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Diabetics Doing Things Podcast

Diabetics Doing Things Podcast

Written by: Diabetics Doing Things
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Hosted by T1D Rob Howe, Diabetics Doing Things tells amazing stories of people with diabetes from across the globe, digging deep into everything it takes to Live Well with Diabetes and sharing exciting adventures along the way.

 Hygiene & Healthy Living
Episodes
  • Episode 354 - This Doctor Gets It: Burnout, Bureaucracy, & Better Diabetes Care, Dr. Gregory Dodell

    Episode 354 - This Doctor Gets It: Burnout, Bureaucracy, & Better Diabetes Care, Dr. Gregory Dodell
    May 14 2026
    Rob sits down with Dr. Gregory Dodell, an endocrinologist from New York City and one of the more honest voices in the diabetes space online. What starts as a conversation about why a doctor would bother making Instagram videos turns into something a lot more real, a candid look at what actually happens between patients and their providers, why those relationships succeed or fall apart, and what it takes to feel like a full person inside a system that was mostly built around numbers. Dr. Dodell talks about the thing he keeps learning from patients that wasn't in any textbook: stress. How it silently drives blood sugars up, how burnout and over-fixation on every CGM reading can quietly hollow out your quality of life, and why a slightly elevated number is sometimes worth it if it means you actually got to live your day. It's not a permission slip to ignore your management. It's a reminder that the goal was never the A1C itself. The goal was always life on the other side of it. They also dig into the infrastructure problems that make good diabetes care so hard to deliver, the prior authorization nightmare, the endocrinologist shortage, and the 20-patient days that leave almost no room to actually sit with someone. Dr. Dodell shares, for the first time publicly, that he's moving toward concierge primary care, not out of ambition, but out of frustration with a system that makes it structurally almost impossible to do the job he trained for. If you've ever left an endo appointment feeling like you only got halfway through what you needed to say, or worse, left feeling judged, this one's for you. Chapters: 00:00 Who is Dr. Gregory Dodell? 01:41 Why HCPs Are Becoming Content Creators 04:06 Reaching Patients Beyond the Office 05:16 Preparing for Short, High-Stakes Endo Visits 06:29 Fitting Everyone Into One Box Doesn't Work 07:18 Listening First — How to Read the Room 08:26 The Surprising Role of Stress on Blood Sugar 09:59 Diabetes Distress and Over-Fixation on Numbers 10:35 Quality of Life vs. Perfect Blood Sugar Control 11:37 There's More to Life Than an In-Range Number 13:33 Complications — Compassion Over Judgment 14:59 Stigma, A1Cs, and the Morality Trap 16:03 How Patients Have Been Traumatized by Healthcare 17:37 The Endocrinologist Shortage Crisis 20:04 Prior Authorizations — A System-Wide Failure 24:38 Dream Scenario: What Ideal Diabetes Care Looks Like 26:10 Concierge Medicine and the Future of the Endo Practice (First Announcement) 28:44 Exciting Research — T-ZELD, GLP-1s, Autoimmune Breakthroughs 32:47 How to Find and Advocate for Yourself with Your Endo Resources: * Dr. Gregory Dodell on Instagram (@EverythingEndocrine) * Central Park Endocrinology
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  • Episode 353 - The Hidden Mental Load: A T1D Pshycotherapist on Burnout, Grief, and Letting Go

    Episode 353 - The Hidden Mental Load: A T1D Pshycotherapist on Burnout, Grief, and Letting Go
    May 6 2026
    What happens in the room when a therapist with Type 1 diabetes hears the same fear over and over, that everyone else has their numbers under control, and you’re the only one who doesn’t? Rob sits down with Christine Keown, a registered psychotherapist and T1D since age four, to have the conversation that doesn’t get nearly enough airtime. Recorded right in the middle of the Diabetes and Mental Health Conference, this one covers a lot of ground and goes places most diabetes content never does. Christine shares what she calls her “meta-analysis” of her clients: the common threads she sees across every person with diabetes who walks through her door. The fear of judgment around numbers. A fractured sense of identity after diagnosis. The compounding spiral of healthcare avoidance. And high-functioning burnout, the kind that looks completely fine at work and only shows up at home. Rob opens up, sharing what a recent diabetes meditation retreat revealed to him about conditional joy, self-compassion, and why he’s been sitting with the uncomfortable truth that he’s not nearly as in control as he’d like to be. One of the standout moments is Christine’s live demonstration of an ACT (Acceptance and Commitment Therapy) exercise using a literal piece of paper. The idea: we exhaust ourselves pushing our fears away. What if we just put them down instead? Rob couldn’t stop laughing, and neither could we. This episode is for anyone who has ever felt like they’re failing at diabetes, quietly avoided the endocrinologist, or thought everyone else has it figured out except them. You’re not alone. Not even a little bit. As Christine and Rob both land on: we’re all just doing our best, every single day. Chapters: 00:00: Rob introduces Christine Keown, registered psychotherapist 01:46: Recording live at the Diabetes and Mental Health Conference 02:26: Why people seek out a therapist who also has diabetes 04:01: Fear of judgment keeps people away from community 05:45: When the endocrinologist becomes the threat 06:44: Diabetes distress and physician-related avoidance 07:58: The compounding loop: wanting care, avoiding it anyway 08:58: The therapist’s privilege: normalizing what everyone feels 10:27: The meta-analysis: what every T1D client shares 11:11: Fear of comparison and the myth of perfect control 12:36: Conditional joy: happiness gated behind blood sugar 13:37: Christine’s pre-podcast low and the reality of T1D 15:13: The messenger matters more than the message 16:23: A joy shared is a joy multiplied 17:42: Identity shifts after a chronic illness diagnosis 18:15: Christine’s story: leg muscles, mountains, and Costco 21:07: Rob on learning to ‘be’ instead of always ‘do’ 21:31: Grief, anxiety, and diabetes pulling us from the present 23:51: ACT therapy: the paper exercise for carrying fear 28:03: Naming the fear instead of making it the main character 30:18: Chronic illness and the desperate need for control 31:08: High-functioning burnout: invisible to everyone around you 32:43: Signs at home no one at work will ever see 34:49: Distraction through overwork and the “next thing” trap 35:30: A call to curiosity, self-compassion, and getting help Resources: * Christine Keown on Instagram: @your_health_therapist * Diabetes & Mental Health Conference: Session recordings still available at dmhconference.com
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  • Episode 352 - Health Insurance 101: What Every Diabetic Needs to Know Before Open Enrollment

    Episode 352 - Health Insurance 101: What Every Diabetic Needs to Know Before Open Enrollment
    Apr 29 2026
    Health insurance is one of those things that's genuinely important and genuinely confusing. When you're managing diabetes or any chronic illness, the stakes are a lot higher than for most people. One wrong plan choice can mean insulin coverage disappears, specialist visits become out-of-pocket, or you get hit with a bill you didn't see coming. Rob sits down with Dakota Myers, known online as The Benefits Boss, for a no-nonsense breakdown of health insurance fundamentals through the lens of chronic illness. Dakota walks through the terminology that trips most people up (premiums, deductibles, co-insurance, out-of-pocket maximums), explains the real difference between PPO, HMO, and HSA plans, and makes a compelling case for why working with a broker costs you nothing and can save you thousands. The conversation covers some genuinely useful stuff that most people don't know, like the Medicaid Decline Hack for getting back onto the marketplace outside of open enrollment, the COBRA backdating loophole for gap coverage, and how income and health status together should drive your marketplace vs. private plan decision. If you've ever stared at an open enrollment portal feeling completely overwhelmed, this one is for you. Dakota and his team at The Benefits Boss shop every plan in all 50 states, and as he puts it, the goal is always to build the best package for each individual situation, not to sell a product. By the end of this episode, you'll have a much cleaner framework for evaluating your options and asking the right questions. Chapters: 00:00 Rob's intro: why this episode exists 02:43 Introducing Dakota Myers, The Benefits Boss 04:33 Starting with the basics: premiums defined 04:51 The three-step cost breakdown explained 06:25 Short-term and long-term disability coverage 07:07 High premium vs. high deductible: how to choose 09:30 What employers actually pay — a business owner's view 10:54 PPO, HMO, and network basics demystified 13:56 The doctor network hack: verify your coverage 14:44 What a good broker actually does for you 17:07 Should you use a broker? Here's the case for yes 17:40 HSAs: who they're actually useful for 19:10 Evaluating employer plans: three things that matter 22:26 Navigating the ACA marketplace and open enrollment 22:57 The Medicaid Decline Hack for qualifying events 27:02 COBRA explained — and the backdating loophole Resources: The Benefits Boss IRS HSA Contribution Limits & Eligibility Healthcare.gov
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    Less than 1 minute
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