get back on the ice as well.
So I don't know, working on it.
I know about the injuries.
I still play basketball and I'm 58,
but I'm able to keep up with guys half my age pretty well.
(10:19):
Some older, younger,
but I don't have the quickness anymore,
but I've got the stamina and I can shoot well,
stuff like that.
Yeah, I did a couple of hundred mile bike rides.
That's more my speed now.
I can go slow and steady, wins the race kind of thing.
My goal in life is to be able to at least make a...
(10:40):
when I'm a hundred.
Well,
and mine is to keep doing the hiking and travel and do all
the things that I want to do with my kids, you know,
skiing in the winter and hiking in the summer.
So yeah,
I want to be able to not slow them down and I want them to
have to keep up with me.
Yeah, we want to make sure all of our clients can do their,
(11:00):
meet their goals and do what they want to do as they're
aging as well.
What are some of the specific services that you're offering
to integrated diabetes services clients?
Well,
I would say just along those lines that I think a lot of
our clients come to us and diabetes is just really hard and
it prevents them from doing things that they want to do.
(11:23):
And so I think taking a wide lens and really kind of
evaluating how they're managing their diabetes is really
the first step because if something is so burdensome that
they can't think about doing the things they love,
eating out, you know, I have a lot of.
the patients that sometimes come and say,
I just don't eat out anymore.
And I used to love that.
Well, that's just, okay.
That's not acceptable, you know?
(11:46):
I mean,
I think one of my main goals with every person that I talk
to is that diabetes takes a complete backseat and it is not
a front and center issue in their life.
And so I don't know if that really answers your question,
but that's definitely how I approach it.
Most of the people afraid to eat out and live normal lives
have just read Dr.
Bernstein's book and think that, you know, if I eat carbs,
(12:09):
I'm gonna shrivel up and die.
And like to help people live more normal lives as close as
a normal life as you can get is that somebody with
diabetes.
Well,
and something that we have such a nice opportunity to is
really know the people that we work with and really dive
into their goals and hopes and dreams and what they wanna
achieve.
(12:30):
I mean,
I don't ever want diabetes to hold somebody back from what
they wanna do,
but someone goes to their endocrinologist's office and
their 15 minute appointment, all they're told is, yeah,
watch your carbs and improve your blood sugars.
I mean, those are not action items.
Those are, you know,
hopes and dreams that can't be achievable without action.
Yeah, I got clients that are eating 250, 300,
(12:52):
350 grams of carb a day and managing really well.
You know, they need that for energy purposes.
They're very active.
I eat a lot of carbs myself and usually I'm able to manage
the blood sugars pretty well.
To me, it's all about its quantity and its timing.
Well,
strategies are everything and I swear this is gonna be on
(13:14):
my tombstone one day,
but there is nothing spontaneous about diabetes management,
right?
So if you know that you're gonna eat that many carbs or you
know you're gonna go be active and you kind of have to
prepare and I think that's where a lot of people,
they just,
they wanna go live their life and not have to prepare,
but diabetes gets in the way every single time.
(13:36):
And so, you know, coming up with strategies is.
is so key.
Yeah I mean you've got the you've got the masters in public
health, you're you know the registered dietician,
you've got a lot of both personal and professional
experience with physical activity,
different forms of sports and exercise,
yet your title here renounces all of that and you're
(13:57):
director of technology and applied.
I mean you are an avid fan of technology and absolutely
you're trying some new stuff today I heard.
Yeah so I've been a long time looper,
I think there's not a continuous glucose monitor or insulin
pump that I have not used and I just crave the experience
(14:22):
to understand different technologies with diabetes and so
long time with the open source algorithm I've been looping
for coming up on eight years.
So really when it was just newly begun,
I think there were 2 ,000
people globally who were looping when I started and now
there's over 30 ,000.
(14:44):
But I just started this week using iAPS,
which has transitioned to a new name called TRIO.
And so experimenting with that a little bit,
I shouldn't even say experimenting,
learning how to navigate that a little bit with some of my
other integrated diabetes colleagues and having a good time
just kind of exploring that.
(15:06):
There's not a lot about diabetes management that is fun,
but if we can use new experiences and just new
opportunities to learn,
I kind of consider that sort of fun in air quotes.
So that's what I'm using this week.
You're like a fireman who runs into the fire to save
(15:27):
people.
Most people see these new technologies and they run away
screaming.
You run in head first and you learn it and absorb it and
learn how to use it.
It's great because you can help other people with it as
well.
Yeah, absolutely.
And I mean,
it definitely has created some times with my relationship
with healthcare providers in the past.
(15:48):
If I felt like I wanted to do something for my diabetes
management and that maybe wasn't the best practice,
definitely has caused myself to be my own advocate,
which I think so many people need to do with the space of
Type 1 diabetes,
just to understand the disease so that they can educate
their providers.
Had an endocrinologist just say, let's just part ways here,
(16:13):
right?
Because he wasn't comfortable with what I was doing.
And I think me being able to explain to him and educate him
left us on really positive terms, but that yeah,
we agreed to kind of go our separate ways.
Yeah.
Okay.
All right.
Now,
I think we've been using the loop about the same length of
(16:34):
time.
And the person who got me engaged with loop and interested
in it was Aaron Kowalski who's now president of JDRF.
Well, it's not JDRF anymore.
It's a breakthrough T1D.
Right, right.
He came to one of our local board meetings and, you know,
cause I think we were the only two people there who had
(16:56):
type one personally.
So he was showing it off to me.
He said, I could do that.
I can give that a try.
So, yeah, gave it a try.
Aaron was at my house several years ago for a research
update he hosted at my house and he was there.
And I cannot remember if he was looping at that time but I
think he must have been cause I think we talked about it.
(17:18):
Yeah.
At the time, I think he and I were both,
we had to use an old mini med pump and the highly link
signal converter, all this apparatus now it's so easy.
beams right into an Omnipod dash and it's quick.
Well,
it's really kind of ironic because the person that really
(17:39):
got me motivated to start looping was an Omnipod employee.
And of course at that time, Omnipod wasn't looping or,
you know, loop equivalent.
So kind of funny.
Yeah.
All right.
So as a dietician,
I got to ask you about what is your favorite food and
don't, don't consider the health quality.
What is your, Oh, I won't.
(18:01):
What is it?
Yeah.
Ice cream.
Any variety of ice cream.
Yeah.
Love it.
You die for, what's the flavor?
I really love any sort of Raylene Carmel kind of,
but you know, chocolate's always a go -to.
Okay.
(18:21):
Is there a brand or a place near you?
I'm a Texas girl and Bluebell Ice Cream is the top dog in
the world.
I mean, if you've never had Bluebell,
then you're missing out.
So Bluebell is definitely, you've had Bluebell, right?
I've had Bluebell.
Yeah.
Yeah.
I mean, even the plain vanilla is delicious.
When I go to Texas, I got to get my Shiner beer.
(18:44):
That's good.
Yeah.
Yeah.
You didn't sound as amazing about the beer as you do about
ice cream.
No, I mean, I love beer.
Don't get me wrong.
Shiner.
I just don't like the box.
I like an IPA.
That's my, that's my desire.
All right.
Oh, Philly.
We get yingling.
Yingling lagers.
You already gave away,
you're a Texan and a Dallas person at that.
(19:06):
So what's, what's your favorite sports team?
Cowboys.
Sorry to say you and I can still be friends.
I understand this is like going to your,
the darkest part of your soul.
Yeah.
I know.
And I kind of don't understand it.
I mean, I do historically, but I am not, I mean,
I'm a sports fan, but I am not a, um,
(19:27):
like I wouldn't have a rival, you know, I just don't, uh,
kind of get into that.
I went to the University of Texas and there is a big
rivalry between University of Texas and Oklahoma University
and so it's always a.
So I will say I'm anti you that particular football game
weekend.
I still remember years and years ago when I interviewed you
(19:50):
for the position, I always make a pros and cons list.
Right.
The cons list Cowboys fan,
but that's a big con to me and I was really I hear you.
I'm really proud of you for overcoming that big growth
opportunity for you.
Well done, Gary.
My wife kind of smacked me in the head and said,
he's talking about just hire it.
(20:13):
Yeah, exactly.
That's what happened.
Yeah, you got a favorite movie.
Oh, um, so I, gosh, um, it's so funny.
I love Crazy Stupid Love.
I love that movie.
I could stop and watch it at any moment.
It's not excellent cinema.
(20:34):
It is not the most amazing storyline.
I do tend to like huge productions, historical fiction.
I love that.
Like we just as a family rewatched all of Game of Thrones,
all 70 hours of TV.
And I cannot tell you how happy it made me.
I don't know if you're a fan or not.
But I'm trying to think of other movies that I love.
(20:58):
I haven't been asked that question in a long time.
But yeah,
I could stop that movie and watch it all day long.
Okay.
Historical fiction.
I'm a fan of Gladiator.
Yeah, not that.
Classic cinema in Casablanca still makes me get a little
weepy at the end.
It's my dad's favorite movie.
(21:19):
Musical.
Yeah,
I used to love My Fair Lady when I was younger was like my
favorite because I was really into Broadway and just loved
that movie.
And so every year for Mother's Day,
we used to try and find a production of it if we could find
one.
Kids are good to you.
Yeah.
Where do you see yourself in the next five to 10 years?
(21:41):
What are you going to be doing?
Um, so that is an excellent question.
I am at the precipice of going to be an empty nester with
some extra time on my hands.
I have recently started to train for that as if I were
going into a competition, or just a new event.
And so my training has included expanding some hobbies,
(22:06):
which now includes throwing play for ceramics.
And so I am in the studio a couple of times a week.
I'm loving that.
So that's kind of fulfilling some creativity that I maybe
haven't been able to do deep dives on while the kids were
home.
And then, you know, finding more opportunities.
(22:27):
opportunities professionally to expand my skill set and
just keep learning.
I'm very interested right now in aging gracefully with
diabetes,
as is probably a personal goal and also can be applied to
you professionally.
And so certainly for women's health,
going into kind of the next stage of life and learning to
(22:47):
or or finding ways to age gracefully with type one
diabetes,
because I don't think there's a lot of information about
that.
I think that sadly,
most of the research for a lot of diabetes management is,
as we well know,
type two diabetes and specifically for women with type one.
So that's definitely something I'm more I'm learning about
(23:09):
and reading about a little bit more often.
Nothing else.
You're a great role model for the aging gracefully part.
He did really well so far.
We'll say there's still many decades to go.
OK, OK, last question.
the day of an actual cure.
And I got to preview this by saying,
(23:30):
a cure means we no longer have to be thinking about our
blood sugars.
Either it's automatically managed for us,
or there's some biological cure for it.
Our beta cells come back to life, whatever.
But the day that you're cured,
what are you going to do that day?
Well, do you consider technology a cure?
Because I always tell people like,
(23:51):
I don't think we're going to have a cure in the next,
I mean,
how many years have you been told you're going to have a
cure?
I've been waiting, you know, almost 30 years.
But I think technology here and now is actually letting us
feel like we have a cure.
Certainly I have to wear a continuous glucose monitor.
I have to wear an insulin pump.
And I have all those things that I have to do with that.
But it's pretty darn good compared to how it was 30 years
(24:14):
ago when you and I both, you know,
started dealing with this.
But, you know, what am I going to do on that day?
It's probably not a whole lot different than what I'm doing
now, because that's my goal,
is not to let diabetes stop me in any absolute activity or
any food or anything that I want to do.
So I would say that if I answered that question any
(24:36):
differently,
that I would probably have some things I'd want to change,
right?
I suppose, yeah.
That's a very philosophical way to look at it.
Yeah, I mean, I just think that if I want to do X, Y,
and Z, you know, sail around the world or, you know,
go sleep in the desert for 12 days.
(24:58):
I mean, let's just figure out a way to do it.
I don't think that a cure would change my approach to that.
Maybe I'm, yeah, I don't think I'm being naive.
I think that's just how I approach it.
At least maybe have a party, do something fun.
Oh, you know what I might do, actually?
I might sit down and have a whole bag of gummy worms.
(25:21):
Hey.
I mean, I could do that now,
but I'd have to kind of think about it.
So yeah, I don't know.
You're not going to get a great answer from me.
I don't know.
Are you going to be in a bubble bath and eat the gummy
worms or just eat them?
Yeah, I don't know.
I feel like that's even a lame answer.
I don't think I'd have a party either.
I think I would just be like.
It's not a lame answer.
I got to show you what I'm.
(25:45):
I've been saving something for a long time.
Yeah.
Cereal.
What is the expiration date of that?
Oh, it's not.
Yeah, it's long expired.
September 17th, 2002.
Oh my God.
Homer's Cinnamon Donut Cereal.
(26:07):
So I'm eating the whole box.
Oh, that's what you would do.
Yeah.
But wouldn't it be ironic if this stuff kills me and I
survived it for 40, 50 years with diabetes?
Yeah, 100%.
You know what, actually, I.
I now know the answer to your question.
I would get rid of,
I have a diabetes cabinet that is full of all my crap.
(26:31):
I would clear that out and I would buy something fabulous
to fill the space.
Okay, that's now my answer.
Okay, yeah.
Maybe new clothes, maybe food.
Yeah, shoes.
Fill it with shoes.
There you go.
Fill it with shoes.
Cause I mean, we got a lot of crap to carry.
That's Dana Roseman, folks.
(26:52):
She is a- Wise words.
Genius when it comes to technology, nutrition, fitness,
all things diabetes and a shoe collector.
And a fan of the Dallas Cowboys.
Give you- I know.
Yeah, Tim.
And the Mavericks.
You cannot forget the Mavericks after their show.
Yeah, I was rooting for Luca.
(27:14):
I'll admit it.
Oh my God.
Yes, I know.
They just didn't show up.
It's okay.
We got next year.
We'll be back.
Yeah.
Maybe my Sixers will be there next year to face it.
We'll see.
All right.
That's just what we need.
Another Dallas Phillies show off.
Another rivalry.
Between the two.
All right.
Well, I want to thank everybody for joining us today.
(27:34):
And Dana, thank you for your time.
On behalf of Think Like a Pancreas, the podcast,
I'm Gary Scheiner.
Everybody have a great rest of your week.
Thanks.
Bye, Gary.
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