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Type 1 diabetes imposes a precise metabolic ceiling on sustained physical performance.
Heat and humidity accelerate peripheral insulin absorption, compress the margin between hypoglycemic and hyperglycemic states, and can destabilize blood glucose in ways that are difficult to correct while on stage.
That physiological ceiling is where Bret Michaels is now held.
Patel, stated in a post on Michaels' official Facebook page that recent surgeries require a much-needed period of rest and slow recovery, specifically naming summer heat and humidity and their effect on blood sugar levels as the reason to pull him off the road.
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