I’ve lived with diabetes for 13 years. For the first six years after my initial diagnosis, I still produced my own insulin, I could manage the whole thing with yoga, diet and herbs. I never imagined I’d need insulin. But then I did. I started slow. First there was the daily shot of basal insulin. I restricted my diet, ate under 30 carbs a day, exercised fanatically, dragged myself up and down hills and ate a ketogenic diet. I sported flat lines and felt safe and confident with my management. That went on for 4 years. It worked, until it didn’t.