Twiist ™ utilizes the highly-regarded open-source/DIY Loop app concept without the user having to build and maintain the app on their own, but what do real world users think?

IN EPISODE 75 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner sits down with DiabeTech host Justin Eastzer to discuss their experiences using Sequel Med Tech’s Twiist™ insulin pump.

They take a deep dive into the unique "Loop" algorithm that powers the pump, the unique 6-hour predictive capabilities, and how it compares to other automated insulin delivery (AID) systems. Gary and Justin also share their thoughts on alarms, time in range, and the return of the Cleo luer lock infusion set.

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

Justin Eastzer is the founder & content creator of Diabetech, a multi-platform media company dedicated to producing educational and entertaining diabetes content that focuses on tech and diabetes management.

✔️ The interface gives you a lot of information right on the home screen.

✔️ The Twiist ™ algorithm is balancing active insulin against active carbs to make a long term prediction unlike other systems that only look one hour ahead.

✔️You can “back enter” or “forward enter” the carbs that you are eating with this insulin pump.

✔️Infusion set options are limited.

00:00 Intro: Meet Justin Eastzer of Diabetech

05:23 Justin’s tech experiences

06:34 The unique features of the Twiist ™ insulin pump

20:17 CGM compatibility pros and cons

25:09 Thoughts on the Cleo infusion set

29:24 The occlusion alert

30:05 The hidden use of the blue “bolus” button

32:15 The "Fire Alarm" Sound: Disruptive Alerts

34:10 Complexity of the 32 Steps & 8 Parts to Change insulin cartridge and infusion set

37:41 Who should use the Twiist ™ insulin pump?

Review of the twiist Automated Insulin Delivery System

Diabetech - Diabetes Tech, News, and Research | Diabetech

The Diabetech Podcast | Diabetech | Diabetech

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

Grown Up T1Ds! A Festivus for the Rest of Us!

At last, there’s an organization dedicated to adults living with diabetes, providing a relaxed environment where meaningful connections and instant friendships can flourish!

IN EPISODE 74 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services founder Gary Scheiner welcomes Kelly Dawes from T1DGrownups.org for an inspiring conversation about a service designed for an often-overlooked group: adults with type 1 diabetes.

Both Gary and Kelly have lived with type 1 diabetes for over 40 years and openly discuss the emotional challenges that come with it. Kelly shares her motivation for founding T1D Grownups and explains what attendees can look forward to at one of the group’s free chapter events!

Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.

Kelly Dawes was diagnosed with Type 1 Diabetes (T1D) in 1981. She is the founder of grownupt1ds.org and possesses a unique blend of expertise and social charisma. Her career began in dialysis, which broadened her understanding of health, eventually leading her to become a nationally certified personal trainer with a specialization in diabetes, and senior fitness.

✔️The cathartic benefit of being in a room with people who get it.

✔️ Diabetes talk is organic with no agenda at a Grownup T1D event.

✔️ Grownup T1Ds is a free, non-profit organization that hosts in person events for adults.

00:00 Welcome and introduction

06:20 What inspired you to create Grownup T1Ds?

07:42 The unique aspects of T1DGrownups

10:32 What to expect at a T1D event

13:01 Things that Kelly and Gary get away with BECAUSE of diabetes

16:23 How to get involved as a participant or volunteer

19:46 The challenges in building Grownup T1Ds

21:27 The value of in person connections

23:43 The surprise benefit of GrownupT1Ds.org events

25:35 The age range of attendees

26:44 What the future holds for Kelly Dawes

✔GrownupT1Ds https://grownupt1ds.org/

✔For information on the Philadelphia chapter contact philly@grownupt1ds.org

✔The February 28th meet up will take place at Dave & Buster’s—Plymouth Meeting Mall, 500 West Germantown Pike, Plymouth Meeting, PA RSVP to event at https://grownupt1ds.org/rsvp-form/

✔To learn more about volunteering or activities in your area, contact kelly@grownupt1ds.org

Other similar episodes:

✔Empowered Aging. Proactive Strategies for Seniors with Type 1 Diabetes https://youtu.be/oyUQfSBgF1M

✔Is it Menopause, life or diabetes? Real Talk from Female Clinicians Who Live It. https://youtu.be/SbPnbu-S29M

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com

If you enjoyed this episode subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode.

Also, leave a review to let us know what you think, and share this episode with others who will enjoy it as well!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

What if the symptoms you’ve been told are caused by diabetes… actually aren’t?

In this episode 73 of Think Like a Pancreas—The Podcast, Integrated Diabetes Services clinicians Tavia Vital and Alicia Downs examine a frustrating and all-too-common issue in diabetes care… when medical symptoms are incorrectly blamed on diabetes—and the real diagnosis is missed!

From neuropathy and kidney disease to fatigue, pain, and hormonal issues, Tavia and Alicia explain why people with diabetes are frequently told “it’s your diabetes” even when other conditions would also fit. They reveal how systemic healthcare constraints, insurance coding, and time pressure can lead to misdiagnosis, delayed treatment, and unnecessary guilt for patients.

Tavia Vital BSN, BA, RN, CDCES is the Director of Intensive Diabetes Management for Integrated Diabetes Services. Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. Having lived with type one diabetes for over 40 years, she understands that each person’s experiences and needs are unique.

Alicia Downs, RN, MSN, CDCES, BC-ADM experienced years of mis-diagnoses and ineffective treatments that gave her the incentive to take the lead in her own health care and educate those around her. Alicia is passionate about providing educated compassionate informed and equitable care to all people.

✔️Blaming your diabetes rather than finding the true cause can create unnecessary emotional and physical stress.

✔️How non-diabetes conditions get mislabeled as diabetes complications

✔️The problem is often systemic. To investigate your potential diagnosis, your doctor needs to first provide a diagnosis.

✔️Your “neuropathy” is often treatable before it is debilitating.

✔️The importance of creating a team “us” with your medical professionals.

00:00 Welcome and introduction

03:01 Understanding the endocrine system

04:39 When it’s really NOT diabetes

07:32 Where the fault lies

12:16 The facts about diabetes related neuropathy

19:54 Rare conditions are not rare in the diabetes population

24:55 Reference ranges, diagnostic ranges, and prevention

29:20 When it wasn’t Tavia or Alicia’s diabetes

35:17 The questions to ask

39:53 One bad lab result doesn’t mean you have another disease

Autonomic Neuropathy Screening Update for People with Type 1 Diabetes

🔵Website: integrateddiabetes.com

🔵 Follow on Social Media: @integrated_diabetes_services and @ integrateddiabetesservices on Facebook

🔵To work with the Integrated Diabetes Services Team , visit https://integrateddiabetes.com/how-to-start-the-process/ , or email info@integrateddiabetes.com

If the podcast has helped you to live better with diabetes, please tell someone else how to find it! If you have a question, take a moment and ask! We reply to everyone. And then be sure to subscribe on Apple Podcasts, Spotify, or your favorite podcast platform to ensure that you never miss an episode!

Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.