Thanks for the birthday wishes. On most days, I feel pretty good. I live in the "South" where fat and grease are on most people's plates here. Louisiana is known for its delicious food. My biggest challenge is the state I live in--where celebrating any occasion usually means large amounts of delicious food (prepared by some of the best cooks in the world). I suffer from huge drops in blood sugar--100 to 150 points, at times. It usually just happens when I am trying to do any physical type work--and I have found that the extreme heat and humidity here causes my sugar to rise drastically and then fall. So, i would say my location has been the biggest challenge for me over the last 6 years.