I was asked a question last night over at tumblr that I'd like to share here. I've included my own tidbits of advice that I posted as my answer there, but my real hope is that some of this blog's readers might have further advice . . .
Anonymous- EDIT -
Because this is such an important topic, it's especially important to me that it's answered properly. It turns out that I do "know" an experienced BDSM dominant who is a Type I diabetic. Omega, a dominant for whom I have great respect from reading (at the Power Exchange) and a little personal correspondence, is a Type I diabetic.
Here's the comment left here by mouse - his sweet, kind, and lovely submissive . . .
Omega and mouse Mar 19, 2012 02:32 PM
Omega is a type one diabetic, has been all his life. What he does is monitor his blood sugar frequently during play. He would often plan the day around the insulin injection. He would often, now that mouse considers it, take a short play break at appropriate times to eat something, check blood sugar or whatever. He always kept things he might need, candy, juice or cookies along with cheese or other types of fruit handy in our playroom. He would always eat good protein before and sometimes after play.
We never had too many issues during prolong hard play -- or at least that mouse would notice. After hard play or heavy use, he often would need time to rest...often that was while mouse was in the cage (when we used it).
Safety always did come first, mouse was never bound in a way that she truly couldn't escape from if needed.