Effects of long term low insulin production

Does anybody have a resource or personal experience to share about the health effects of very long term marginal-to-low insulin production? I’m T1 due to radiation treatments at 3yo. I’m 50yo now and was diagnosed 2y ago. For a variety of reasons, I believe I probably have had substandard production for my whole life and as time has passed it slowly got bad enough to finally cause the more easily identifiable symptoms.

I have had exercise issues my whole life and with the relatively recent T1 dx I’m wondering if maybe there’s a connection.

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