I was once planning to bring mini blizzards to a family get together for a treat. I asked my cousin if I should bring something sugar free for her daughter and she said, no, she could eat the blizzard just like everyone else. (They would just monitor and give appropriate insulin.)
I had a friend diagnosed as an adult and at first they tried to control it was diet. When that wasn't enough, she was put on insulin and she actually preferred that, as she could just adjust her insulin accordingly, rather than having to worry about everything she ate.
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