Around the Circle: Living Well with T1D

Erika Szumel has lived with type 1 diabetes for 25 years, works on the Blue Circle Health community engagement team, and is currently training for another marathon. But this episode isn’t really about running. It’s about doing hard things with type 1 diabetes.

Scott and Erika explore what confidence actually looks like when you live with T1D, and why it’s often not something you have before you begin. Through stories from marathon training, diabetes management, setbacks, and self-doubt, Erika shares how confidence is built through experience, experimentation, adaptation, and simply taking the next step.

Along the way, they discuss the fear of failure, learning from mistakes, the value of community, and why waiting until you feel completely ready may keep you from doing things that matter most. Whether your challenge is athletic, professional, personal, or diabetes-related, this conversation offers encouragement and practical perspective for moving forward even when the outcome feels uncertain.

What You'll Learn
  • Why confidence is something you build, not something you need before you start
  • How marathon training helped Erika rethink challenges both inside and outside of diabetes
  • The role experimentation, adaptability, and self-trust play in living well with T1D
  • Why setbacks and frustrating diabetes days don’t mean you’re failing
  • How community and shared experience can make difficult goals feel more achievable
  • Practical ways to approach intimidating goals one step at a time
  • Why perfection isn’t required before pursuing something meaningful
  • How lessons learned from doing hard things can carry into every area of life
Key Quotes
  • “Living with diabetes is already an incredible challenge that you take on every single day... Anything else is nowhere near as challenging as diabetes is.” – Erika Szumel
  • “You don't need to climb the whole staircase, you just need to take the first step and that's it.” – Erika Szumel
  • “The more you go on, the more you trust yourself and feel that confidence.” – Erika Szumel
Resources & Links
What is Around the Circle: Living Well with T1D?
The US healthcare system makes it difficult, expensive, and often impossible for people with T1D to access the care, education, and support they need to live. Around the Circle: Living Well with T1D brings together voices from across the type 1 diabetes community to share real stories, expert insight, and practical support for living well with T1D.

Hosted by the team at Blue Circle Health, a U.S.-based program transforming type 1 care, this podcast helps people go from just surviving to truly living well with type 1 diabetes. https://bluecirclehealth.org/.

What is Around the Circle: Living Well with T1D?

The US healthcare system makes it difficult, expensive, and often impossible for people with T1D to access the care, education, and support they need to live. Around the Circle: Living Well with T1D brings together voices from across the type 1 diabetes community to share real stories, expert insight, and practical support for living well with T1D.

Hosted by the team at Blue Circle Health, a U.S.-based program transforming type 1 care, this podcast helps people go from just surviving to truly living well with type 1 diabetes.

Learn more at BlueCircleHealth.org

Life with type 1 diabetes is already
hard, so sometimes the harder things

in life can feel almost impossible.

We might even convince ourselves that
certain goals just aren't for us anymore.

But today's episode is about pushing
back against that idea and recognizing

that there's actually something really
powerful about discovering you can

still do them, and that power carries
through well beyond the goal itself.

My name is Scott Johnson, and today
I'm joined by Erika Szumel Erika

is part of the team here at Blue
Circle Health, and she's training for

another marathon with type 1 diabetes.

Together, we're talking about what
it really takes to build confidence,

to adapt and keep trying hard things,
and what we learn about ourselves when

we stop waiting to feel fully ready.

But before we continue, I do need to
remind you that we're not providing

any medical advice or endorsing
any specific product brands.

We'll always encourage you to consult your
healthcare team for personalized guidance.

Erika, thanks so much
for joining me today.

Will you please get us started
by telling our listeners a

little bit more about yourself?

how long have you lived
with type 1 diabetes?

A little more about your role
here at Blue Circle Health.

Yeah.

Thank you so much for
having me today, Scott.

for those of you that don't
know, my name is Erika.

I am 29 years old, and I've been
living with type 1 diabetes since I

was four, so I actually celebrated
my 25th anniversary of living with

diabetes this past year, which was-

Amazing


super exciting, and it was a
happy, joyous celebration for me.

but at Blue Circle Health, I am
marketing coordinator, so I handle

all things marketing, and I work
closely with everybody on the CE

team, in terms of, working with
the community and things like that.

Now, we're talking today because you
ran your first marathon with Beyond

Type Run back in 2022, which is amazing.

But you recently embarked on
another pretty big challenge, right?

Tell us more about that.

Yes.

So I recently signed up for
the Philly Marathon that will

happen in 2026 in November.

So I have about five or so
months to go until that race.

But yeah, I signed up, about a month
or so ago, and I, I am turning 30

this year, and it felt like a really
good year to do something big, and

that's kinda where the idea came from.

Yeah.

That's amazing.

Now, it's funny to me because I've
heard you talk about your last

marathon with Beyond Type Run as,
a bucket list item, and here you

are signing up for another one.

Before we dig deeper into that, I do
wanna get something out of the way, right?

I have absolutely no
interest in distance running.

I've been there, I've done
that, and I didn't like it.

I'm not… I have no
plans on doing it again.

And I actually would like to think
that I'm not alone in that, and I

don't want people like me who might
be listening to tune out of this

episode to think that we're, talking
all about the nitty-gritty details of

marathon training and, things like that.

But, for those who might be
listening today who, don't have

interest in running a marathon, what
do you hope that they might take

away from our conversation today?

So what I will tell you, which will
probably surprise some people who

are listening or watching, is that
when I signed up for that race in

2022, like I said, it was a bucket
list item, and I really mean that.

I had not run a single
race before that day.

I had never run a 5K.

I had never done a half
marathon, anything.

I just went, 0 to 100, and
that's what, happened for me.

But, so if someone's gonna take anything
away from this conversation today, I

hope it's that you can feel and truly
believe in yourself that no matter what

you wanna do in your life, no matter what
kind of challenge, no matter what kind

of obstacle or goal that you have, that
you can do it with diabetes, and that

doesn't matter who you are or how you do
it or whatever you choose to do, but that

you can definitely do it because I was in
your shoes thinking, "There's absolutely

no way I want to run a marathon, and
there's no way that I will ever be

able to run a marathon," and I did it

You did it, and you're gonna do it again.

It's, it's-

I'm gonna do it

again … pretty inspiring.

Thank you.

Yeah.

we're gonna get into, we're gonna
get into some of that, but I, agree.

I think that one of the things we're
gonna talk about today is, really

just doing hard things with Type 1
diabetes, and, lessons that you learned

through doing these hard things that
have carried through and are helping

you in more ways with your diabetes.

But let's, back up a little bit
with, before your first marathon and

training, did you think of yourself as
a runner or even particularly athletic?

So I have always been, I'd
say, an athlete, or maybe we

could say, a light athlete.

I grew up dancing, and I was, like,
in ballet class five nights a week.

And then as I got a little
older, in high school, I played

volleyball, I did lacrosse.

I did some different things, but I've
always been active because, of course,

I knew since I was four that being
active was important for life with

diabetes, but I also really enjoyed
being active in different ways.

And, yeah, so I would consider
myself pretty fit at the

time, but I was not a runner.

I hated running from mo-
for most of my young life.

I really did.

I, hated it.

And, I would pick it up sometimes as I
got a little bit older, just experimenting

with different ways of exercise,
but I never took it seriously to the

point where I was like, increasing my
mileage and really on a training plan.

it was a very- Yeah … here
and there type of thing.

But yeah, I, would not have
considered myself a runner before

I started training for that race.

When you did start training, or even
just thinking about training for this and

running a marathon, with Type 1 diabetes,
what felt the most intimidating about it?

So 100% for me, the most intimidating
thing was, how am I going to run

these long distances without going low
the whole time- Yeah … or without

having to drive myself high for hours?

Because, as exercise can sometimes
make you go high, sometimes make you

go low, and I had no idea of how my
body specifically was going to react

to running for three, four hours, for
those very long runs that I would- Yeah

eventually get to.

Yeah.

and we're gonna, we're gonna
kinda dig into some of what you

learned through that process.

But I think that's a, very
relatable concern, right?

I would worry about the same thing.

when I think about taking on doing
difficult things like this, one of the

mistakes that I often make is kinda
waiting to feel, really fully prepared

or fully confident before even trying.

Did you experience that at all?

Or what was that like?

I don't… This might just be
a me thing, but I've always

just been very, "You know what?

I'm not gonna know unless I try."
And everybody has to start somewhere,

and I really… That's maybe just,
as I've gotten older and, matured and

learned from life, but I've always
just tried to really be like, "Okay.

If I wanna do this, I need to put
my back behind it, and I need to

just- go for it and try not to judge
myself, especially early on." Yeah.

And I also just, wanted to lean into
the idea that I was, like, taking on

this challenge, and it was exciting
and fun and, something that I can

look back on and be so proud of,

As- Did you feel like the, one aspect
of your first marathon was running with

the Beyond Type Run team, and, there
was some fundraising happening and,

it was like, it seems to me that you
might think there's a lot more skin

in the game, with a team like that.

Did that play into your thinking at all?

Yeah, definitely.

And, it was, it was really,
there was a lot of camaraderie.

There were so many people that I became
friends with on the team that, helped me

and answered my questions, and runners
who, had run four marathons already.

And, you know- Yeah … that really
helped give me more courage and I

think confidence in what I was doing
because I was like, "Okay, I have all

these examples of all these people
who live with Type 1 running marathons

or races or triathlons or whatever."

And there was also people just like me,
who are running their first one, who are

just, like- Yeah … getting out there and
doing it, and that, I think, collectively

really just, raised my spirits and was
like, "Okay, I'm gonna keep doing the

training. I'm gonna keep doing everything
I can to get to that finish line."

And all I wanted from that race, really, I
had no PR or time or anything in my head.

I was like, "I just want to finish. I
want to get across that finish line. I

don't care if I'm crawling across it, I
just wanna get to the end standing and

smiling," and I was very lucky that I did.

Yeah, that's amazing.

you touched on something that is
really one of the core things that I

hope people take out of this episode
is, not doing it alone, right?

You mentioned how valuable it was to
have people, experienced runners that

you could turn to and ask questions
of, but also people just like you in

that they were running their first
marathon, and I, imagine that, provided,

a sense of comfort knowing that you
were in this great team of people

that c- you could turn to for help.

Yeah, it definitely did.

And, I think that's, a lot more common
today, and I think it's really amazing

kind of what social media has done is,
you can find groups almost anywhere, I

think- to my knowledge, to, exercise with.

Or, like you can go and take a
group fitness class, or you can

find a walking club or a running
club if that's what you prefer.

But, there are different options, and you
can find other people to do those things

with, and I think that's so motivating.

Yeah.

Absolutely.

Was there a, moment where during your
training you felt like, "Oh, yeah,

totally, I can do this," or was it m-
a more kind of gradual process that

you're building trust in yourself
as you went through the training?

I was following a training, a
running plan through an app called

Run With Hal, who's from Hal Higdon.

He's, a very famous
runner who has this app.

And it was really easy to follow, but
basically I started just, getting my body

back into running in April of that year.

But my real marathon training didn't
start till probably, June, July.

So when I first started
running in April, it was hard.

and- Wow … and they were short runs.

They were between one and three miles,
but because I was so just, not used to

it and not really, confident in what
I was doing at the time, it was hard.

And I remember being like, man, this is a
mountain that I feel like- I'm climbing.

But by the time I got to the actual
marathon running training in, June,

July, I felt so much more ready for
it, and I think it was probably when

I ran, the first time I ran for the
most part, jogged, ran, barely walked

a 10-mile run, I was like, "I can't
believe I just did that," Yeah.

I was so elated because I'm telling
you my whole life, younger me

would have never believed that I
could run 10 miles, and I did it.

And that was like, from there it's like
you just wanna, see yourself do the thing,

Yeah.

Absolutely.

I kinda chuckle as you mentioned the
short runs and running a, a mile or three

miles because, for a lot of us, running
a mile is a huge accomplishment, right?

And- It is … it's a big deal

And it, it still, it will always be
a huge accomplishment if that's what

is a, a goal or a challenge for you.

That's awesome, walking or running.

Yeah.

Yeah.

Absolutely.

Do you feel, looking back on it,
that training for something, this

big, did it change how you think
about yourself or what you're capable

with, especially with diabetes?

Yes.

100%. I learned so much, that I
never knew before, but I did really,

learn so much about myself and
what I'm capable of if I just- put

in the work and the, consistency.

Really, that's all it is.

And it's you- I saw it
and I felt it happen.

Like I was saying, those first few months
I was like, "Man, this is gonna be rough.

I can't believe this is, really
what I'm gonna do in November."

And then it gets, little by
little, it gets easier and easier.

And the more you go on, the more you
trust yourself, and the more that you

feel that confidence, and you feel that,
joy out of, "I just hit another mile and

I didn't have to stop," or, "I just- Yeah

walked another mile," and,
I kept moving my body.

It was huge, and it just taught me just
to, trust myself and to, to be proud of,

the process, and it was so rewarding.

Absolutely.

Yeah, I love to hear that.

Do you think that this experience
has changed how you approach other

hard things in life, not necessarily,
just athletic achievements?

Yes.

I do think that it's, made me approach
things differently because I feel like

once you accomplish something, again,
that you've just been, like, working

so hard for, it's maybe something that
not everybody in their life gets to do

or wants to do, it really just feels
like such a moment of pride for me.

And I look at other challenges now,
"I did a marathon. This can't be…"

It might not be as bad as that was and
how awful I felt that day by the end

of the race, and the weeks after, the,
my legs and, my toes and everything.

But, I feel like it just has genuinely
given me the perspective of, no

matter what it is, you can at the very
least try to do what you want to do.

That's an encouraging outlook.

I think that really puts some,
wind in your sails even when

you're having the, hard days.

marathon training, it seems like just
a- a constant process of, experimenting.

how do you or did you personally, approach
that trial and error process without

feeling completely defeated by it?

And what did that process teach
you about, adaptability and

confidence and trusting yourself?

Yeah, that's a great question.

I am not going to lie.

I definitely felt defeated, because I
think many of us do, especially when

we take on challenges with diabetes.

it's oh, man, I thought
I did everything right.

I listened to the tips and the resources,
and I tried really hard to follow

what everyone was telling me to do.

But of course, as we all know, no
matter what somebody tells you about-

insulin or food or water, it's always
gonna be individual to each person.

And so I definitely would get a little
defeated at first, but then, as the

time went on, I think I really just
had to, I was, I had to adapt because

I was like, "I'm not gonna let all
of these little, bumps in the road

make this a bad process for me," or

just put a, cloud over, of
over what I was doing, Yeah.

Because it was such a big thing
that I was taking on, and I just

wanted to stay positive in it.

but it's just like diabetes, right?

every- day can be different, and
we could do the same exact things

every day, but if we were to get
down on ourselves every single day,

that's, such a terrible way to live.

And we all do.

I do.

I'm not saying I'm perfect.

I definitely get annoyed and mad
at diabetes a lot of the time.

But, the more that you can just
like, "Okay, this is what's

happening today," and almost laugh
about it, you get a lot further.

Yeah.

I, I love that, that I also see a lot of
parallels in you describing what people

say, like, how things are supposed to
work, and then you've got your real-life

experience, and I see a lot of parallels
there in our diabetes as well, right?

We go- we learn the, facts.

We learn the things.

Our doctor teaches us X, Y, Z, and
then we go and try it, and it doesn't

always work out that way, right?

And we, have to adapt.

Do you think that there's anything
that you've, taken through your

training when things don't go
the way that you hoped, that…

And how do you avoid, that spiraling
into that frustration or self-judgment?

And I will be also the first to
acknowledge that I do normally spend some

time there before I pull myself out of it.

But did you learn any tricks
or shortcuts that help you

circumvent that process faster?

I don't think I learned
any tips or tricks.

I think it's really just a mental, real-
just, similar to a marathon, right?

diabetes, we could use the analogy
that diabetes is a marathon, and-

Yeah … no matter what's happening
during your race, you have to keep going.

And that's just like diabetes, right?

we all want a day off.

We all wanna stop having to worry
about insulin or our blood sugar

or whatever, but you just have to.

You just have to keep going, and I
think it was just really a mental,

practice for me to be like, "Okay.

whatever.

I, don't know.

I guess we'll try again tomorrow,"
And, but also feel your feelings.

if you wanna get mad about
it- Yeah … get mad.

If you wanna get sad.

Just don't let it ruin a week,

Yeah, absolutely.

Do you, did you encounter any big
surprises or setbacks with your diabetes

when you were running and training?

I don't know if it will be a
big surprise for everyone, but I

first started running, and I would
just take my pump off entirely.

I would just take it off and leave it,
and sometimes I would maybe give myself,

my basal insulin before, or, half of
it or something like that, so that

I didn't just have no insulin on me.

But for a while I was just running
without my pump, and there was a few

reasons for that, because I was like,
I don't want the insulin right now."

Yeah.

And also because I didn't wanna
deal with it on my, waistband.

I, I wanted- to run little as possible,
and I still had to carry a bunch of

snacks, I couldn't, avoid everything.

But if I could at least remove one
thing, it was, just felt a little bit

more, freeing, while I was running.

But, eventually I got to a point where
I was like, "Maybe I should try running

with my pump on. Maybe this will help
me, with the, highs I was having mid

to the end of my runs, and maybe I'm,
like, getting a little bit too much

on the side of driving myself too high
and not being able to factor in the

other things that could happen," right?

how exercise just does it sometimes
itself, or how, adrenaline

will kick in and raise your
blood sugar, things like that.

So I guess it was a surprise to me
that if I put my pump back on and I

tried to let it do its thing and I
worked with the algorithm, that it

actually helped me in the long run.

But at first I was so sure that not
running with my pump was gonna be the

solution to my answers, and I was wrong.

Yeah.

it's, I can also see why that would
be an easy thing to think, because a

lot of times when we're exercising,
especially doing these long duration

activities, it's common to think
that we need to really, and we do

need to really reduce our insulin.

but there's a balance point, right?

Because when you're doing a, an athletic
event like this, it's hard to shift our

mindset out of diabetes because blood
sugar's only one part of, keeping your

human machine going for such a long time.

Exactly.

it sounds like there's this process
that I keep hearing in our conversation

that the confidence doesn't necessarily
come from everything going perfectly,

but it comes from, learning how to
adapt when things don't go perfectly.

would you say that's fair, and what's your
experience been with that, and has that

carried through beyond your marathoning?

Yeah, I think that, there's
a lot to be said there.

I think, the, quicker you can adapt
and, move forward when you have the

challenges and the bumps, the better.

Like I said, I just think it keeps your,
mental health a little bit, more peaceful

rather than, letting it drag you down.

And with marathon training or any sort of
exercise in general, I think it's really

the key is the consistency and finding
the patterns and the trends as soon as you

can and then, tweaking them along the way.

And with the long runs that I had
eventually down the line, I think by

the time I got to those, I was in a
much better place of knowing, what

my blood sugar was gonna do or how
much insulin I should maybe, have on

board or not on board, or which snack
to eat when and things like that.

there's so many details, obviously,
like living with diabetes, and I

think those two things can exactly
drive parallels to each other.

If you can adapt and move forward, the
better that you'll be, and the more

peaceful it will be, too, as a process.

Yeah, which I think that's an
important part of living well with

diabetes, is being at peace with
what's happening in your head, so

I'm glad that you mentioned that.

Yeah.

All right.

this is a great time
to take a quick break.

When we come back, I wanna make this
a little bit more practical, like what

people can actually take away from this
conversation and apply in their own lives,

whether they're running the marathon of
diabetes or some big athletic challenge.

So we'll be back in a second

One of our favorite things here is
sharing stories from people who've

participated in the program, and I have
one here from Ami who's been living with

type 1 diabetes for more than 55 years.

It's always been hard to stay on track
with my monitoring, understanding

how my insulin works best to support
my blood sugars, getting enough

support from my healthcare team, and
affording all the medical supplies,

doctor visits, and lab tests.

In June 2025, I found Blue Circle
Health through a friend's pharmacist.

After my first Zoom call with Blue Circle
Health, I knew I had made the best call

ever to support my diabetes management.

They gave me education, knowledge,
and positive feedback to help

me improve management that I had
struggled with for so many years.

At 57 years old, I learned
I had severe osteoporosis.

For that, I do weight training
most days of the week.

I play pickleball outside two
hours a day, weather permitting.

I teach pickleball to adults in
a community education program.

I wanted to have better
control of high and low blood

sugars when I was working out.

Blue Circle Health team tweaked the amount
of insulin I needed to be time in range

during my workouts with my carb ratios.

That really changed things.

The details of Blue Circle Health
team provided has been incredible.

The kindness, support, evaluations,
and delightful staff of Eleni,

Sherry, Kathryn, and Xanadu at Blue
Circle Health have really changed

my diabetes care for the better.

I did the work, but Blue
Circle Health guided me.

In the past six months, my hemoglobin A1C
dropped 2.5 points, and I lost 18 pounds.

I am so thankful I connected with Blue
Circle Health, and I hope others with type

1 diabetes will reach out to them, too.

what a great message.

Thank you so much for sharing, Amy.

You don't have to run a
marathon with the T1D community.

There are many different
communities to try all sorts

of different hard things with.

But if you are interested in running,
it might be useful and helpful to help

you find people who understand and
can support you, as Erika mentioned.

One option might start with joining
a Facebook group like Type 1 Run or

one of their local community groups.

There are also marathon teams
through organizations like

Breakthrough T1D, AmErikan Diabetes
Association, CWD, and Beyond Type 1.

And while I can't speak from personal
experience about joining these groups,

I've had friends say it's been an
incredible opportunity to do hard

things alongside others with diabetes.

Again, you don't have
to figure it out alone.

If running a marathon is the challenge
you're looking for, find a community

that works for you and go for it

Welcome back.

So we've been talking a lot about
confidence and experimentation

and learning how to do hard
things with type 1 diabetes.

I'd love to spend the rest
of our time making this as

practical as possible for people.

So for someone listening who feels maybe
intimidated by trying something new

with type 1 diabetes, whether that's
a big athletic event like a marathon

or something just in their life that's
not athletic related at all, what's,

one small place that they could start?

First thing I will say is try to
get in the mindset of what is the

worst that can happen if you take
on this goal or you take this step.

And remember, you don't need to climb
the whole staircase, you just need to

take the first step, and that's it.

And you can decide after that first
step if it's something you wanna

keep going with, or if it's something
you don't wanna keep going with.

But I think 99% of the time, once you do
the first step, you're going to realize,

okay, I have, you, you have a feeling, you
have an understanding of what it is that

you're trying to take on, and you can take
those next steps as slowly as you want to.

They don't need to be quick, and you
can really go from there, and I think

that's something that a lot of people
maybe get lost in their heads is, that

you can do the hard things with diabetes.

You just think about it, one step at a
time, and there are so many people out

there that can help you if you'd like
their help, and there are communities

out there to share those goals or even
just talk about the goals or challenges

and see what you might learn and absorb
from those people, and then you can,

and go and take that challenge on.

Yeah.

I love that idea of one
step at a time, right?

It's just, you don't have to figure
out the whole puzzle, just ne-

the next piece or the first piece.

That makes a big difference.

It's just like when, you talk to
a doctor or a nurse or someone on

your care team about your diabetes
management, and, you're trying to

figure out so many things at once.

was it the food?

Was it the insulin?

Was it the exercise?

Was it the water intake?

Was it the time of day?

Sometimes you just gotta dial it
back and you gotta say, "Okay, what

can we maybe realistically talk
about today that we could either

slightly change or implement?" And
you just do one thing at a time.

If you try to change too much
at once, it can be scary and

overwhelming, and understandably Yeah.

But just one step at a time
will always get you there.

Yeah.

Yeah, that's powerful.

It sounds like a, combination of just
almost gritty determination along

with a, somewhat curious mindset.

I actually…

This is funny, 'cause I just saw this
quote yesterday on Instagram, and it

said, "Life meets you at your level of
audacity." So if you're willing to be,

to have a high level of audacity and ask
for what you want, go for what you want,

say it out loud, manifest it, however
you wanna interpret that, that life will

meet you there and give you those things.

And I truly believe that because I don't
think I would've been able to sign up for

the marathon, finish the marathon, run
two half-marathons after that, without

being a little, having that audacity.

Yeah.

I think it's, taking brave steps is
a big part of life, and sometimes a

brave step with diabetes is having the
audacity to eat breakfast in the morning

and see what happens with that, right?

It's all-

Exactly


it's all relative.

What would you say you've learned about
preparation versus control, right?

And that's a tricky word in diabetes.

But you mentioned earlier about planning
for, or at least thinking about, like,

all right, what's the worst thing that
can happen today, and that's a scary

thing to think about, but we have to.

We also do that automatically
with a lot of our diabetes, right?

We have these- Yeah … all these
backup plans that we've gotten so

good at compartmentalizing them.

But would you say there were any, was
anything that you learned about that

whole preparation versus control aspect?

Yeah.

I think, it's funny, I actually think
that living with diabetes impacted my

marathon training because I was so used
to being so prepared for everything.

Yeah.

And obviously, I couldn't, run all those
runs, or, do the exercise or whatever

without knowing where my blood sugar
was and making sure I had, my insulin

and my low snacks and everything.

And I feel like that's what gave
me that hand there, was, like, life

with diabetes had me so prepared.

It is definitely a fine line between
being prepared and being in control,

and I know that word is very buzzworthy
in the community, and, I think the

marathon training can also easily
dip into the control side of things.

But I don't believe that's real life,
so I think for me, I, im- it's probably

just, my hippie mentality that I'm
just more "Ah," go with the flow

versus, being really rigid about it.

Because I remember there was plenty
of times where just like with living

with diabetes, there was factors
that I couldn't control, the weather,

or, the- humidity, which of course
impacted my blood sugars differently.

There's so many factors just
like living with Type 1 that

you really can't control it all.

You can control some of it, but you can't
control it all, and that's something you

just have to accept and keep going with.

Yeah.

You mentioned going with the flow,
and I think that there's, that's

actually a strong trait that helps
a lot in life with Type 1 diabetes.

there's so many things that, that we can
influence, and there's so many things

influencing our diabetes for that-
Hour, day, week, whatever, and sometimes

we have to just go with the flow.

So I think that, that actually, it
helps build a lot of resilience to know

that there's gonna be days like that.

Yeah, and it makes it a much more peaceful
way of life, because again, I am all for

feeling my feels and being mad and wanting
to throw my pump out the window, but the

more that you can be at peace with the
ups and the downs, the better and, just

more happy, I think, your life will be.

Yeah.

Did you have any days where, things
just didn't go well at all, to the

point where you're like, "All right,
I just, I can't do my training today,"

or, "This is just a day with my diabetes
where I'm stuck at 250 and nothing I

can do will get it down, and I'm safe.

I'm not, spilling ketones
and stuff like that, but

something's just not right here."

H- how do you… How did you cope
with those days where you, had to

give up, at least for that day?

Those days were really frustrating,
I'm not gonna lie, because, as we've

always said, people with diabetes
can do anything that they wanna do.

But, those days were very frustrating
'cause it felt like on those days,

the diabetes was just stopping me.

It was just holding up its hand and
saying, "Nuh-uh- Yeah … sister, not

today." And I remember feeling really
defeated But I think what I would do

is just be like, "Okay, tomorrow I'm
gonna just kinda push my training back

a day, and we're just gonna keep going
with the schedule as best as we can."

I wanted to be really mindful of,
like I told you, I would take my pump

off from, for a lot of my training.

And then I would end up high, and it
did get to some days where I was afraid

of ketones and, potentially putting
myself in some sort of danger after

the run or even hours after the run.

And so I think I started to become
a lot more cognizant of that as

I was, the months were going by.

So especially if I was having
highs earlier that day, then I'm,

probably wasn't gonna run that day.

And same thing with lows.

If I kept going low all day, I was
probably like, "I'm not gonna chance it.

It just feels like my body needs to-

sit this one out,"

Yeah.

Sounds like you learned a lot of
valuable lessons, and you incorporated

those, learnings and lessons.

A perfect example of adapting
and kinda going with the flow.

A lot of patience is what I learned.

It's you can't, you just
can't, you can't do it today.

Okay, Yeah.

But I want to, but I can't,

Yeah.

And, also that there's no real benefit
that comes from beating yourself

up too much about those, days.

Definitely not.

I, it, I knew that it, I knew that
if I was gonna make it to the end

of the process, that I had to accept
the bad with the good and keep going.

Yeah.

But it still s- it still stung.

It hurt.

It was defeating, but at the
end of the day, I did again.

I got to finish what I wanted to finish.

Yeah, that's amazing.

that brings, I think, it, us to a
great point to, to start wrapping up.

So if someone listening today
has been maybe holding themselves

back from something big because of
diabetes, athletic or not, what's

one thing that you would want
them to remember and think about?

Living with diabetes is already
an incredible challenge that you

take on every single day, and it's
invisible, and people can't see this

massive challenge that you take on.

Anything else is nowhere near
as challenging as diabetes is.

So you can absolutely do it.

Just remember, you just
have to take one step.

That's a great, just one step.

That's a great takeaway.

we really focused in today on a lot
of the emotional aspects of doing

hard things with Type 1 diabetes.

But a while back, Erika, you were a
guest on the amazing Ginger Vieira and

Tara Miles show called The Diabetes Nerd
Podcast, where you shared a lot of the

more, nitty-gritty details about training
for the marathon and fueling and dealing

with leg cramps and, so much more.

Folks, if you wanna hear more
about that side of things, I highly

recommend checking that episode out.

I'll be sure to link it in the show notes.

Erika, thank you so much
for talking with me today.

I, really appreciate it.

Thank you so much for having me, Scott.

Thanks for listening today.

One thing I really loved in this
episode is that confidence with

type 1 diabetes usually isn't
something that we start with.

It's something that we build through
experience, experiments, tough lessons,

taking our knocks, and learning how to
adapt when things don't go perfectly.

If you take one thing from this
episode, I hope it's this, you do

not need perfect blood sugars or
perfect confidence before you're

allowed to try something meaningful.

And maybe the goal isn't
eliminating uncertainty completely.

Maybe it's just learning how to
trust yourself enough to keep going

and take that first step anyways.

If this conversation was helpful,
consider sharing it with someone

who might need to hear it, and
we'll see you in the next episode.

Until then, keep living well with T1D.