Patrick, my husband has been Type 2 for many years--well controlled until ALS hit us. Now it's a constant battle. He's been moved to a high concentration insulin and is finally within range of reasonable readings, but only if he eats a "diabetic" diet. His conflict, of course, is that eating is one of his favorite pastimes now and he doesn't want to sacrifice it for what he sees as long-term maintenance. The other concern, of course, is keeping enough calories going in to maintain his weight--something a traditional diabetic diet does not provide.
Personally, I think he has more energy when he controls his levels, but I need more time and experience with the new dosage to present that to him. We know diabetes can cause fatigue, slow or stop healing, and eventually erode organs. He just hates to play what he calls the long game at this point. On the other hand, if he's sleeping all the time then he's really hurt himself.
You're right---the hits just keep coming.
Becky