Dr. Koutnik argues that lifestyle choices, including obesity, are significant risk factors for the development of autoimmune conditions such as type 1 diabetes.

“I've realized that lifestyle actually is one of the strongest risk factors increasing the risk for autoimmune attacks such as the ones that cause type 1 diabetes.”

Living with type 1 diabetes requires maintaining a positive mindset and working out regularly to manage blood sugar levels.

“I think a big part of it is being type one diabetic right so I do the five injections a day since I've been six years old and I just looked at it I took a positive spin on I said it's a card I'm dealt and rather than me complain about it or how self-pity I just everyday part of my thing is to get up”

She maintains an empowering perspective on her diagnosis, utilizing technology and self-awareness to continue her high-level athletic pursuits.

“I was like, what do I do about it? How do I run ultras? Like, literally that was like the first thing that came out of my mouth.”