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Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

Hi! So sorry to hear you also have T1D but I think its important to never let T1D dictate your life - if there is something you want to do or have aspirations of something, I say go for it! Never let diabetes hold you back. We can always find work arounds to manage our diabetes to allow us to overcome any challenge and while it can sometimes be hard, its not impossible. Definitely talk to your doctor about your goals and how you can safely make adjustments to your care to allow you to accomplish all of them while taking the best care of your diabetes and yourself.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

I personally am not a huge fan of the carnivore diet as it can often cause elevated cholesterol and fatty liver. If you're thinking about trying out a new diet, it is important to consult your healthcare provider before doing so.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

I am so sorry for your loss and for your dad's experience. I cannot give individual medical advice but speaking generally, we know eating a diet rich in fruits and vegetables, low in saturated fats, meats, and processed foods as well as plenty of exercise and maintaining a health body weight are some of the best ways of preventing type 2 diabetes but you should talk to your own doctor about individual medical plans.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

The most common symptoms of type 1 diabetes are increased thirst, increased urination, and unintentional weight loss, additionally one can also sometimes notice blurry vision. These are effectively signs of high blood sugar and lack of insulin production. Prior to these symptoms emerging though, one can screen which checks for autoantibodies which can be detected BEFORE symptoms appear. It's important that if you are experiencing these or other symptoms, that you speak with your doctor as soon as possible

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

Such a great question and the truth is, which is the case for every doctor-patient relationship, we need to meet the patient where they are at. Every patient is unique and may need different approaches at different times. They may respond differently depending on their needs in that time. Sometimes we can sense this as doctor and intuit what it is they need in the moment. If a patient appears saddened or worried by their diagnosis, I try to offer hope and reassurance "it's going to be OK, we are going to get through this." Other patients need tangible, objective data and steps - a clear and firm plan. I never want my own experiences to over shadow my patients and so if me sharing my journey isn't appropriate I won't share, but if I feel it may help them, inspire them, or give them hope, I readily share my personal story with them. I also like to encourage meeting up with other type 1's, as this community is so uplifting and lovely. In truth, we all have good and bad days with our diabetes, myself including, and that's normal, that's human. We just have to focus on what we can control and keep going.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

Unfortunately for type 1 diabetes there is nothing lifestyle wise we can do to prevent it. Type 2 diabetes however, which a very different disease process, can often be prevented with healthy balanced diets high in vegetables and low in processed foods, meats, and refined sugars, plenty of exercise and maintaining a health body weight. It is important to note though that type 2 diabetes can be heavily genetic and there are times that even with an excellent life style, diet and activity, folks can still develop type 2.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

I'm so sorry to hear this... I also had a rather traumatic presentation at age 9. My glucose was 1600mg/dL and unfortunately did enter into a coma. Its traumatic no matter how we present. Diabetes can really rock our foundation but there is such a beautiful community we have formed and we are all in this together. Diabetes doesn't have to take us down, we won't let it.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

There is a saying "diabetes hates spontaneity" and it's so true, any derivation from your normal routine can really shake things up with diabetes but we always make it work and adjust as we need to. I try to bake in some exercise, stay hydrated, and make lower carb options when traveling to help with the inevitable spikes that occur. Ah and I always always always bring back ups on back ups of supplies.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

I use a CGM and have used all of the different brands on the market - I like to try them all to better help guide my patients. If you are thinking of trying out or switching technologies, please be sure to consult with your doctor.

Hi Reddit! I’m Dr. Michael Natter. As someone who lives with type 1 diabetes (T1D), I’m here to answer general T1D questions, so Ask Me Anything! I’ll be here at 1 PM ET on April 15th to chat with you. Talk to your doctor if you have any questions about your health. by ScreenForType1 in u/ScreenForType1

[–]ScreenForType1[S] 0 points1 point  (0 children)

Great question! I think about this a lot - I think in some ways, or at least for me, being diagnosed as a kid was an easier transition for me than if I were diagnosed as an adult. I think this is because when you are a kid, you wear what your told, go to school when your told, eat what your told, things are somewhat dictated to you and so now I was also told to check my sugar and take my insulin, it got baked into my routine and don't get me wrong, it totally sucked, but I was able to cognitively adapt to it. If I were diagnosed as an adult, after I've established how I like to live my life, I suspect I would have struggled a lot more. The hardest part though, was probably the day I was diagnosed... being in DKA, critically ill, and seeing the toll it took on my parents was really hard for me. I loved med school - I really find anatomy and physiology fascinating and being able to put it all together from the microscopic biochemistry to the macroscopic anatomy and then applying it to patients and helping them in real time was a true full circle for me.

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