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Bailey McDonald: "A Diagnosis Will Change Your Life"

Real stories of people navigating life after a new diagnosis—overcoming obstacles and stigma while imagining a future that drives them to defy expectations. Powered by Team Novo Nordisk

    

The Moment Everything Changed

In January 2024, Bailey received a life-changing diagnosis. At just 21 years old, he was beginning his professional cycling journey after signing a contract with Team Bridgelane in his home country of Australia. However, after feeling ill for a few days, a trip to the hospital changed the course of his life. "You have type 1 diabetes”.

The uncertainty overwhelmed him as his world began to unravel. But with every setback, Bailey pushed through and learned valuable lessons. He made mistakes and faced challenges as he started to navigate his new reality.

Within six months of his diagnosis, Bailey discovered Team Novo Nordisk, signed a professional contract, and stepped into his childhood dream of being a professional cyclist. Even though he continues to learn how to manage life with type 1 diabetes, he knows it doesn’t define him and will never stop him from pushing the boundaries of what’s possible. 

Life as a Pro Cyclist with Type 1 Diabetes

The Daily Reality

For Bailey, managing type 1 diabetes isn't just part of his routine—it's woven into most decisions he makes, both on and off the bike. The condition requires constant attention and a proactive mindset.

Training and Racing Management

  • Daily insulin therapy—is essential to keep blood glucose levels within a safe range¹
  • Frequent monitoring, sometimes dozens of times a day, helps Bailey make rapid adjustments during long rides, races, or intense training sessions
  • Managing diabetes requires careful planning and constant awareness during competition²

Nutrition Strategy

Nutrition plays a central role: carbohydrate intake must be carefully balanced with insulin, activity levels, and timing³. Resources like Team Novo Nordisk Cookbook provide recipes for athletes living with diabetes, and everyone else, offering guidance on how to fuel the body for endurance while keeping blood sugar stable.

Joining Team Novo Nordisk

Part of Something Bigger

Bailey McDonald is part of something bigger than himself: Team Novo Nordisk. Behind every jersey on Team Novo Nordisk is a powerful story of resilience and ambition. Each team member is living proof that a type 1 diabetes diagnosis doesn't stop you from chasing—and achieving—your goals. These athletes manage their condition every day while training, traveling, and racing at the highest level of the sport.

The Mission

The team's mission is to inspire, educate and empower those affected by diabetes, showing that a type 1 diabetes diagnosis does not define or limit you.

Understanding Bailey's Condition

What is Type 1 Diabetes?

Type 1 diabetes is a chronic autoimmune condition where the body's immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas⁴. Insulin is the hormone responsible for regulating blood glucose levels and allowing sugar from food to enter the body's cells for energy. Without insulin, glucose builds up in the bloodstream, leading to serious health complications⁵.

Unlike type 2 diabetes, which typically develops later in life and is often linked to lifestyle factors like diet, weight, and physical activity, type 1 diabetes is not caused by lifestyle and usually appears in childhood or early adulthood⁵.

Bailey's Diagnosis at 21

While type 1 diabetes is most commonly diagnosed in children between the ages of 4 to 7 or 10 to 14, it can appear at any age—as it did for Bailey at 21⁶. This later diagnosis brought unique challenges, as he had to quickly adapt his established training routines and professional aspirations to accommodate his new reality.

Risk Factors

While the exact cause of type 1 diabetes is still unknown, researchers have identified several factors that may increase the risk:

  • Family history plays a role—individuals with a parent or sibling who has type 1 are statistically more likely to develop the condition7
  • Certain genes are linked to the development of the disease, although having them doesn't guarantee a diagnosis7
  • Age factors vary, but the condition can develop at any stage of life7
  • Multifactorial Nature: The development of T1D is complex and multifactorial, meaning that while genetics play a role, environmental factors also significantly contribute to the onset of the disease8

Bailey's Message to Others

Bailey's journey from diagnosis to Team Novo Nordisk professional cyclist demonstrates that with the right support, determination, and medical management, athletes can continue pursuing their goals while managing type 1 diabetes.

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References
  1. American Diabetes Association. Pharmacologic approaches to glycemic treatment: Standards of Medical Care in Diabetes—2023. Diabetes Care, 46 (Supplement_1), S140-S157. https://doi.org/10.2337/dc23-S009 
  2. Riddell, M.C., et al.  The competitive athlete with type 1 diabetes. 2020 Jun 12;63(8):1475–1490. https://doi.org/10.1007/s00125-020-05183-8
  3. Horton, W. B., et al. (2016). Care of the Athlete with Type 1 Diabetes Mellitus: A Clinical Review. International Journal of Endocrinology and Metabolism: Vol. 14, issue 2; e36091. doi: https://doi.org/10.5812/ijem.36091
  4. Atkinson, M. A., Eisenbarth, G. S., & Michels, A. W. (2014). Type 1 diabetes. The Lancet, 383(9911), 69-82. https://doi.org/10.1016/S0140-6736(13)60591-7
  5. Ojo, O. A., et al. Diabetes mellitus: From molecular mechanism to pathophysiology and pharmacology. Medicine in Novel Technology and Devices, Volume 19, 100247, 2023. https://doi.org/10.1016/j.medntd.2023.100247
  6. Patterson, C. C., et al. (2019). Trends and cyclical variation in the incidence of childhood type 1 diabetes in 26 European centres in the 25 year period 1989–2013: a multicentre prospective registration study. Diabetologia, 62(3), 408-417. https://doi.org/10.1007/s00125-018-4763-3
  7. American Diabetes Association. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2024. Diabetes Care 2024;47(Supplement_1):S20–S42. https://doi.org/10.2337/dc24-S002
  8. Tremblay, J., & Hamet, P. (2019). Environmental and genetic contributions to diabetes. Metabolism, 100, 153952. https://doi.org/10.1016/j.metabol.2019.153952

Resources for Your Journey

Living with diabetes

Living with diabetes

How do you manage your lifestyle when it comes to diabetes? Whether it’s nutri-tion or exercise, we have gathered tips and articles to help you manage your dia-betes.

How does exercise im-pact diabetes

How does exercise im-pact diabetes

How a small increase in physical activity can help lower your blood sugar and make your body more sensi-tive to insulin.

Treatment of diabetes
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Treatment of diabetes

Lifestyle and various diabe-tes medications all play key roles in living with type 1 and 2 diabetes.