The 2026 ADA Scientific Sessions was marred by a standoff between ADA staff and some highly reputable scientists who were trying to distribute copies of an editorial that was published in an ADA journal without “express written consent”. There were also rumors swirling about the hostile takeover of one of Breakthrough T1D’s major fundraising entities and its own parent company.

Despite the political skirmishes, this year’s meeting was nothing short of fantastic. Clinical Director and Founder Gary Scheiner learned about the latest in research, technology, and product releases and shares them with you in this special episode.

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.

✔️Insulin absorption is slower as pregnancy proceeds.

✔️Tegoprubart offers exciting cure possibilities.

✔️ Continuous ketone monitoring is coming with more benefits than you may think.

00:00 Introduction

01:38 AID Optimization

03:04 Pumps & Pregnancy

08:19 New Product Development

12:05 “Other” Medications

20:00 Ketone (Sensing) Is Coming!

24:05 Exercise Discoveries

30:20 Slowing T1D Progression

33:28 Sleep Matters

35:30 Last But Not Least

Key Findings From The ADA Scientific Sessions 2026

🔵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/appointments/ 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.

There are lots of “doubles” in the world. Double Mint, Double Plays and Double Jeopardy, but did you know that you can also be diagnosed with double diabetes?

In Episode 92 of Think Like a Pancreas—The Podcast, host Gary Scheiner talks to Dr. Nick Argento about the odds of becoming insulin resistant as a person with type 1 diabetes. They discuss how it can happen, what treatment options are available, and why it is becoming more common than in previous years.

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.

Nicholas B. Argento MD FACE is an endocrinologist at Maryland Endocrine in Columbia. He lives with type 1 diabetes himself and has extensive experience in utilizing insulin pumps and continuous glucose monitoring (CGM) to help patients safely achieve better blood glucose control. He has presented clinical research at the American Diabetes Association Scientific Sessions and other medical meetings, and has spoken to local, national, and international audiences on insulin pumps and the clinical application of CGM technology.

✔️20% of people with type 1 diabetes will develop double diabetes or insulin resistance.

✔️If you require more than .4 units of insulin per kilogram per day, daily management will be a much greater challenge than those who are not insulin resistant.

✔️ Limit, not eliminate carbohydrates if you have a family history of type 2 diabetes.

✔️Having double diabetes is treatable with the right tools and support

00:00 Welcome and Introduction.

02:47 Is it Possible for People with T1 to Also Have T2?

05:17 What Causes Insulin Resistance?

09:33 Triggers and Hidden Risks for Double Diabetes.

21:57 Type 2 Medications (GLP-1s) for Type 1 Patients.

33:14 Overcoming the Guilt of Developing Insulin Resistance.

🔵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/appointments/ 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.

Fear of low blood sugar is one of the most common — and least talked about — challenges of living with type 1 diabetes.

In episode 91 of Think Like a Pancreas — The Podcast, mental health clinician Anna Sabino sits down with renowned diabetes psychologist Dr. Bill Polonsky, founder of the Behavioral Diabetes Institute, to unpack the anxiety that comes with type 1 diabetes and low blood sugars.

Together they explore the difference between healthy caution and pronounced fear of hypoglycemia, and why so many people quietly run their blood sugars high to feel "safe."

Bill also shares practical, hopeful strategies for regaining confidence in your body, rebuilding trust, and getting your life back — because “if you live with diabetes-related anxiety, you're not weak, you're not alone, and there's a lot you can do about it.”

Anna Sabino MSW, CDCES is a Mental Health Specialist who has been living with T1D for over 30 years and proudly offers expert emotional health counseling for children, adults, and families with T1D. Her areas of expertise include family dynamics, crisis management, anxiety, depression, burnout, and post-traumatic stress.

Bill (William) Polonsky, PhD, CDCES is President and Founder of the Behavioral Diabetes Institute, the world's first organization wholly dedicated to studying and addressing the unmet psychological needs of people with diabetes. He is also Associate Clinical Professor in Psychiatry at the University of California, San Diego, a licensed clinical psychologist and certified diabetes care and education specialist, and an active researcher in the field of behavioral diabetes.

✔️There can be a genetic risk of profound fear of low blood sugars.

✔️This fear is rooted in people losing confidence in their bodies.

✔️ The use of “be safe” and “feel safe strategies” help to alleviate fears.

00:00 Welcome and Introductions

03:39 Everyone Should be Concerned About Lows

07:02 When Your Fear of Lows Impacts Your Daily Life

13:54 Rebuilding Confidence in Your Body and Your Tools

30:11 Is Severe Hypoglycemia a Valid Fear?

33:57 Key Tips to Break Your Own Cycle of Fear

36:23 Where to Find Help

39:00 Final Thoughts from Dr. Polonsky

Breaking down the fear of blood sugar lows

Behavioral Diabetes Institute

ADA mental health registry

The Hypoglycemic Fear Syndrome: Understanding and Addressing This Common Clinical Problem in Adults With Diabetes

Is Your Diabetes Tech Helping or Hurting? Mental Health and T1D Innovation

🔵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/appointments/ 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.

Do food labels confuse you? You are not alone!

In this episode of Think Like a Pancreas — The Podcast, Registered Dietitians Jennifer Smith (CDCES) and Dana Roseman cut through the marketing noise to help people with diabetes make smarter, more informed food choices.

Learn what FDA-regulated terms like sugar-free and reduced sugar really mean, as well as which label claims are pure marketing gimmicks. From keto-friendly to naturally sweetened, not everything on the package means what you think it does.

• Why "walking the perimeter" of the grocery store is still the best strategy
• How switching to whole foods can actually change your insulin-to-carb ratios

Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

✔️”Low sugar” is a marketing term and can mean whatever the manufacturer wishes.

✔️If you are injecting insulin, you cannot just take a “net carb” approach to dosing.

✔️ Don’t eat what you can’t pronounce.

✔️ Switching to whole foods can change your insulin-to-carb ratios.

00:00 Welcome and Introduction

02:08 Added sugar. No Sugar. Natural Sugar. What do they mean?

06:25 What to look for on a label

10:55 If you don’t recognize it as food on a label, maybe you shouldn’t eat it

11:36 There is a time and a place for artificial sweeteners

13:19 Where to begin making healthier choices

14:38 Allulose and alternate sweeteners

18:29 What to watch out for on food labels.

22:09 “The” Nutrition Plan that you should follow

🔵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/appointments/ 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.

You can’t leave diabetes at home when you travel, so what are the most important things to keep in mind when you’re on the road for business, pleasure, or necessity?

In Episode 88 of Think Like a Pancreas—The Podcast, host Gary Scheiner speaks with fellow Integrated Diabetes Services clinician Dana Roseman about practical tips for maintaining blood sugar control in a variety of travel situations. Drawing on both personal and professional experience, they share insights that anyone with diabetes who has to travel will find helpful.

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.

Dana Roseman, MPH, CDCES, RDN, LDN, is the Director of Technology and Applied Research for Integrated Diabetes Services. Diagnosed with Type 1 Diabetes, she has spent nearly 20 years improving diabetes care through technology, research, and patient education—including expertise with insulin pumps, continuous glucose monitors, and hybrid closed-loop systems.

✔️It is important that you know how to troubleshoot your technology and be confident in your backup plan.

✔️ When packing, plan for the unexpected.

✔️ Use TSA pre-check where possible to improve your security experience.

00:00 Welcome and Introductions

03:27 Travel Mishaps and Preparation Strategies

05:50 How to pack when traveling with diabetes

09:30 Dietary Changes and Carb Counting on the Go

15:00 Adjusting to Activity Levels and Environmental Changes

20:31 Airport Security and International Travel Considerations

24:57 Adjusting for Long Periods of Sitting

31:19 Gary and Dana’s Ultimate Packing Checklist

35:00 Taking a Diabetes Vacation: Is It Okay?

38:01 Final Thoughts on Travel and Diabetes

SNAQ: The App That Brings “Star Trek” to Diabetes

Adding Activity to Your Day

GET PACKING Checklist

🔵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/appointments/ 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.

Can AI help you better manage your diabetes care?

In this episode of Think Like a Pancreas—The Podcast, clinicians Alicia Downs and Jennifer Smith dig into the pervasive world of Artificial Intelligence and discuss its role in diabetes care.

AI is integrated into everything from targeted ads to "smart" insulin pumps, but what is the difference between generative AI (like ChatGPT) and the "AI in a box" found in clinical algorithms.

Alicia and Jenny discuss the biases that most systems have, the tasks where AI shines and note where it is lacking.

Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.

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.

✔️No the source of your AI. It isn’t all created equally.

✔️The prompts you use dictate the results you receive.

✔️ Know the source of your AI

✔️AI does not have a lot of sources to draw from to get information on diabetes.

00:00 Welcome & Introductions

01:58 AI is Everywhere We Login

04:35 Understanding Your AI’s Bias

10:34 The Problem of the Missing Human Component

18:44 AI for Carb Counting. Does it work?

22:09 What Can You Use AI For?

26:03 An Educator Moves You Beyond the Obvious

34:21 AI Doesn’t Know Your Algorithm

37:33 AI. What’s It Really Good For?

39:35 Verify Where Your AI References

SNAQ: The App That Brings “Star Trek” to 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/appointments/ 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.