Type 1 Diabetes (T1D) remains one of the most misunderstood medical conditions, despite its impact on millions of lives worldwide. To shed light on what it really means to live with T1D, we talked to Natalie Mangialardi, who has not only navigated her condition for 17 years but has also become a strong advocate for educating others about it, working for Type 1 diabetes mental health research. Natalie is the daughter of Vito Mangialardi, the Director of Sales for the Corrugated Division at Atlantic Packaging Products. For a long time, she and her family have actively supported this important initiative. This article explores misconceptions, shares valuable insights, and offers practical advice from her own experience.
Q: What are some misconceptions about Type 1 Diabetes that you wish more people understood?
Natalie Mangialardi (Natalie): There are quite a few! One big misconception is that people with Type 1 can’t eat certain foods, especially sugary ones. People think it’s all about avoiding sweets, but that’s not true. With the right education and support, we can eat anything in moderation. It’s all about timing our insulin properly and establishing patterns that work for us individually.
Another common misunderstanding is thinking that managing Type 1 is as simple as taking insulin and eating “right.” But it impacts every aspect of our lives. The constant mental gymnastics of calculating how much insulin to take, factoring in activity levels, stress, or even the weather, is something most people don’t realize. There are at least 42 factors affecting blood sugar levels, so it’s a constant juggling act.
People also don’t always understand that Type 1 isn’t just a condition that affects kids. Adults can be newly diagnosed too, and there’s a need for awareness and resources for newly diagnosed adults as well as individuals managing diabetes as they grow older.
Natalie and Vito Mangialardi | 2025 Breakthrough T1D Walk
Q: How has support from Breakthrough T1D and organizations like Atlantic Packaging Products impacted people’s ability to manage this condition?
Natalie: Organizations like Breakthrough T1D and businesses such as Atlantic Packaging Products make a huge difference. Breakthrough T1D funds research that explores better treatments and, hopefully, a cure in the future. Their work is about more than just medicine; it’s about improving the quality of life for those of us living with T1D.
On the other hand, companies like Atlantic Packaging Products focus on building awareness and supporting initiatives that make a tangible impact—not just financially but also socially. For years, they support events like the walk for Type 1 Diabetes (Breakthrough T1D Toronto Walk), which not only raises funds but also fosters a sense of community among people living with T1D. Feeling seen and supported in that way is incredibly powerful.
Q: Would you like to share something that will help others with the same condition?
Natalie: Absolutely. I’ve learned that it’s okay to take things one day at a time. Life with Type 1 Diabetes can be overwhelming, but breaking things into manageable steps has helped me a lot. Also, don’t hesitate to ask for help. Whether it’s your healthcare team, friends, family, or the broader diabetes community, there are people who truly want to support you.
Q: How do you balance your life while managing T1D?
Natalie: Balance can seem elusive, but it’s all about finding systems that work for you. For me, keeping a schedule helps, as does tracking my blood sugars and staying mindful of how I’m feeling mentally and physically. I also make time for things that bring me joy, like spending time with my friends. Friends fill our lives with energy and joy.
Q: Are there any lifestyle changes or habits that have significantly improved your quality of life with T1D?
Natalie: One major change was learning to be kinder to myself. Managing diabetes is about the ability to prioritize yourself; it’s about finding balance. Openness with yourself and others is key to navigating the challenges, but it’s equally important to set boundaries. Share your struggles when you’re ready, but remember, it’s okay to focus on your needs and protect your energy.
About sharing my diagnosis, it’s been a learning process, even with close friends. Now, I make a point to be open, like saying, “Hey, before we eat, I need to give my insulin. Is it OK if I do it here?” Taking that step has been really helpful, especially since I used to hide it more. Honestly, I felt a bit ashamed back then, so I’d delay giving my insulin or go to the bathroom to do it, which increased my stress. These days, I’m committed to being transparent about what I need and doing my insulin in front of others. It’s been liberating to focus on my health without worrying so much about what others think, and it’s made a big difference in how I manage my condition.
Q: What keeps you motivated?
Natalie: My motivation comes from the opportunity to create meaningful change.
When I think of the difference organizations like Breakthrough T1D have made, I’m inspired to contribute however I can. Seeing strides in research and treatment gives me hope for the future.
Q: What advice would you give someone newly diagnosed with Type 1 Diabetes?
Natalie: First and foremost, you are not alone. It can be overwhelming in the beginning, but there’s a whole community of people who get it. Reach out to others with T1D; their guidance and reassurance can be invaluable.
Also, be kind to yourself. There will be good days and hard days, and that’s okay. Take it one step at a time, celebrate the small wins, and don’t hesitate to lean on your support system.
“What motivates me is being a part of the change that I needed—both when I was younger and even now. It’s about moving towards more holistic care for people with Type 1 Diabetes, which is often overlooked. Right now, care tends to focus primarily on the physical aspects, but Type 1 Diabetes affects every part of life—socially, psychologically, mentally, financially. Being part of the change to address all of that is what keeps me going.”
– Natalie Mangialardi
Q: How can friends, family, and colleagues better support individuals living with Type 1 Diabetes?
Natalie: The best way to support someone living with T1D is to educate yourself. Ask questions and listen without judgment. It’s helpful when people respect the complexity of managing this condition rather than simplifying it.
Offering emotional support goes a long way too. Whether it’s checking in, attending an event like a diabetes walk, or even learning how to assist in emergencies, those gestures make us feel seen and understood.
What do you hope to see in the future for T1D research and treatment advancements?
Natalie: I’d love to see research continue to address quality-of-life improvements. Advances in technology have already made a difference, and there’s so much potential for more innovation.
I’m also optimistic about increasing awareness and resources for T1D globally. Everyone deserves access to the education, medications, and tools needed to live well with diabetes.
Supporting Community Together as #OneTeamAP
When we come together as one team, we can create meaningful change and stronger connections within our community. Collaboration, shared goals, and mutual support empower us to tackle challenges, celebrate successes, and build a better future.
Natalie’s story is a powerful statement to what it means to live courageously with Type 1 Diabetes. Through advocacy, education, and support from organizations like Breakthrough T1D, she is making strides for a future where everything is possible.
Atlantic Packaging Group of Companies has exemplified corporate social responsibility and community partnership through long-time support for Breakthrough T1D (formerly JDRF) and its vital mission to improve the lives of those living with Type 1 Diabetes. The most recent 28th walk that took place on June 9th received meaningful support with 7 Atlantic Packaging Products teams and about 80 participants.
If this interview resonates with you, consider contributing to T1D research or joining local events to foster awareness. Together, we can support each other in creating a brighter, healthier future.
