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It is manageable so don't worry too much. It takes a toll on the body a lot like accelerated aging. Just take your meds. Eat as close to guidelines as you can. Soluble fiber like in legumes is a big help. Or just down some Metamucil regularly. Peanut butter can help stabilize your blood sugar if it gets too low or high. Keep some candy or glucose tabs on you for emergencies. And Def protect your senses like eyes and ears.