Lifestyle

Living in Fight or Flight: Nervous System Dysregulation and Type 1 Diabetes

November 5, 2024

If you’re living with type 1 diabetes, you’ve probably had moments—maybe even days or weeks—where you feel like you’re just trying to keep your head above water. You might feel like you’ve been stuck in “survival mode” more often than not. Hypervigilance becomes your norm—always on edge, always ready to react.

And it’s exhausting. 

The health care system focuses on the physical side of T1D management—insulin dosages, blood sugar numbers, carb counting—but rarely do our doctors address the emotional impact that comes with it. This leaves so many type ones living in a state of nervous system dysregulation and, even worse - feeling like there’s nothing they can do to change it. 

The Hidden Struggles of Managing T1D

Do any of these feelings sound familiar to you?

Anxiety about the numbers: Constantly worrying about going too high or too low can leave you feeling mentally drained and emotionally depleted.  

Fear of “failure”: When your blood sugars don’t cooperate, it can feel like a personal failing, leading to frustration or even shame.  

Emotional burnout: Managing T1D is a 24/7 job, and that level of constant vigilance can lead to emotional burnout, where even the smallest diabetes tasks feel overwhelming.  

Pretending to be okay: Feeling the need to put on a brave face and push through, even when you’re struggling mentally or emotionally.

Trauma from past experiences: A history of severe lows, difficult highs, or diabetes-related complications can leave a lasting impact, making it hard to trust your body and your management decisions.

Here's the thing: all of these feelings overlap with symptoms of a dysregulated nervous system. Without enough education and emotional support to feel confident in their management, T1Ds are often left living in a constant state of fight or flight.

And yet, the reality is that our current healthcare system is not equipped to address these emotional and mental challenges. Traditional T1D care is often focused solely on numbers—insulin doses, blood sugar levels, and A1C targets—while overlooking the psychological and emotional impact of living with a chronic condition. This gap leaves many people feeling unsupported and without the tools they need to manage the full scope of their diabetes experience.

Moving Beyond Survival Mode

At Risely Health, we believe that T1D is more than a math problem to be solved. It’s an experience to be managed. When you begin to address the mental and emotional challenges alongside the physical ones, that’s when you reclaim the life you deserve. 

If you’re ready to shift from survival mode to managing your T1D with freedom and confidence, we’re here to help. 

Apply for coaching and talk to our team so you can stop struggling alone.