I wish I could say it was easy but that would be a bit of a stretch... Physiologicaly, I think I have it easier than a lot of other people here. Circumstantially, I think I have it considerably tougher than some. I say that because as I still have some beta cell function, I take no basal insulin-- which makes avoiding hypos considerably easier I think (I was having a harder time at first when I was taking basal as well). Circumstantially tougher, I say because I work away from home for weeks on end in an environment where I have very little control over the food thats available-- and the type of working / resting hours approach the unimaginable.
At home I carb count as precisely as I can. I time my boluses exactly 20 minutes before I start eating. I eat a moderately carb-restricted diet, generally 100-120g each day, but I'm far from a health food nut. I completely avoid all "junk carbs." I exercise regularly, but to be honest I am not convinced that it really helps with blood sugar control in my case, but I think that it does help me keep the right attitude and mindset to maintain discipline and motivation to do the best I can.
At work, things are a bit harder for me. Like I said I work away from home (on ships) for weeks at a time. The food is largely out of my control and variable. There is quite a bit of trial and error involved here. It's not possible to carb count based on labels... So I tend to stick to meals that I am familiar with and tweak as neccesary. The hours I work away from home make things very difficult too-- when I am at home I know that I can count on 8:1 with breakfast, 9:1 lunch, 10:1 dinner. While I'm at work ans working a shift like midnight-4:00 am plus noon-8:00 pm, my body and metabolism are completely out of whack and have no idea what the hell is going on--- so I always feel one step behind the game but I do the best I can. I record all blood glucose readings--- on pen and paper wher eI can actually notice trends and adjust as soon as I detect a consistent pattern. In addition to the bizzare hours, the consequences of a hypo at my job are totally unacceptable. I refuse to allow that to happen. I test before every meal, and between 1:40 to 2:00 after each meal-- I correct and downward trends before they cause a problem.
Can't think of much more to add!