Saalfeld carefully reads food labels to help her make any necessary substitutions. "You have to eat correctly, you have to check your blood sugar, you have to exercise, with no exception," she says. "I have never really gone off my diet and never will."
King says careful patients like her who keep track of their everyday activity and glucose level can successfully lead normal lives. He encourages patients to learn everything they can about their condition and to educate each other and their physicians about their bodies, since everyone is different.
Saalfeld still uses syringes four times a day and monitors her blood sugar herself. She doesn't take much insulin because she can tell how much her body needs by her physical reactions and how she is feeling, she says. She only goes to the doctor when she has a problem.
"There are no secrets out there," Gordon says. "You learn to adjust, and you learn to accept you can live a very good life with it."