Managing diabetes on the job

From safetyandhealthmagazine.com

Advice for workers and employers

The decision to tell people at work that you’ve got a medical condition can be a difficult one.

For workers with diabetes, a condition that requires regular monitoring, fear of “being judged” may lead them to say nothing to supervisors or co-workers, says Kathy Utter, director of health and safety for the Midwest Region Laborers’ Health and Safety Fund.

“Some people view diabetes as a poor lifestyle, which is a very common misconception,” Utter said. “That stigma can make people not want to reach out for help.” 

Diabetes is a chronic condition in which the body doesn’t produce enough insulin – or any at all. Insulin, the hormone made by the pancreas, helps move glucose from the bloodstream into the cells for energy. Without sufficient insulin, glucose remains in the blood instead of entering the cells.

The Centers for Disease Control and Prevention estimates that 38.4 million people in the United States (about 12% of the population) have diabetes. 

Managing the condition can lower the risk of developing related health issues, such as damage to the heart, eyes, kidneys or nerves, as well as some types of cancer, according to the National Institutes of Health.

“If you’re not telling people about it, that makes it harder to manage your diabetes,” Utter said.

                                                                                  Photo: New Saetiew/gettyimages

Signs and symptoms

Diabetes symptoms can vary, so making sure colleagues know about them can help keep everyone safe at work. 

“A person has to advocate for themselves when they’re living with diabetes,” Utter said. “They need to let their HR, their managers and their colleagues know. Speak out and educate others, not just your family, your friends, your community, but also your workplace.” 

When workers with diabetes have high glucose (blood sugar) levels – known as hyperglycaemia – they may experience frequent urination, drowsiness, thirst, shortness of breath, and nausea and vomiting.

On the other hand, hypoglycaemia (low blood sugar) can result in symptoms such as sudden dizziness, shakiness, mood change, headache, confusion, sweating and pale skin (depending on the person’s skin colour). 

To help prevent the onset of symptoms, planning for the workday is a necessity – especially for those who work in unique settings such as a remote location or confined space, or who spend their days on the road. That plan may include taking a cooler with snacks and medications to the jobsite, along with a monitor and test strips. Physical activity required for various tasks can also affect a diabetic’s blood sugar levels. 

“Every day you’ve got to be thinking, ‘What am I doing and what do I need to manage my diabetes?’” Utter said. 

Tips for employers 

Supportive employers and managers can help spread knowledge and awareness of diabetes through education and training. 

Formal education can involve first aid training from organizations such as the National Safety Council or a local community group. 

Informal training, meanwhile, can include toolbox talks or safety talks. 

“It’s critical to have that training,” Utter said. “You learn those signs and symptoms and what to do. It lets employees know about diabetes and does help reduce that stigma.”

CDC says employers who are more aware of diabetes can “maximize” worker health, and it may require only small adjustments.

Reasonable accommodations – many costing little to nothing, according to the American Diabetes Association – include: 

• Breaks to check glucose levels, eat a snack, take medication or use the bathroom
• A place to rest until glucose levels return to normal
• The ability to keep diabetes supplies and food nearby
• Being allowed to test glucose levels and inject insulin anywhere at work, including a private place, if requested 
• Working a modified or standard schedule instead of a swing shift
• Permission to use a chair or stool for workers with diabetic neuropathy, a nerve disorder
• Larger computer monitors or other assistive devices for workers with diabetic retinopathy, a vision disorder

Utter added that HR teams can assist by ensuring employer health insurance plans include a diabetes management program, along with coverage for glucose monitors, test strips and medications. 

A shared responsibility

For anyone facing the idea of disclosing a diabetes diagnosis, “it’s normal to have emotional strain or stress, anxiety,” Utter said. 

But having multiple resources can make managing the disease easier. 

“It’s going to help you with not only the management of your condition, but make you feel better about your mental health too,” Utter said.

Most importantly, she added, sharing a diabetes diagnosis at work can enhance the employee’s safety and the safety of others.

“Everybody has a part to play to make that individual safe at work and to make other people safe as well.” 

https://www.safetyandhealthmagazine.com/articles/27661-managing-diabetes-on-the-job

How Nick Jonas' Diabetes Management Has Changed Over 20 Years

From healthline.com

• Lead singer Nick Jonas has been living with type 1 diabetes for 20 years.
• The Jonas Brothers band “JONAS20: Greetings from Your Hometown Tour” celebrates its 20th anniversary alongside Nick Jonas’s 20-year journey with diabetes.
• Nick Jonas shares how both milestones have impacted his life and how he uses his music to raise awareness for type 1 diabetes.

This year, the number 20 holds special significance for iconic singer Nick Jonas.

As the Jonas Brothers celebrate their 20th year as a band, 2025 also marks 20 years since their lead singer’s type 1 diabetes diagnosis.

“It’s crazy how it lined up,” Jonas told Healthline. “It’s been a wild journey in both… in the Brothers sense, it’s been the ride of a lifetime, and we’ve been so fortunate to be able to do this for 20 years now and to have the support of the world’s greatest fans.”

Parallel to the band’s experience over the last two decades, he said he has had great and tough moments living with diabetes. The struggles of managing his condition have been the lows, while advocating and connecting with others as a spokesperson for Dexcom and through his non-profit, Beyond Type 1, have brought him joy.

“Overall, I’m really grateful to have been able to be transparent about [type 1] and to connect with all these wonderful people from all regions of the world who are experiencing their own diabetes journey, and it’s a really big thing to feel like you’re a little less alone in it,” said Jonas.

Nick Jonas’ A1C shoutout to fans

To thank his fans, on World Diabetes Day (November 14), he took to the stage during a Jonas Brothers concert and surprised his audience by sharing an inspiring message of hope, accompanied by a shout-out to his A1C.

“My A1C, which is a collection of numbers over a three-month period, was the best it’s ever been, actually, most recently,” said Jonas.

The show was attended by members of the Dexcom Warrior community — a group of more than 30,000 people globally who share their experiences with diabetes to help spread a message of strength, perseverance, and optimism.

“It was really special for me to get to use the Jonas Brothers’ platform as a place to speak about something that’s obviously very personal to me and on World Diabetes Day, I think it’s natural to get reflective and to tap into kind of what life looks like for me as a now 33-year-old person living with this disease,” he said.

Jonas dedicated the song “A Little Bit Longer” — a tune he wrote early in his career and diabetes journey, to those living with the disease.

“It’s a really important time for me to get to speak on stage like that and play a song that I wrote about these experiences when I was 14 and to see the impact it still has to this day with the fan base,” he said.

While the song has taken on a new meaning for him as an adult, he said it is still relevant.

“Now I [have] this great, big community that I belong to that has lifted me up in so many different moments. I think my outlook is perhaps a lot more positive now. It is possible to live a big, busy life while living with this disease and outlook and perspective and all that is an important piece to powering through.”

As the Jonas Brothers celebrate their 20th year as a band, it’s also been 20 years since Nick Jonas’ type 1 diabetes diagnosis. Photo courtesy of Dexcom

Advancements in type 1 diabetes

Not long ago, life with type 1 diabetes meant more than five insulin injections a day and finger sticks 10 or more times daily. This was a constant cycle of needles, guesswork, and vigilance, said Victoria Finn, MD, board certified endocrinologist with Medical Offices of Manhattan and Labfinder.com contributor.

“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became lighter and smarter, and eventually learned to ‘talk’ with the glucose monitors,” Finn told Healthline.

“Algorithms began adjusting insulin automatically, creating hybrid ‘artificial pancreas’ systems that lift some of the mental burden people with type 1 carry every day.”

Jonas is impressed with how far technology has improved since he was first diagnosed.

“The fact that I can receive real time readings of my glucose straight to my phone or smart watch or it can be [shared with] my wife or other family members who I’m traveling away from that’s just an amazing thing,” he said.

In addition to technology, new treatments aimed at managing diabetes and slowing or altering the disease itself are in development.

“The first immune-therapy capable of delaying type 1’s onset was approved, and research into preserving or even replacing the body’s insulin-producing cells gained real momentum. In labs around the world, scientists are growing stem-cell–derived pancreatic beta cells and experimenting with ways to protect them from immune attack,” said Finn.

“Smart insulin” is also being engineered to activate only when blood sugar rises, promising a future where insulin works as intuitively as the body once did.

“More advancements will absolutely continue to develop. We’re no longer just improving tools; we’re getting closer to changing the disease itself,” Finn said.

However, while Sean Oser, MD, a family physician and member of the American Academy of Family Physicians, agrees that further advancements will continue to develop, he notes that managing type 1 diabetes remains an intensive undertaking — physically, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more attention to talking about and helping with the burdens and the demands of living with and managing T1D. We need far more of that, too,” he told Healthline.

Jonas turns to self-care to manage his diabetes

In addition to medication and technology, Jonas shared some strategies he leans on to manage his diabetes.

First, he said he learned to take pressure off himself.

“You’re never going to have the perfect day living with this disease and even if you’re super on top of your diabetes management, there are just things that are a little out of your control and being able to take a deep breath, reset, and know that it’s going to be OK on the other side is really important,” he said.

While this is hard to do at times, he said he learned to practice this early during his diagnosis.

Recently, he has focused on taking vitamins, caring for his skin, and staying hydrated.

“It’s a simple thing, but the more water I drink, my glucose levels are better. I don’t know exactly why, but I just find that hydrating has a lot of health benefits,” said Jonas. “I didn’t put as much focus on it earlier in my life as I do now, and it’s been really beneficial.”

He also walks daily for 30 minutes or longer for his physical, mental, and emotional health.

“It really centers me and even when it’s cold out, getting out in the fresh air is really important when a lot of my day too, is spent indoors for hours at venue or on a film set or something,” he said.

He leans on his therapist regularly, too.

“I think it’s really important to do that self-work,” Jonas said.

Most of all, he encourages everyone living with type 1 diabetes to take part in the diabetes community.

“There will be good days, there will be tough days, but you can climb this mountain, and there’s some incredible people out there whose stories will really inspire anybody that’s going through tough moments,” said Jonas.

https://www.healthline.com/health-news/nick-jonas-type-1-diabetes-disease-management-20-years-later

Sleep and Diabetes: Why the 2025 Guidelines Say It’s Time to Prioritize Rest

From diabetesincontrol.com

Sleep and diabetes are more connected than ever before. According to the newly released 2025 guidelines, sleep has officially joined nutrition and exercise as a core pillar of cardiometabolic health. Why? Because science shows that poor sleep isn’t just tiring — it can directly impact blood sugar levels, insulin resistance, and diabetes management. This article explores the critical link between sleep and diabetes, offering insights into the physiology, practical screening tools for clinical visits, and realistic ways to support healthier sleep in patients living with diabetes.

Why Sleep Matters for Diabetes

Traditionally, diabetes care has focused on diet, physical activity, and medications. But new research reveals that sleep plays an equally important role. In fact, consistently poor sleep is linked to higher blood sugar, increased insulin resistance, and higher HbA1c levels. Patients who struggle with sleep often have more trouble maintaining stable glucose levels and experience more diabetes-related complications.

Additionally, sleep disorders like obstructive sleep apnoea (OSA) are especially common in people with type 2 diabetes. Left untreated, OSA can worsen insulin resistance and elevate cardiovascular risk. Recognizing and addressing sleep issues can significantly improve overall diabetes outcomes.

How Sleep Affects Glucose and Hormones

Sleep deprivation disrupts the balance of key metabolic hormones. Elevated cortisol from short or poor sleep raises blood sugar levels. At the same time, disrupted sleep interferes with insulin’s effectiveness and increases appetite by altering leptin and ghrelin levels. These changes drive cravings, promote overeating, and raise diabetes risk.

Even sleep timing matters. Shift workers and those with irregular schedules are more likely to experience circadian misalignment, which impairs glucose metabolism. Simply put, both the amount and timing of sleep directly influence blood sugar and long-term diabetes health.

Simple Sleep Screening in Clinical Visits

Adding sleep assessments to diabetes care doesn’t require complex tools. Clinicians can begin with four straightforward questions:

• How many hours do you typically sleep per night?
• Do you have difficulty falling or staying asleep?
• Do you feel sleepy during the day or fall asleep unintentionally?
• Do you snore, gasp, or stop breathing during sleep?

Patients reporting less than 7 hours of sleep, daytime fatigue, or loud snoring may benefit from further evaluation. Consider using tools like the Epworth Sleepiness Scale or referring for a sleep study when needed.

Evidence‑Based Sleep Interventions

Improving sleep in patients with diabetes starts with simple behavioural strategies. Encourage these evidence-based techniques:

• Stick to consistent sleep and wake times, even on weekends.
• Reduce evening screen time to avoid blue light exposure.
• Make the bedroom quiet, dark, and cool.
• Avoid heavy meals, caffeine, and alcohol before bed.

For insomnia, Cognitive Behavioural Therapy for Insomnia (CBT-I) has shown strong results. If sleep apnoea is suspected, referral for CPAP therapy may improve both sleep quality and glycaemic control. Modest sleep improvements can produce measurable metabolic benefits.

Practical Tips for Patients

Here are simple, actionable tips to share with patients looking to improve their sleep and diabetes outcomes:

• Schedule it: Set a fixed bedtime and wake-up time.
• Wind down: Develop a 30-minute bedtime routine to signal rest.
• Light control: Dim lights at night and get bright light exposure in the morning.
• Monitor overnight glucose: Especially if night-time awakenings are common.
• Track sleep patterns: Encourage use of wearables or sleep diaries.

Conclusion

Sleep and diabetes management are deeply intertwined. The 2025 guidelines reinforce sleep as a critical factor in achieving better glycaemic control and improving patient outcomes. From screening to simple interventions, clinicians can make a big impact by asking a few extra questions during routine visits. It’s time to treat sleep with the same clinical attention we give to diet and exercise—it’s essential, not optional.

Frequently Asked Questions

What is the ideal amount of sleep for someone with diabetes?
Adults with diabetes should aim for 7–9 hours of quality sleep each night to support glucose regulation and metabolic health.

Can lack of sleep raise blood sugar levels?
Yes, inadequate or disrupted sleep can increase cortisol and impair insulin sensitivity, leading to higher blood sugar.

Is sleep apnoea common in diabetes?
Very. Up to 50% of people with type 2 diabetes may have undiagnosed sleep apnoea, which can worsen blood sugar control if left untreated.

Are sleep medications safe for diabetics?
They may be used in specific situations but should not be the first-line treatment. Behavioural strategies are generally preferred.

How quickly can sleep improvements help blood sugar?
Some benefits appear within days, while changes in HbA1c and insulin sensitivity may take weeks to months.

This content is not medical advice. For any health issues, always consult a healthcare professional. In an emergency, call 911 or your local emergency services.

https://www.diabetesincontrol.com/sleep-and-diabetes-prioritize-rest-2025-guidelines/

8 Ways Diabetes Can Raise Your Heart Attack Risk—and How to Lower It

From verywellhealth.com

Type 2 diabetes is closely linked to heart health. When left unmanaged, it can lead to a higher risk of cardiovascular-related events, such as a heart attack or stroke. However, knowing how diabetes affects your risk can help you take proactive steps to protect your heart.

                                             Having diabetes can increase your risk of certain heart problems.  Halfpoint Images / Getty Images

1. Damages Blood Vessels

Having high blood sugar over time can cause damage to the blood vessels, as well as the nerves that regulate your heart and blood vessels. Over time, this damage can cause heart disease, raising your risk of heart attack and stroke.

The good news: Keeping your blood sugar within your target range as much as possible can help protect your blood vessels and reduce your risk of heart disease.

2. Causes Inflammation In the Body

Diabetes is associated with inflammation throughout the body. Having this inflammation for a long time starts to cause damage in the blood vessels, which makes it more likely for plaque to build up. Over time, the plaque becomes hardened, causing the arteries to narrow. This affects blood flow to the heart and other organs.

You can manage inflammation by controlling your blood sugar, making lifestyle changes, and taking your medications as directed.

3. Raises Blood Pressure

Diabetes causes kidney scarring, which leads to salt and water retention and eventual high blood pressure (hypertension). Blood vessel damage, as mentioned above, also contributes to high blood pressure.

People who have both diabetes and hypertension (high blood pressure) have about twice the risk of heart attack and stroke, when compared to people who have high blood pressure but do not have diabetes.

You can take steps to control your blood pressure by following a healthy diet with limited salt, exercising regularly, and taking your blood pressure medication as prescribed.

4. Causes High Cholesterol

Having diabetes can lower your high-density lipoprotein (HDL) or "good" cholesterol and increase your low-density lipoprotein (LDL) or "bad" cholesterol and triglycerides. This is called diabetic dyslipidemia, and it raises your risk of heart disease and stroke. Studies have found that this can even occur before an official diagnosis of diabetes.

Talk to your healthcare provider about steps you can take to control your cholesterol levels, such as dietary changes, increased exercise, and taking cholesterol-lowering medication.

5. Increases Risk of Obesity

About 86% of people with type 2 diabetes have obesity or are overweight. Having obesity is a risk factor for ischemic heart disease. This happens when arteries narrow and reduce the movement of blood and oxygen to the heart. This can lead to a heart attack.

Losing 5% to 10% of body weight can significantly improve heart health. Talk to your healthcare provider about ways to accomplish this goal, such as through dietary changes, exercise, and possibly medication.

6. Can Damage the Kidneys

Kidney damage is one of the long-term complications of diabetes. Having high blood sugar for an extended period can lead to damage to the blood vessels and other small structures in the kidneys, as well as kidney failure. People with diabetes and high blood pressure can also have kidney damage, as mentioned above.

Having kidney disease increases your risk of heart disease, and vice versa.

You can take steps to protect your kidney health by keeping your blood sugar under control, managing protein intake, and taking medications that help manage your blood pressure. Talk to your healthcare provider about your options.

7. Increases the Risk of Blood Clots

People with diabetes are more likely to have heart disease and blood clots, which can increase the risk of heart attack and stroke. Up to 80% of people with diabetes are considered at risk of dying due to a clot-related cause, such as deep vein thrombosis (DVT) or pulmonary embolism (PE).

There are ways to reduce your risk of blood clots if you have diabetes. Keeping your blood sugar in range, maintaining a healthy weight, exercising, and avoiding smoking and vaping can help lower your risk.

8. Increases the Risk of Heart Failure

Heart failure can happen when the heart cannot pump blood forcefully enough, causing symptoms like fluid retention, difficulty breathing, and fatigue.

People with diabetes are more than twice as likely to develop heart failure and have worse outcomes in terms of hospitalization and prognosis.

You can reduce your risk of heart failure by maintaining a healthy haemoglobin A1C Level, taking your medication as prescribed, following a balanced diet, and engaging in regular exercise.

https://www.verywellhealth.com/can-diabetes-cause-heart-attack-11853363 

Diabetes Pros Reveal Snacks for Managing (and Avoiding) T1D Lows

From healthcentral.com

Low blood sugar or hypoglycaemia happens when you have type 1 diabetes. Learn how to handle it—or dodge it in the first place 

The drop can happen at the worst times—on your commute, midway through a hike, or during a concert. When you live with type 1 diabetes (T1D), a sudden low in blood sugar levels throws you into scramble mode to consume the right dose of simple carbohydrates and quickly bring your numbers up to a safe range. To help you get your game plan down for those inevitable lows, we went to T1D experts for their best strategies—and snacks—for both bouncing back and heading them off.

Heed the 15-15 Rule

Sound familiar? You likely know this golden rule of combatting the lows of hypoglycemia from the American Diabetes Association: If you feel shaky, dizzy, sweaty, or your blood glucose meter reads under 70 milligrams per decilitre (mg/dL), consume 15 grams of fast‑acting carbohydrates, wait 15 minutes, then recheck your glucose. If it’s still under 70 mg/dL, it’s time to take another 15 grams and recheck.

“Fifteen grams of fast‑acting carbohydrate is usually enough to raise blood sugar without causing it to elevate too much,” says Theresa Gentile, R.D.N., a registered dietitian and nutritionist in New York City and a spokesperson for the Academy of Nutrition and Dietetics.

Sounds straightforward, but it can be tricky to judge what that just-right dose is for the job. “Often, the go-to fast-acting carbs are things like orange juice, non-diet soda, and candy,” says Manny Hernandez, the Miami-based CEO of The Diabetes Link, a national non-profit that provides resources, community support, and career opportunities for young adults with diabetes—who is a T1D warrior himself. “The real downside with these options in my experience is that you are not likely to measure the right amount, so you end up over-treating the low, which leads to a spike in blood glucose afterwards.”

Luckily, our experts have ways to help you hit the spot.

The Best Fastest-Acting Snacks

When your blood sugar is below 70 mg/dL, you should reach for something that doesn’t just include 15 grams of carbs—it is solely 15 grams of carbs (sorry, chocolate!). “Fast-acting carbohydrates do not contain fat or protein, which slows down digestion and the absorption of sugar in the bloodstream,” explains Gentile. “They promote an accurate blood sugar reading in 15 minutes and prevent panic-eating.” She recommends juice (about 6 ounces of orange juice or apple juice), honey (about a tablespoon), or glucose tablets: flavoured chewables that provide about 4 to 5 grams of pure glucose.

Hernandez also recommends carrying glucose tabs or glucose gummies, which can be critical when people feel like they might pass out, or if they’re unsure if they can swallow safely.

He’s not a fan of the chalky taste of glucose tabs, however, so he sticks to Glow Glucose Gummies for his own low blood glucose episodes. “They taste like a treat, which makes for something special in an otherwise yucky moment. You take four of them to get the 15 grams you need, then wait 15 minutes and check your monitor,” says Hernandez.

(For lows under 55 mg/dL, those call for 20 to 30 grams of fast-acting carbs; other instances of severe hypoglycaemia when carbs are not sufficiently raising glucose levels may require an injection of ready-to-use glucagon, a formula that causes the liver to quickly release glucose into the bloodstream.)

To ease the angst about experiencing unexpected lows, our experts advise stashing one measured fast‑carb option in several places so that you’re never empty-handed: your jacket, your bag, your car, your desk, your nightstand.

Snack Formula to Prevent Low Blood Sugar

“If you are starting to go low—and you know that your next meal isn’t for a while—the right snack can help stop that roller coaster,” says dietitian Grace Derocha, R.D., a certified diabetes care and education specialist in Detroit, who also serves as a spokesperson for the Academy of Nutrition and Dietetics. Derocha recommends planning for a snack every three to four hours and using her PFF rule: Mix your carbs with protein, fibre, and fun. “The goal is to stay in that normal 70 to 180 mg/dL range as much as possible to help avoid being hangry or moody or not feeling our best,” she says. To that end, these are some variables to consider when choosing a snack:

Protein: “Protein naturally helps to slow digestion and stabilize blood sugars,” says Derocha. Her top picks include nuts such as pistachios, seeds, and roasted chickpeas or roasted edamame. String cheese or a cored apple filled with almond or peanut butter is another favourite—and she tops it with cinnamon. “Some research is showing cinnamon can help stabilize blood sugar—and it feels fun,” she adds.

Fibre: “Fibre helps slow down the digestion and absorption of carbohydrates. It helps to prevent a rapid spike in blood sugar and avoids the roller coasters,” says Derocha. Most people only get about half the grams of fibre they should be getting each day, and she advises aiming for 25 to 40 grams a day, roughly the adequate intakes suggested by government guidelines for women and men respectively. “Snacks can be a great way to get in more,” says Derocha. She recommends whole fruits like apples or pears as well as nuts and seeds. “The best for diabetics are hemp seeds, chia seeds, and sunflower seeds,” she adds, as they combine high fibre, healthy fats, and protein content.

Fun: Derocha likes to remind her T1D clients that snacks are a tool for balance, but one that doesn’t have to go down like medicine. ”In order to be fully satisfied, it goes back to the fun and pleasure,” she says. Dark chocolate, natural dried fruit, or chia pudding (topped with berries, peanut butter chips, and chocolate chips) are all Derocha favourites. For a savoury treat, her pick is tuna with cucumber slices doubling as the sandwich bread: “It delivers a satisfying crunch.”

A Note on Bedtime Snacks

If you regularly see overnight drops in your blood glucose levels, Gentile recommends choosing a small night time snack that’s lower in carbs and higher in protein and healthy fat to get you through the night: a handful of nuts; plain Greek yogurt; an apple with an ounce of cheese; cottage cheese with berries; or a small serving of air‑popped popcorn. Derocha seconds the bedtime snacking tactic: “Protein and fat help sustain glucose levels while you sleep.”

And if your continuous glucose monitor alerts you to a low in the middle of the night, remember to reach for those fast-acting carbs—and try to get right back to shut-eye once your blood sugar numbers recover. “Low blood sugar episodes are always going to be yucky,” says Hernandez. But having a solid plan for safely treating those lows can mean you’ll lose less sleep over them.

https://www.healthcentral.com/condition/type-1-diabetes/diabetes-pros-reveal-snacks-for-managing-and-avoiding-t1d-lows?ap=nl2052&rhid=67ec2b8321f52bf01b0cca01&mui=&lid=141093361&mkt_tok=NTQxLUdLWi0yNDMAAAGe4G8EkhJcsENAQf__2w3yV2T5Lf0hfqBSu1KCdjcsCju2KS01twtTLCSdIYXe0p_wR19i7qKTGJa_qlKqrC6lv9eoHUguiw-3EMrvD7wofO3kgNI