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About a year ago, I had one of those moments that stops you in your tracks. I still haven’t forgotten it.I was on a ride to the airport when the driver, a man I’ll call Sam, asked me what I did for a living.“I write about diabetes,” I said.There was a long pause, and then Sam admitted he had diabetes. I immediately began asking questions to learn more about his story. It was heartbreaking to hear, and even though I live with diabetes myself, Sam reminded me why managing it can be so hard. I have not been able to get his story out of my head, which is why I’m sharing it now.Sam’s journey highlights six diabetes challenges, all of which are frustratingly common: lack of blood sugar data, low motivation, judgment/failure, lack of support from loved ones, a challenging food environment, and uncoordinated care. Using some of the tips proposed below, I hope we can start to address these challenges as a community.Sam was diagnosed with diabetes 16 years ago. He took pills for years and resisted going on insulin for a long time. When we spoke, he was taking NPH and fast-acting insulin twice daily, using a sliding scale to determine the dose; it didn’t matter what he had eaten.Sam only checked his blood glucose twice daily. He said his A1C “once got down to 8%,” but he recently had several weeks of blood sugars “way off the range.” He later clarified that he meant “over 300 mg/dL” for weeks straight (roughly equating to an A1C of ∼12%). Sam had already developed some kidney problems and, more recently, issues with his feet. He’s only in his 40s.“I love fried chicken and eat it every single day,” Sam told me. He …

Fried Chicken, an Airport Ride, and Why Diabetes Is So Hard