I completely agree Harriett. And yet, there are balances within balances. I do think that a large part of my decline is from developing CFRD that went undetected until we specifically asked for testing. The oral test actually spiked too high too fast, so we did the CGM (IPro device) and found that although I didn't have drastic highs and lows, my overall blood sugars were high. Digestive health hasn't been an issue for me since I was about seven or so, and I've always been really compliant in my care (my mom is a nurse and she DEFINATELY understands how important infection control and compliance are) and good at sterilizing my machinery. Unfortunately although my CFRD is now under control, we still haven't seen my FEV1 bounce back to anywhere near where it was. On the other hand, I wonder about clinics that push patients to do, do, do- chronic disease fatigue syndrome is a very unrecognized and untraced part of life with CF. It's when you just- get tired or doing it all. And this links in mental health. What good is great lung function if you don't enjoy life and spend it anxious, depressed, stressed, and angry? Such big questions that no one knows the answer to. Thank you all for all your input.