Michael Fitzpatrick

When I started getting healthy ~5 years ago, I wasn’t trying to be a bodybuilder. I just wanted to lose weight and feel… normal. I was tired of being the fat guy my whole life. My Type 1 diabetes was out of control and wiping me out physically, mentally, and emotionally. Then one day I decided to change for good. The old Mike was done. Somewhere along the way, I fell in love with the process of training and nutrition. It became part of who I am. What started as white knuckle willpower turned into ironclad discipline. In the process, I got my T1D under control. Consistent sub-5% A1Cs. No more rollercoaster blood sugars. No more debilitating hypoglycemic seizures... People think T1D makes this impossible. It doesn’t. If anything, it forces you to be more precise, more consistent, more accountable. T1Ds with grit make great bodybuilders. We’re already students of our own metabolism. We understand how insulin, food, and training all interact and we live it every day. Can't wait to take the stage again this year and show how I've grown as a competitor, as a T1D, and as a person. #type1diabetes #t1d #npc #bodybuilding #fitnessjourney #contestprep

Bulk is over, and I’m about a month into the cut. Down roughly 15 lbs while averaging about 3,100 calories per day. Yesterday’s InBody estimated me at 12.3% body fat. The goal is around 9%, with 259–260 lbs as a checkpoint rather than a hard finish line. I’ll reassess based on how I look. As I get leaner, I’m aiming to slow the loss to around 1 to 1.5 lbs per week. I’ll also shift some protein calories toward fat while keeping carbs up to support training. Once I’m happy with my condition, I’ll bring calories up to maintenance through the holidays, then begin a dedicated prep based on the spring show I choose.

Absolutely chilling audio

I use a LOT of electrolytes with my training. To save money, I make my own. Very easy to do! Mix the following in a blender: 250 g salt (I use iodized for the extra iodine) 40 g magnesium malate 40 g potassium chloride (I get everything from Amazon, usually Nutricost or BulkSupplements) Store the batch in an airtight container and measure out individual servings as needed. Based on the ingredient prices I paid, mine costs about 3.5 cents per serving compared with $1.13 to $1.50 for popular branded products. That’s roughly 97-98% cheaper! If I want flavor, I’ll add a squirt of MiO or a packet of Crystal Light.

November 1st 2026 A1c: 4.3% 😱 Also posted my 7, 14, 30, and 90 day reports for good measure. My goal is to always strive for 0% hypos but sometimes they are unavoidable. Room for improvement! Will be celebrating my 29th year with #t1d in 10 days. I have come a long way since being a terrified newly diagnosed 14 year old who was living on rollercoaster blood sugars. Hope everyone had a safe a fun Halloween, I plan on celebrating with a brutal leg day at the gym shortly and burning off all those KitKat bars 💪 😉

For those freaking out about the upcoming CVS Caremark/Aetna Dexcom coverage changes: check your medical/DME benefits before assuming you’re losing access. Losing pharmacy coverage doesn’t mean losing coverage altogether. You may still be able to get Dexcom through your medical benefit using a durable medical equipment (DME) supplier. Call your insurer and ask if Dexcom be covered under your 2027 medical/DME benefit, and which in-network suppliers you can use. Personally I have loved working with USMED after using several other DME vendors. You can apply with them directly and they will do all the legwork for you to get you what you need. usmed.com/ #t1d

Get your sh** together Dexcom this is like the third sensor in a row that failed #t1d

Many such cases

Great takedown of Ken Berry by coach Greg on calorie counting for weight loss. youtu.be/7SMoAwHGgsQ?is=KckW…

Smith Machine Sissy Squats #legdayfinisher Form started breaking down at the end due to fatigue. Don't even need any weight on the bar for these. Great way to keep the knees healthy IMO

My biggest advice to parents is to remember that T1D is something your child has, not who they are. Don't let diabetes define their childhood or limit what they believe they can accomplish. Main thing is to give them a locus of control. Teach them that they have the power to manage their disease and make changes. Empower the kids through education and experience. Discourage 'powerlessness' if that makes sense. A few things I'd emphasize: 1. Educate yourself. Learn how insulin, food, exercise, and other factors affect blood glucose. Bec9me full time students of managing the disease. This learning will never end. More knowledge leads to more confidence and better outcomes 2. Embrace technology. CGMs and automated insulin delivery systems are incredible tools. Use whatever you can you help get better control. I went 20 years with T1D without using a pump because I didnt want anything attached to me and after starting I realized how foolish it was since I got such amazing results right away. 3. Don't fear carbohydrates. Carbs aren't the enemy. Teach kids how to manage insulin around food rather than developing a fear of certain foods or creating unnecessary dietary restrictions. This ties back to #1. By carbs i mean things like fruit, oats/grains, potatoes, vegetables (whole foods) and not junk with low satiety per calorie (although occasional treats are perfectly fine too) 4. Exercise and sports. Get the kids moving as much as possible. Will help immensely with body composition, mental health, blood sugar control, etc. 5. Get involved in the T1D community. Connect with other families, attend events, and especially look into diabetes camps. Being around other kids with T1D can be incredibly empowering and helps children realize they're not alone. 6. Learn how to adjust and iterate. If someone has a shitty day or week of blood sugar control, learn why that happened and make adjustments. Just like any good engineer doing root cause analysis 😁

Great pic of me and some fellow #T1Ds at the @BreakthroughT1D event this past weekend! The woman in purple has been living with T1D for almost 60 years, while the younger guy on my far left was diagnosed within the past year along with his father in the middle. Just a month or two ago, he underwent an experimental treatment using donated islet cells in California. On the far right is keynote speaker Dr. Brynn Marks, MD, MSHPEd, Senior Director of Medical Affairs. I had the chance to ask her a few questions about upcoming therapies for T1D, and she was an absolute pleasure to speak with! 💙

Can you imagine AI videos 10 years from now?

Pretty amazing advancement in #T1D and CGM tech 😍

Dexcom Weekly summary #t1d

At the @BreakthroughT1D summit this morning. Lots of cool #T1D vendors and people touched by the disease here! Tough seeing so many kids with the disease, but it's good to show we are one community that has each other's backs 💙

Good couple of weeks 💙 #t1d