I sit down with Josiah Dykstra—a cybersecurity expert who spent nearly two decades at the NSA and has lived with type 1 diabetes for over 30 years—to explore what diabetes management looks like inside some of the most locked-down buildings in the world. We talk about what happens when your phone, smartwatch, and even certain medical devices are banned; why a standalone Dexcom receiver became essential for his T1D care; and how government security teams decide which pumps, CGMs, pacemakers, and hearing aids are safe enough to enter classified spaces. Josiah opens up about his long-standing fears around pump hacking, why early insulin pump vulnerabilities shook the cybersecurity world, how risk decisions are made at the highest levels, and what finally convinced him to consider automated insulin delivery. We also dig into FDA regulation, the evolving state of medical device cybersecurity, and what all of this means for the future of diabetes tech.

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care.

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