MOORHEAD — For Noah Fuglestad of Moorhead, life has been full of challenges as he was diagnosed with Type 1 diabetes at an early age.

Along with carrying his EpiPens, he's had to carry a worry about COVID-19.

"I think I'm more conservative with going out because of that fear of if I get (COVID)," Fuglestad said.

On top of not going out as much, Fuglestad also lost his job because of the pandemic, which at first made his diabetes treatment difficult.

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"I really wasn't sure what to do, but with that, I just talked to the county, and they were able to set me up with insurance, and I was able to continue medication," he said.

Research by the group Diabetes Care shows those with Type 1 diabetes are at a higher risk of getting a more severe illness from COVID than those with Type 2.

Dr. Raul Ruiz, an endocrinologist at Sanford Health in Fargo, said this is especially true if patients don't keep on top of their blood sugar.

"(When they're) staying at home, they're more likely to maybe be less active, snack, (and have) the stress of dealing with all of this," he said.

While Fuglestad hasn't changed much about the way he treats his diabetes, he said going to appointments through a screen was a big adjustment, and he hopes to go back to in-person visits soon.

"Nobody expected COVID to happen, and nobody would want to give up their life for something that's unexpected," he said.

Fuglestad recently proposed to his girlfriend, and although a date for the wedding hasn't been set yet, he hopes he can stay healthy and avoid any time in the hospital, either from diabetes or COVID.

"I really hope that life can just get back to normal," he said.