Hi there, fellow new T1D-er here. I’m six months into my diagnosis and still trying to take in the reality of it all as well. The management involved is something I was totally unprepared for, even after I’d had my diagnosis (doctors - three in total - were absolutely no help in this regard). If possible, get a CGM. They do add to stress and anxiety for a while, but they are the ultimate tool in giving you the info you need to better manage your glucose levels. It requires a lot of effort to try and understand how insulin and carbs affect your body (not to mention your liver). I’m only now getting more comfortable with the continual ups and downs I see on my monitor, and how to manage them. Listen to good, reliable podcasts. The best one I know of is The Juicebox Podcast.
I’m only now getting more comfortable with things only because I now have four months experience with the CGM. I know that highs and lows are temporary (if you have your basal/Lantus insulin set right, which is really important). I’m only now beginning to feel not completely alienated from my body. I still can’t believe how much of an emotional and psychological toll this disease takes, and again, I’m only just now beginning to feel a bit more comfortable in that regard as well. If you have a good support system (spouse, family, and/or friends), that is priceless.
Start out getting good first w/ foods that don’t give you many issues, then work up to foods that seem to wreak havoc. Benign foods for me are nuts, seeds, tofu, seitan, avocadoes, brown basmati rice, and vegetables (other than potatoes). Foods that take a bit more work but have become very manageable for me are whole fruit, legumes, fresh corn, and simple sugars in modest portions. I still haven’t figured out how to eat homemade, relatively unprocessed bread, or a healthy serving of potatoes, or more than one serving of a snack food (corn chips, for example), without often going well into the 200s (if not higher). But I have hope I’ll get there one day… If eating certain foods is too stressful, take a break from them for a while. Eat whole, nutritious, relatively unprocessed stuff (for the most part).
I’m finally realizing that the best way to get better at T1D management is, well, put in the effort to understand how stuff (insulin, food, exercise, etc.) is affecting your numbers (hypothesis-test), and, in the meantime, give yourself time. Like with any skill, it takes time and experience to get better at it.
Psychologically, I find that when I start to feel depressed, angry, or anxious about my disease, I try my best to immediately turn my focus away from diabetes and to other things (something I need or want to do in that moment, something I’m looking forward to later that day, something I appreciate having in my life that makes me lucky to be alive, etc.).
YOU are the best manager of you blood sugar (not your doctor, let alone anyone else). Doctors, friends, podcasts, etc. can be wonderful resources, but ultimately it’s you who is going to come to intimately know your body and how it works with respect to this disease. Trust yourself, try different tactics (if something doesn’t work, again, it’s just temporary; reset, and try again later, or the next day, or the next week). You can do this. At least we DO have insulin, etc., and that T1D is no longer a death sentence, or as difficult to manage as it was in the recent past.
Anyway, that’s just solely my own advice from a still-limited experience, I hope it helps. I’m still struggling and just trying the best I can myself, a day at a time…