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The Healthy Diabetic

Coach Ken Kniss

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Welcome to The healthy Diabetic Podcast, each week I talk about how to navigate the complexities of diabetes. I interview doctors, Endo's, dietitians, CDE's, technology leaders, caregivers, and of course anybody who is affected by diabetes. This show is for you if you're looking for safe, educational, and engaging conversations. I promise to brighten your day, and you'll be sure to leave educated, supported, and guided on your way to a healthier and happier life with diabetes. Remember, your ...
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Some Work, All Play

David Roche and Megan Roche

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Five to ten topics, sometimes about running, with lots of love and enthusiasm and science. We dig deep into training, races, studies, pop culture, and much more! With Megan Roche, M.D. and David Roche!
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Go Un-Pro

Brent W. Laartz

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Go Un-Pro with Dr. Brent W. Laartz, MD FIDSA: Living an Unprocessed Life for Longevity and Healthspan Have you ever known that something is SO good for you that you just can't wait, but life gets in front of you and prevents you from doing it? The inaction and procrastination could occur for a variety of reasons, and we will delve into my motivations and affirmations of a healthy life from this day forward. I am starting this series of videos and articles so that I can be accountable to myse ...
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We thought deeply about the societal implications of Paw Patrol before this amazing episode! The main science discussion involved a pair of strange, counter-intuitive wrinkles of physiology. The first was the sometimes paradoxical finding of higher hemoglobin A1c in many elite athletes. The second involved a new paper addressing a connection betwee…
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On Saturday, Megan broke a 15-year-old course record at Quad Dipsea! This episode shares everything about the journey in a “no secrets” style. The record was set by Caren Spore in 2010, back when Megan was playing field hockey and her biggest runs were wind-sprints. Years later, when Megan was in medical school in the Bay Area, the Quad became a bu…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In this powerful episode, I sit down with Adriana Wright, who was diagnosed with Type 1 diabetes at just four years old and has now lived with T1D for nearly 35 years. Her story begins in the early 1990s — the “dark ages” of diabetes c…
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Speaker-Organized Summary: Key Points, Decisions, and Next Steps Dr. Brent Lartz Key Points and Decisions: Acknowledged the difficulty of staying motivated during the holidays, but emphasized the importance of maintaining a healthy lifestyle. Discussed the concept of "holiday heart" and the negative impacts of overconsumption of unhealthy foods and…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I break down one of the biggest debates in Type 1 diabetes: Insulin Pump vs. MDI. But instead of comparing the features, tech, and tools — I flip the discussion completely. Because it’s not really about which method…
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We got way too invested in dog food models before this amazing episode! The main topic was a new study on passive heat training (like the hot tub or sauna) that acts as a missing link between theory and real-world proof. The study found that 5 weeks of hot tub training increases hemoglobin mass and VO2 max, which coincides with improved running eco…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit down with Brooke Lee. Brooke was diagnosed with T1D as a baby and if that isn't crazy her sugar was almost 1000. We talked about her time growing up with T1D and the trials she has faced living with diabetes a…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In this episode, I break down one of the most overlooked emotional challenges in T1D: the progression toward burnout. Using a clear, step-by-step hierarchy, I explain how confusion, overwhelm, fear, and distrust build on each other — a…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I breakdown the five essential lessons that every person living with Type 1 diabetes must master — lessons you won’t learn in your doctor’s office. Drawing from nearly two decades of personal experience, thousands o…
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Key Points & Decisions: Continuing the "Go Unpro" journey to an unprocessed life, building on progress from Week 1 Focusing on the 4 pillars of longevity: diet, exercise, sleep, and social connection Instituting a low-sugar, high-fiber, mostly plant-based diet Avoiding processed foods, plastic containers, and seed oils Implementing time-restricted …
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We chocolatized our life before this amazing episode! The main topic was a new study on elite marathoners measuring responses to different carb intakes, finding a 2.6% lower oxygen cost at 120 grams per hour compared to 60 grams per hour. It showed massive carb oxidation rates at high outputs. In 10 years, we might look back on this study as a game…
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We stretched the ketones-as-robot-butt metaphor to its limits for this awesome episode! The main topic was a new study measuring fatigue resistance in marathons. Athletes completed lab tests prior to a marathon, with final results correlating with different attributes. Unfortunately, the athletes weren’t fueling during the protocol. What is this, 2…
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In this first episode of Sunday Science, we explore a few articles showing the carcinogenic potential of a strain of E coli (pks+ or colibactin-producing) that produces a DNA mutational toxin. Evidence from the discussed articles shows that this bacteria could be responsible for a high percentage of early onset (under age 50) colorectal cancer (CRC…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In this heartfelt episode, I sit down with Sara Jacklin, a mom whose son Mitchell was diagnosed with Type 1 diabetes at nine years old. Sara shares the family’s incredible journey — from early signs and diagnosis during the holidays, t…
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This weekend, we stepped into the fire at the Javelina 100 Mile to chase a golden ticket back to the Western States 100. This episode is the full story of the race, which ended with a golden ticket in 2nd place (behind Will Murray’s astounding course record), 27 minutes faster than last year’s win. The main discussion is about why the golden ticket…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I talk about the importance of mental health on blood sugar stability. Every person living with diabetes has dealt with challenges within their mental health. But do you know how to navigate these complex feelings a…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In this episode, I sit down once again with returning guest and college athlete Jaci Carpenter for an honest conversation about the realities of navigating diabetes care as a young adult. From frustrating endocrinology visits and infla…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit down with Jax & his mother Ashley, who share their candid and heartfelt journey of living with type 1 diabetes. Jax & Ashley open up about the mental, emotional, and physical challenges of managing T1D, the im…
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We loved recording this episode! The main topic was the article that rocked the athletic world last week, which asserted that many protein powders had unsafe amounts of lead contamination. We broke down the numbers to reach a much more nuanced conclusion that should help you feel better about it all. And that led to a broader discussion on the peri…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. Exercise is one of the most powerful tools we have for managing blood sugar—but it can also be one of the most frustrating. In this solo episode, Coach Ken continues the 42 Factors That Affect Blood Sugar series with Part 6: External T…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit down with Erika Buenaflor. Erika is a speech pathologist and group fitness instructor who was misdiagnosed with type 2 diabetes in 2018 and properly diagnosed with type 1 in 2021. She’s been adapting to her di…
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We had so much fun with this episode (probably because it was a break from potty training)! The main topic was a study that found a correlation between energy availability and performance across a season in collegiate runners. It was a powerful, objective look about what happens when the body is underfueled. You know it’s a good study when it makes…
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Our watches gave us some harsh (but necessary) feedback before this amazing episode! The main science topics were quick hitter studies on massive one-time Vitamin D intake, short-term heat acclimation protocols, and sodium bicarb. If you combine all of the protocols at once, that’s what we call a PARTY. We also talked about the World Trail Champs, …
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The documentary “Nothing To Lose” is out today, telling the behind-the-scenes story of the 2025 Leadville 100! And we thought it was a great time to try something new. In this episode, we do a rewatch, providing commentary and hot takes throughout. You can listen to this episode as a standalone good-vibes celebration. OR, you can watch the document…
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We had such a blast recording this great episode! The main science topic was a new study on improving fatigue resistance, which performance-matched athletes with different training approaches to see what led to better outcomes. The conclusion is a direct prescription for athletes looking to have better endurance. Being who we are, we throw some sci…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit down with Jeffery Miglicco (CEO), Omar Almidani and (Co-Founder), and from PureWay, a company leading the charge in safe sharps disposal and recycling solutions. Together, we explore: Why proper disposal of sy…
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Megan ran 8:21:51 to win the Run Rabbit Run 50 Mile, in one of the fastest times ever! This episode is a celebration of a wild and unexpected journey. She had only done one 50-mile race before, back in 2017. Then there was a heart issue, a hamstring surgery, pregnancy with Leo and Ollie, and so much more that the world will never see. She kept show…
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We had a shocking change of feelings about shockingly ugly shoes before this amazing episode! The main topic was a pair of studies on energy expenditure and replenishment. The first was a case study that found massive energy needs beyond base metabolic rate for a full week after an ultra. We zoom out to discuss what that could mean for energy needs…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In this inspiring episode, I sit down with twin sisters Lisa and Lindsay Rusch, both living with type 1 diabetes, alongside their older brother who also has T1D. Beyond their personal diabetes journeys, the sisters are co-owners of Bre…
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We loaded up on sympathy baguettes for UTMB racers before recording this great episode! The main topic was digesting everything from UTMB week, including Jim Walmsley reinforcing his GOAT status, Courtney Dauwalter reinforcing hers, the coolest coaching story ever from Scott Johnston (who coached Ruth Croft and Tom Evans to UTMB wins), training tak…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit down with Mark Brezzel T1D author and clinician who shares his powerful story of diagnosis, the mental and physical challenges he faced, and how his faith and passion for fitness shaped his outlook. We discuss…
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This was one of the most fun episodes ever, answering all the questions on the science and vibes of the Leadville CR! As always, we didn’t hold back with any secrets... sometimes to a fault. Before that, we reviewed a new study abstract on colon cancer risk in runners, which could have implications for routine screening recommendations. We will kee…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. Cecily Lopez is a wellness advocate, visual storyteller, and the founder of Trinity Grace Photography, LLC. She has been living with Type 1 diabetes for nearly nine years, and a few years into that journey was also diagnosed with thyro…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. What’s it like to be newly diagnosed with Type 1 diabetes as an adult? In this episode, I talk with Jessica Barber, who was diagnosed in February 2024. Jessica opens up about what the first year of life with T1D has been like, how she’…
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New course record at the Leadville 100 Miler in 15:12:30, 14 minutes ahead of last year. What just happened?! We are still processing it all, and this episode shares every detail while it’s all fresh in our sleep-deprived minds. 2 weeks ago, David said there was zero chance that he was going to race Leadville. He was still processing the very publi…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. What does it look like to fully own your story with Type 1 diabetes and stop letting the condition define you? In this episode, I sit down with Rob Howe—former professional basketball player, creator of Diabetics Doing Things, and pass…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. What does it take to climb some of the world’s tallest peaks while managing Type 1 diabetes? In this episode, I sit down with mountaineer and T1D veteran Luis Freitas, who has lived with diabetes since the age of two. Luis shares the h…
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We conquered the WOOHOO yips before this amazing episode! The main science topic was on a new study that examined the causes of injuries in a 5205-athlete sample. The headline finding was relatively intuitive, but the sub-finding was so shocking that we are still picking our jaws up off the floor. We break it down and discuss how it may clarify tra…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I welcome back Andrew Thomas. Andrew is a firefighter in the great state of Indiana and also lives with Type 1 Diabetes (T1D). In his first appearance on the show (#271), we discussed his experiences living with dia…
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We luxuriated in vending machine cookies before this great episode! We started by talking about Megan's first race in 1.5 years. She HAD A DAY, and we share a celebration of the winding road to get here. We also talked about the USA Track Championships, which might have been the most surprising (and drama-filled) track meet we have ever seen. There…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In today's episode, I sit back down with my good friend and Diabuddy Graham Hubbard. Wow, the last two episode with Graham have been FIRE! In today's episode we talk about... The 42 Factors that Affect Glucose Why Dexcom is the best Di…
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Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode. In the last episode with Ross, we discussed Ross's journey with T1D and how he's been able to overcome a wide range of challenges without much support from his medical team. In this episode, we took a different direction and talked abo…
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