What Life With T1D is Really Like
- Emily Simeone
- Nov 14, 2025
- 3 min read
Type 1 diabetes is:

Checking my blood sugars every minute of the day to make sure I’m staying in range and not going too high or too low.
Trying to catch and make corrections before my blood sugars go too high or too low.
Knowing that if I don’t keep my blood sugars under control, in the long term, I risk health problems like heart issues, kidney issues, stomach issues, and neurological issues, such as ultimately losing my feet due to neuropathy.
Waking up in the middle of the night to check my monitor or prick my finger to make sure my blood sugars are not too high or too low.
Feeling guilty that my disease causes stress for the people I love.
Having FAITH that if I do my best and stay diligent, I will survive the minute, the hour, the day, and the night.
Having to do math when my brain isn’t working because my blood sugars are too high or too low.
Obsessing about keeping my A1C below 6.0.
Exercising every day to keep my blood sugars in range and my A1C below 6.0.
Accepting that if a storm comes in, my hormones fluctuate, or I get sick, my blood sugars will likely become very hard to control.
Accepting that sometimes my blood sugars will drop too low or go too high for no explainable reason at all.
Figuring out how to keep sugar in me when I am throwing up and can’t keep anything down, and my blood sugars are dropping.
Fighting to make sense in a conversation when my blood sugars are off and my brain isn’t working correctly.
Celebrating the rare and short-lived moments of clarity when my blood sugar is in the optimum range and my thinking and energy feel “normal”.
Never feeling bad or sorry for myself when I eat something that sends my blood sugars soaring for hours.
Controlling my emotions when my blood sugars go too high or too low and I feel awful, and just want to cry or scream because I did everything I could to prevent it, and it happened anyway.
Watching others eat anything they want, any time they want, and being ok knowing I can’t do that anymore if I want to live a long, healthy life for my family and for myself.
Going to sleep having faith that my CGM will alert me if my blood sugars go so low that I risk not waking up.
Relying on my partner and sometimes my children to save me if my blood sugars drop too low in the middle of the night and I begin to seize.
Feeling SO GRATEFUL and LUCKY to have a partner and children who are vigilant enough (and love me enough) to catch the low in the middle of the night, and SAVE MY LIFE!
THEN feeling guilty about the stress this puts on my partner and children, who know they may be the ones who have to save my life at any given time.
Feeling BLESSED that I naturally stay positive and NEVER feel sorry for myself for having to fight this disease.
Waking up each morning and starting all over again, grateful to have been given another day to live, experience, and appreciate every minute of this beautiful life I get to have.

Please comment on what this disease is to you. Whether you live with type 1 diabetes or are a partner, parent, or child to someone who does.
Let’s open a dialogue!



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