I can “one-up” your credentials. I am an CPA with 25 years of experience, and I have an MBA specializing Corporate Finance and Financial Accounting. Now that I have the peacock strut out of the way, we can discuss the actual 14-hour requirements.
You couldn’t possibly be spending 20 hours a week (3 hours a day) monitoring and adjusting doses. A typical blood test these days takes about one minute. Let’s say, that it takes 5 minutes to stress my point. That means you are taking 36 tests a day. For any T1D diabetic, that would be excessive.
As for being “extremely active”, I am a road cyclist and mountain biker. In a normal week, I spend six to seven hours on a bike either on the road, on a trail, or on a trainer. Some weeks can get up to ten hours. Blood Glucose management is CRITICAL to not only athletic performance, but also to safety. Although I normally use a CGM with my BG readout on my iWatch, if I am not wearing my CGM, I take one test an hour while cycling, and outside of that only about five or six tests a day.
Besides, if you are spending 20 hours a week (half the time of a full-time job) testing and adjusting doses, when do you have time to be active AT ALL?
By the sounds of it, you have found a GP and an Endocrinologist who are willing to bend the rules and essentially, help you evade taxes. I, myself, find it difficult ethically and morally to take a tax credit that is not permitted by law.