Around the Circle: Living Well with T1D

Kathryn Ward, a licensed clinical social worker at Blue Circle Health, joins Scott to talk about emotional resilience: something many people living with type 1 diabetes feel but don’t always have words for. 

Kathryn works closely with people navigating the emotional side of diabetes every day. In this conversation, she and Scott explore what emotional resilience really means, what it doesn’t, and how to navigate burnout, self-criticism, and tough diabetes days with more self-compassion. 

They talk about burnout, shame, and the pressure to “do diabetes perfectly,” along with simple, realistic ways to nurture emotional resilience in everyday life with diabetes to find a more realistic, compassionate approach that helps you keep going, even when things feel heavy.

If you’ve ever felt exhausted by diabetes or wondered how to keep showing up for yourself without burning out, this episode is for you.

What You'll Learn
  • What emotional resilience actually means in the context of type 1 diabetes
  • Why “pushing through” isn’t always the answer
  • How small mindset shifts can reduce burnout and self-judgment
  • Practical ways to respond to tough diabetes days
  • How support (from yourself and others) can change everything
Key Quotes
  • “Remember that this is a moment in time. How do you slow down, nurture yourself in this moment, and take care of your blood sugar in a way that's going to keep you safe?” – Kathryn Ward
  • “Acceptance is a repetitive process I have to go through. I’m accepting of it right now, but as soon as something happens that throws me off track, or if I’m having a hard time, I have to go through that process of reaching acceptance again. It doesn’t feel like a one-time thing for me.” – Scott K. Johnson
  • “Being able to allow painful emotions… that’s where we start to take our power back.” – Kathryn Ward
  • “Burnout is normal, overwhelm is normal… it’s actually an expected response to this full-time job of being a pancreas.” – Kathryn Ward
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

If you're listening to this, chances
are you already know how emotional it

can be living with type one diabetes.

It isn't just about managing blood sugars,
It's also about managing how it feels.

The constant decisions, the ups and
downs, the pressure to get it all right.

It can really be a lot, but
emotional resilience isn't

something you either have or don't.

It's actually something
that you can build.

My name is Scott Johnson, and
today I am joined by Kathryn Ward,

a licensed clinical social worker
with Blue Circle Health, who works

closely with people living with
type one diabetes to help address

some of these emotional challenges.

But before we continue, I
need to remind you that we're

not providing medical advice.

For personalized guidance,

we'll always encourage you to
consult your healthcare team.

Additionally, Blue Circle Health does not
endorse any specific product brands and

encourages you to discuss those details
with your personal healthcare team.

Kathryn I'm really glad you're here.

Thanks for joining me today.

Yeah, thank you so much
for having me, Scott.

I always enjoy these
conversations so much, so it's

a pleasure to be here with you.

Thank you.

Yeah.

and this is such an important topic.

I know it's something that
a lot of us struggle with.

In your day-to-day work here at Blue
Circle Health, you work closely with

people living with type one diabetes,
often on the emotional side of things.

And when you think about the people that
you support, what are some of the most

common emotional challenges that you see?

That's a great question.

I see quite a few actually.

One that I see pretty
frequently is anxiety.

So anxiety about potentially being
unsafe or embarrassed in the event of low

blood sugar or, worry about being able
to access insulin and supplies in the

event of employment or insurance loss.

I see fear over what the future may
hold in terms of complication risks

or, implications for just, feeling
like a burden on others, on family.

I see sadness and grief sometimes.

This is, again, tied up in that piece
about feeling like a burden to loved ones.

Other times, especially in instances where
diagnosis is more recent, there's really

big grief over the loss of a life that
someone knew before, over maybe a lack

of spontaneity or freedom to just eat a
meal and go out dancing and not having

to think about blood sugar implications.

I think I see a lot of exhaustion,
emotional and cognitive exhaustion.

There's glucose management
fatigue, there's alarm fatigue.

There's fatigue around navigating a
really complicated healthcare system.

I see a lot of people who feel pretty
isolated because of their diabetes.

And the majority of human beings who
don't actually live with type one

typically have a pretty hard time fully
appreciating how burdensome it can be.

I could go on at length about
the emotions with, but those are

some of the big ones that I see.

I think that a lot of us and, a lot
of people without diabetes, assume

that managing diabetes is mostly
about the numbers and decisions.

But as you described, there's
so much more underneath that.

How do you help people start to recognize
and make sense of what they're feeling?

They maybe haven't even had the
chance to process and articulate

those thoughts and feelings.

To reach a point where they
can start working on it.

What are some of the first
things you do with someone?

Yeah, I appreciate that question so
much because it's, really important that

piece about being able to identify what's
happening emotionally here, because

there are so many moving parts, and it
is often I think, difficult to fully

articulate the emotional complexity.

Because T 1D touches everything.

And, I think for me, what is useful, and
I think for, the people that I often talk

to is I, we use the Diabetes Distress
Assessment Scale here, and that helps

capture some of the emotional aspects of
diabetes and, it, it's a tool that kind of

helps us understand the different pieces.

And then have a conversation
about, okay, how do those pieces

in the puzzle fit together?

So the DDAS can help
identify, is there shame here?

Because someone might not readily identify
or articulate that, but then in responding

to an assessment, go, oh, actually
when we start to have a conversation

about scores, say, you know what?

There is actually some shame here.

And it's tied up in stigma, or it's tied
up in worrying that, if I'm at a party

and have a low blood sugar, I'll feel
embarrassed or, those sorts of things.

And we can even have a conversation
about, okay, how do these different

sources of distress or these different
emotions influence one another?

So for example, if someone
has a lot of anxiety about

hypoglycemia, often for good reason.

I think that some level of anxiety
about low blood sugar is really adaptive

and important, and, what happens
sometimes, I think particularly in

the context, if someone's had a really
frightening low blood sugar or felt

really unsafe, is that in order to
start feeling safe, they may change.

The way that they manage diabetes
just to feel safe, right?

And so maybe there's more, a
little bit more hyperglycemia

because of that, because they're
trying to feel safe in the moment.

And then so there's anxiety around
hypoglycemia and then that also

touches into anxiety about, what
does this mean for the future?

Am I trading long-term safety
in the sense of, am I increasing

my risk for things happening?

For the short term safety of
wanting to feel safe right in

this moment, and, it's complex.

So I think that's one tool that
for me, I find helpful to be

able to tease out some of these.

Emotional nuances and how they
overlap and inform each other.

You mentioned, the adaptiveness of feeling
some anxiety around low blood sugars

and you expanded on that a little bit.

but that also really hits home for me too.

I, remember, gosh, it's probably
been 15 or more years now, but I

had a, severe low blood sugar after
basketball that where I, passed out

at a, restaurant with my friends and.

it really rocked me.

I went through a significant
period of time where I was running

higher just because I was, afraid.

And,

can you, talk a little
bit more about that?

You used the phrase like the adaptiveness
or something around those, I'm not

getting it quite right, but you
mentioned that it is healthy to have a.

Some level of anxiety
around low blood sugars.

yeah, absolutely.

and, maybe anxiety.

I, think maybe awareness or really
cautious awareness might be a, more

useful way to frame it, Because anxiety,
I think anxiety is human beings.

We all experience anxiety.

Like it's part of the way that we're
hardwired, we have these really.

Complex and wonderful brains that
have evolved to help us stay safe.

And what can happen sometimes
is, anxiety will arise.

really for good reason
to help us stay safe.

And then I think if it's a really
frightening situation, we may adapt.

A response that's maybe driven by an
a more of an autonomic nervous system

response where we're feeling a little bit
of a, maybe a fight flight or not feeling

safe so that when the anxiety arises,

might feel like a threat.

So we, our brains still great job,
of alerting us to potential threats.

I think that our brains don't
always do the best job of, parsing

out real versus perceived threat.

And I think particularly in the
case of a traumatic vent, there is

a nervous system response that kind
of gets wired into Hey, I'm gonna

do what I need to do to stay safe.

And so that doing what I need to do
may be, maybe using a little bit more

carbohydrate that is needed to bring up
a low blood sugar or maybe responding

to, what looks like it might turn into a
low blood sugar before it actually does.

And again, all coming from this
place of wanting to stay safe.

So I think that's the piece, right?

And this gets really tied into I think,
emotional awareness, which is a huge

part of, emotional resilience, right?

Is like when that worry comes up is,
allowing it to be there and to be what

it is and really taking a step back.

Without letting it drive the
train or drive what we do.

And I think that's where a lot of us
as human beings get a little bit stuck.

and it's just, what happens, right?

So sometimes it's a matter
of unlearning, right?

Or being identifi able to identify
okay, there's anxiety here.

And the thread is not as big
as my brain is telling me.

It's my brain's really just
working hard to keep me safe.

and right now I'm, actually pretty safe

when someone's really in it, when
they're feeling overwhelmed and

frustrated, maybe even burned out.

What might that tend to look
like for them in, real life?

So I think it can show up
in a few different ways.

we, tend to think about, okay,
if someone's feeling burned out,

maybe they're more disengaged
or feeling I just don't have the

energy right now for diabetes.

And so they, there's a sense of maybe
feeling like I'm just gonna do the minimum

or whatever it is to manage blood sugar.

And certainly that's, one manifestation.

I think you can also show up as
like hyper engagement, right?

Or, feeling really focused on numbers
maybe to the exclusion of everything

else that's happening in life, And
maybe micromanaging diabetes again,

just to feel safe because there's this
overwhelm or this underlying sense of,

this is what I have to do to be okay.

And you know that the latter one may have.

Benefits in terms of time to range or A1C,
but it can also come at a tremendous cost.

if that's where sort of all of the
attention and effort is focused, or it

might come at the cost of restricting.

Meals that someone really enjoys
or activities that they may love.

So I, I think it's both and
they're two sides of the same coin.

if someone's listening to this and,
they might be thinking, oh my gosh,

yes, that, really sounds like me
on, either side of that coin, right?

what do you want them to know right away?

before we even get into more
of the tools and, things we're

gonna talk about in a minute.

let's give them a, an early.

Takeaway right now.

What, do you want them to know?

I would want them to know that burnout
is normal, overwhelm is normal.

I'd want them to know that diabetes
distress is extremely common.

a diabetes distress is
not a mental illness.

It's not a sign of weakness.

It's actually an expected response to
this full-time job of being a pancreas.

And this is a job that nobody's
getting a vacation from.

Nobody's getting paid for this job, right?

It's a lot.

And, I think I'd also want them
to know that they don't have to be

perfect to live well with diabetes.

When people start to understand that
this is, it's just, it's part of

the experience and not necessarily a
personal failure, which I think many

of us, myself included, would tend to
think of it in that way until we can.

Started to wrap our brains
around it in a little better way.

what,

yeah,

what tends to shift for them when
they start to understand this

is a normal thing to go through.

I think just more ease in those
really tough diabetes moments.

There's a capacity to
zoom out and see that.

All right, this is a, this
number, this is a piece of data.

This is a moment in time that might
be impacted at this particular

moment by any number of variables.

And so this piece of data at this
moment in time is simply that it's

not necessarily a reflection of
someone's self-worth, not even a

reflection of their effort necessarily.

there are so many things that can
impact blood glucose management.

A phrase that I hear you use a lot,
and it's a phrase that I really

and that is emotional resilience.

And when you think about that phrase.

What does that actually mean in the
context of living with type one diabetes?

Yeah.

Yeah.

So I think it's really tied up
in acceptance and I would like to

really take care and distinguish
acceptance from resignation.

okay, this is just what it is.

I think acceptance is about
fully acknowledging and allowing.

Difficult emotions rather than
feeling oh, this is painful.

Let me see if I can push it
down or get away from it.

We're letting those difficult
emotions drive the bus.

So I think the emotional resilience
starts with that, allowing and

accepting, which starts with, first
of all, emotional identification.

So it's tough to build emotional.

Resilience if we don't have the
capacity to first identify the

emotions, to normalize the emotions
and to allow and acknowledge that

emotions are, that they're part of
it, they're part of being human, and

sometimes they're gonna really hurt.

but we don't necessarily have to give our
power to emotions in the sense that we

have to get away from them or that we have
to let the emotions dictate what we do.

When you talk about accepting and
acceptance, I think of myself in that.

It's, a repetitive process
that I have to go through.

I, don't feel like I've ever,

reached a certain point or
a landmark in my time with

diabetes where I've, accepted it.

It's like I'm accepting of it right
now, but as soon as something happens

that maybe throws me off track, or
if I'm having a particularly hard.

Stay week or month or whatever it is.

I have to go through that process
of reaching acceptance again.

It doesn't feel like a
one-time thing for me.

Is, that, fairly common too?

What do you think about that?

Yeah.

Oh, Scott, that is such a
beautiful point and so insightful.

Absolutely.

Acceptance is a, journey.

It's not a one-time thing.

I if there's one thing that human beings
are guaranteed is that difficult things

are going to arise, and it's certainly if
there's any guarantee in the T 1D journey

is that things are gonna shift from day
to day and they're gonna be hard days.

And that, I think acceptance, like
if you think of acceptance, what

you're getting at in the larger sense.

I think the acceptance is that,
okay, there are gonna be hard

days as part of this journey.

And then absolutely from day
to day there's that acceptance

again and again Right now, this
blood sugar doesn't feel safe.

Okay?

This is a moment in time.

How do I slow down, nurture myself in
this moment and, take care of the blood

sugar in a way that's gonna keep me safe.

How do I slow down in this moment?

Show up with kindness, with
self-compassion rather than maybe showing

up and, showing up as the inner critic
around that number, whatever it is.

That acceptance absolutely.

I think happens again and again
It's really part of mindfulness,

I think Scott is, recognizing
what's arising in the moment.

And allow it.

I love that.

So I'm being, more mindful than I,
maybe I'm giving myself credit for that.

That makes me smile.

I think so.

I think that you're very
insightful, Scott, and Absolutely.

Yeah.

It's because I get to spend
time with people like you.

so thank you, Kathryn.

Let's let course, let's go
back to that word, resilience.

I think a lot of people hear that word
resilience, and they assume that it means.

I don't know, being strong all the time
or just pushing through the hard things.

What are some of the misconceptions
like that you see about

that concept of resilience?

yeah.

That's another super insightful point,
and it's exactly that there, it's almost

gets conflated with this idea, I've
gotta pull myself up by my bootstraps.

If I start to feel sad, I need to shut
that down and just keep on, plug it along.

It's almost like this sort of tough.

Coach mentality that like, if we allow,
if someone allows themselves to feel

frightened or sad, that, it means that
they lack grit or mental toughness.

And it's actually, I think it's
really the other way around, Scott.

being able to allow painful
emotions, without feeling like,

okay, I gotta get away from this.

Or without feeling like, okay,
they've, they're gonna drive the train.

that's where we start
to take our power back.

So it's about allowing.

Acknowledging, okay, this is here,
it's uncomfortable, breathing into it.

that's where we build the
resilience, is, really allowing

ourselves to get down into it.

I think, another piece that, that
sometimes gets tied up with that, but

I think speaks to this is that I've
spoken to people sometimes who will

say to me, I feel like I have to be
hard on myself to stay motivated.

if I see a you, whatever the
number is, if I see this number.

I, have, feel like I have to remind
myself of all the terrible things that can

happen and, really they, and they show up.

The, inner critic kind of
shows up, loud and harsh.

And, that's exactly what that is.

that approach tends to show up is
self-criticism or emotional avoidance, and

it's not a sustainable way to cultivate,
emotional resilience or self-compassion,

which I think is a really essential.

Peace When we think about
emotional resilience,

and I love that you, talk about
resilience and emotional resilience

as something that you are cultivating
and building and it's not something

that you either have or you don't.

Or you can flip a switch and,
it's there for you or it's not.

It's something that you have to nurture
and, cultivate and build when someone

is, building emotional resilience.

What might start to look a little
bit different for them in their,

day-to-day life with diabetes.

I think that often can
show up as more ease.

again, that sort of recognition that
those tough days are part of the journey.

And then with more of a sense of ease,
there tends to be more self-compassion.

and self-talk might shift
from self-criticism.

To self-kindness, and that self-kindness
piece, that's one of the, primary

pillars of, self-compassion.

so being able to show up with
some gentleness and, not at some

psychological flexibility is another
term that I find useful, right?

So it's a capacity to show up to a
moment, however difficult it might be,

and not get completely derailed by it.

Not letting that difficult moment define.

someone's self-efficacy, their self-worth.

Their overall experience with diabetes.

it's a capacity to recognize, again,
this is a moment in time in the grand

scheme of things I'm doing okay.

Alright, that's great.

Let's, take a quick break here.

When we come back, I wanna
bring this into real life.

What this actually looks like day to
day and how people can start putting

some of these ideas into practice.

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

in the Blue Circle Health Program.

And I have one here from Liliana
in Florida who's been living with

type one diabetes since 2004.

I was six years old, so I've
been, type one diabetic for.

Ooh, 22 years now.

I was the first one in my
family to be diagnosed.

My parents were, I was so amazing
with just trying to learn and be

there the best that they could for me.

I didn't have access to a lot of
endocrinologists, so I just went to the

one that was at my local hospital and.

It wasn't the best
experience for me either.

They really took the
approach of scaring me.

I think it just pushed me a little
bit more to resisting the diabetes

versus wanting to tackle the issues.

So went to the Blue Circle website,
basically was like, please sign me

up for everything that's available.

Like counseling, the endocrinology,
the insurance checker, the peer,

Anything that is available to me, I
would love to sign up for, and all

of it was absolutely phenomenal.

cannot say enough amazing things about
the organization appointments with Dr.

Goberg and the kind of like mindset shift
of realizing that like I do have the tools

to care for myself has been life changing.

I now feel really empowered that.

I know myself, I know my body.

I know my trends enough that yes,
I can make those changes on my own

to make things go better for me.

And I think just having the skills,
the tools, the confidence to make

those changes and care for myself
has been life changing for me.

Ah, thank you, Liliana.

stories like that are such a
powerful reminder that this isn't

just about numbers, it's about
how, again, how all of this feels.

And with that in mind, I
wanna share a resource that I

think is worth knowing about.

This isn't an ad or a paid sponsorship,
it's just something I've come

across that I think might help.

It's a section on the Beyond.

type one website focused on mental
health and type one diabetes.

They've pulled together articles, personal
stories, and practical insights around

things like burnout, stress, and the
emotional side of managing diabetes.

If today's conversation is resonating
with you, this is really a good

place to keep exploring and find
support that meets you where you are.

You can find it@beyondtypeone.org
and click on the Beyond

type one dropdown menu.

Look for mental health and type
one diabetes under the living

with type one diabetes header.

Welcome back.

We've been talking about the
emotional side of living with type

one diabetes and what it really
means to build emotional resilience.

And Kathryn, I'd love to spend the rest
of our time making this as practical.

As possible.

So if someone's listening and they're
thinking, okay, this all makes

sense, but I don't know where to
start, what's one small, realistic

first step that they could take?

One thing that I, think can be
helpful is to pause and just chill.

Shift and acknowledge
okay, what's going well?

when I'm first meeting with someone,
I'll always ask like, how do you identify

your strengths related to your diabetes?

And sometimes people have a really hard
time with this and they, you feel oh,

I don't feel like I have any strengths.

Or, they're, because they're,

stuck in a place of feeling like
they're just, not getting it or,

just having a really hard time.

And, we, they shift then I. maybe
just bring, some acknowledgement to

their willingness to show up to this
appointment, which is an appointment where

they might, become emotionally vulnerable,
which is scary for a lot of people.

And really just reflect on the courage,
and the time that they've carved out.

And then maybe from there, recognizing
like, how many small moments in

the day do they carve out the time?

To take care of themselves, whether it's
to show up to an appointment or to go

to the pharmacy or to do whatever it is.

And, just shifting that lens,
seeing just those small moments.

it leads to recognition sometimes that
actually it's a big, it's a big thing.

There's a lot of things that
you know, that someone's doing.

And I think too, that if someone's
really struggling to connect with a

strength, or feel like I, I, I'd feel
just really stuck with this question.

going back to that self-kindness
aspect of self-compassion, right?

And even if that means offering
the intention of kindness, right?

So if someone is really finding themselves
stuck in a spiral of self-criticism

or I'll, yeah, I'm not gonna get
this right, is even just offering the

intention if it feels inauthentic to
say, I'm doing these things well, to say.

Something more along the lines
of, okay, may I be gentle with

myself or may I be kinder?

May I one day recognize my deservingness
of kindness, of compassion.

so even just those baby steps to start
to shift that narrative from one of

sort of self-criticism or self-judgment.

to one of self-kindness.

Let's maybe dig in on
that a little bit more.

I love that concept so much and if
someone's having, this, they've had

a tough day or even a tough week
with diabetes, we need to find a

way for them to reset and, move
forward without getting stuck in it.

how, might you address that?

I think another, pretty,
important component of that

is, is mindfulness, right?

Because a lot of times when we're
feeling stuck as human beings, there's

this feedback loop that happens, right?

And so the thoughts start
to get really automatic.

and so someone might be,
perseverating for 20, 30 minutes

before they even realize, right?

Because there's this sort of default loop
to I'm ing up, or whatever it is, right?

So that mindfulness piece really
slowing down and noticing, okay,

what's coming up right now?

what am I actually thinking?

And, taking a step back
and get it curious, with.

Absolute non-judgment about the,
narratives themselves, right?

Because thinking is something we all
do and our minds get really busy,

but being able to step back and
look at, okay, what's the narrative

there and how helpful is it?

and that's just a matter, in the
moment, just bringing curiosity

and non-judgment in the moment to,
What are my thoughts doing what's

happening in my body right now?

A lot of times.

emotional difficulty will show
up as physical sensation, right?

anxiety might show up as fluttering
in the chest, or, grief might show

up as, tightness in the throat.

So really allowing oneself to just
settle and connect with, okay, what's,

the somatic experience right now?

Am I, a lot of times.

When we slow down and do that, I
know for myself included, like I'll

realize, oh, my shoulders are up here.

I'm so tense.

And so I'll recognize like,
where am I holding on?

Where am I gripping?

And just to be able to
slow down and just notice.

So even that slowing down to notice is
a real act of self-compassion, right?

Because you're allowing yourself to see
okay, this is what the typical sort of

storyline is, and it takes practice.

Certainly, it's not something
that we do automatically.

but small moments of
practice throughout the day.

And I think that our emotions can be
a wonderful sort of cue as, to when

it would be helpful to practice.

because, when we get caught in a
really big wave of emotion, that's an

opportunity, we tend to, notice it, and
it may be that there's been a sort of

a self-critical narrative that's been
going on for the past 45 minutes, but

then there's this sort of big emotional
wave, and maybe that's the opportunity.

To pause and then more that there is
an opportunity to really make contact

with the internal landscape, again,
from a place of non-judgment, right?

So you don't have to give yourself
a hard time for, having negative

thoughts or whatever it is.

It's just just, you're just
noticing almost like you're

watching, characters on a TV screen.

And just seeing it, but seeing
what that does to your emotional

experience and, slowly making
those shifts towards self-kindness.

How might someone start building
these habits over time without,

it feeling oh boy, here's just
one more thing I need to manage.

Here's one more thing I'm not good at yet.

how do they start to build
this, these skills without it

feeling like just one more thing.

I think starting small
is really impactful.

You talked about that
one deep, mindful breath.

If you do that four times a day, it's
what, maybe nine seconds of your day, but

it's actually four seconds of your day
where you've actually intentionally said,

I'm gonna override my nervous system here.

I'm gonna take a deep belly
breath and send a strong signal

that, okay, I'm actually safe.

I'm, there's no threat here.

and, building on small things.

I think sometimes when, people think
about, okay, mindfulness or slowing

down, or noticing, internal narratives
or working with that, they think about,

okay, I have to sit down and meditate
for an hour and stop my thoughts.

and really it's just
about noticing, right?

So it's, the quality of
attention that we bring.

So it's showing up to the
moment as it is with kindness.

With curiosity, with non-judgment, right?

You don't have to necessarily
stop thinking about

all the thoughts that you're having.

You can just notice wow, look
at, where that screenplay went.

It, and just see it with curiosity and
recognizing, okay, this is just part

of the human experience, and that can
happen in just small moments, right?

dropping in, settling in, allowing
what's coming up and, not judging it.

I think curiosity is one of the most
valuable tools in diabetes and probably

life in general, so I love that.

I think so too.

Answer.

When someone does start
to shift how they respond.

They've worked on this, they've
built themselves up to a point

where they're responding maybe with
more self-compassion and awareness.

Talk about what difference
that might make for them over

time and what that looks like.

Yeah.

I think it goes back
to that sense of ease.

There's a, there's a capacity to
see the big picture here, right?

And, the capacity to see that,
okay, this particular blood sugar

number or this emotional difficulty,
this is a moment in time, right?

these are waves in the ocean, right?

and the person experiencing
them is actually the emotion

or the ocean itself, right?

not, there's a, capacity to
not necessarily be defined.

We're carried away by these sensations.

There's a, willingness to accept that,
okay, this is a, tough diabetes day,

and in this moment this is really hard.

And so I'm gonna breathe
in and, and, I'm okay.

it's in the grand scheme of things,
I can zoom out and recognize

that this is a tough moment,
not necessarily a tough life.

That's great.

if you were to, want someone who's
listening, maybe they're struggling with

the emotional side of diabetes, what's
one thing you would want them to remember

or take away from this conversation?

I'd want them to remember that
difficult emotions are normal,

they're not dangerous, and that
they're part of the human experience.

I want them to remember that it's
okay to have hard days that, that

they all have them and, there's this
aspect of self-compassion that speaks

to shared humanity and that's this
sense of in times of difficulty, we

often feel isolated or alone or oh,
that's is such a painful feeling.

I don't think others can relate, that
shared humanity piece calls for, its

sort of stepping back and recognizing it.

Okay.

this difficulty that I'm feeling.

Other people feel this too, right?

It's almost sort a sense of we're in this
together, same boat, again, normalizing

painful emotions is just part of being
human and actually something that

connects you to other human beings.

I think also, letting them know, I'd want
them to remember that, hard days don't

define their value as a human being.

Tricky blood sugar numbers don't reflect
their effort or their self-efficacy.

They're part of the journey
and be kind to themselves.

I can't emphasize self-kindness enough.

That's my, yeah.

My favorite thing to
talk about, one of them.

I love that.

and just talking with you, just you
radiate this, self-kindness, about you.

So I, it makes me feel more kind to
myself, just spending time with you.

Thank you, Scott.

Yeah.

Kathryn, thank you so much for
taking time to talk with us today.

I really appreciate it and I am quite
sure that, someone out there listening

really needed to hear this today.

So thank you.

Wonderful.

Thank you so much for having me.

Thanks so much for listening today.

One thing that really stood out
to me in this conversation is that

emotional resilience isn't about
getting it right all the time.

It's really more about how we
respond and how we talk to ourselves

when things don't go as planned.

If this conversation was helpful,
consider sharing it with someone

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

Until then, keep living well with T 1D.