T1D to 100: How to Live a Long, Healthy, and Happy Life

What does it really look like to grow older with type 1 diabetes today?

The good news is people with diabetes are now living longer than ever! In this episode, Dr. Steve Edelman is joined by diabetes advocate Joanne Milo and endocrinologist Dr. Athena Tsimikas to talk about the realities of aging with type 1. They share how expectations have changed over time, why more people are now living long lives with diabetes, and what it takes to stay safe, independent, and supported through the aging process. The conversation covers changing insulin needs, screening for vision, hearing, and cognitive health, the role of technology, and the importance of community and care partners.

They also discuss the emotional side of aging with diabetes, including the need to feel heard, understood, and safe while continuing to live a full and meaningful life.

Key Topics
• Living longer with type 1: how expectations have changed
• Changing insulin sensitivity, muscle mass, and dosing over time
• Preventing falls: vision, neuropathy, and mobility considerations
• Cognitive health and why screening matters
• Technology in older adults: CGM and hybrid closed-loop benefits
• Medication considerations for heart and kidney protection
• The role of care partners and support systems
• Emotional health: fear, independence, and being understood
• Staying active, social, and engaged while aging with diabetes
• Advocacy and preparing for the future

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