Ashley Thorsell, MD, a California-based endocrinologist, was diagnosed with type 1 diabetes (T1D) at the age of 18. Despite this life-changing challenge, she not only pursued a successful medical career but also discovered a passion for surfing, all while managing her diabetes with cutting-edge technology.
Diagnosis and Initial Struggles
Dr. Thorsell’s journey with T1D began during her senior year of high school when she experienced classic symptoms of the disease: dry mouth, excessive thirst, frequent urination, leg cramps, fatigue, and a significant weight loss. Her diagnosis came just after graduation in 2000.
“Instead of going on my senior trip that summer before starting college, I quickly learned how to manage living with a chronic disease,” she recalls. Managing her blood sugar became a daily routine, and she had to learn the nuances of insulin injections and monitoring her glucose levels—skills she quickly mastered despite the emotional challenges of being newly diagnosed.
Mental Health and Acceptance
Thorsell admits that her initial reaction to her diagnosis was overwhelming, leading to anxiety, depression, and even eating disorders, a phase she later recognized as “Diabulemia”—the practice of intentionally omitting insulin to prevent weight gain. However, through community support, and mentorship from experts like Dr. Lois Jovanovic, Thorsell learned to accept her condition and integrate it into her life, ultimately channeling her passion for medicine into endocrinology.
Advancements in Diabetes Technology
For the first 14 years of living with T1D, Dr. Thorsell managed her condition with frequent fingersticks and insulin injections. But as technology advanced, she switched to a continuous glucose monitor (CGM) and an insulin pump, tools that drastically improved her quality of life by providing greater flexibility and precision.
“I don’t have to think about diabetes every 5 minutes,” she shares. “My Omnipod 5 and Dexcom CGM have allowed me to focus on my family, work, and enjoying life.”
Empathy in Patient Care
Thorsell credits her personal experience with T1D for her ability to empathize deeply with her patients. As an endocrinologist, she is able to offer not just medical knowledge but genuine compassion because she understands the emotional and physical challenges of living with diabetes.
“I know firsthand how diabetes is a full-time job,” she explains. “Despite my enriched background in diabetes, I still struggle with it daily as I try to balance my life as a mom, wife, and doctor. However, diabetes hasn’t stopped me from achieving my goals. Technology has made living with diabetes easier, and I’m able to lead a healthy, happy, and successful life.”
Advancements in Treatment
As an endocrinologist, Thorsell incorporates the latest technologies into her practice, such as hybrid closed-loop systems and remote monitoring tools. She believes these innovations enhance patient engagement and outcomes by allowing individuals with T1D to manage their condition with greater autonomy and support.
“I take an individualized approach with each patient,” she says. “Diabetes management is not one-size-fits-all. We work together to find solutions that fit their lifestyle.”
A Passion for Surfing
Dr. Thorsell’s love for surfing began after her diagnosis. Initially, managing blood sugar during physical activity was challenging, but with the help of the waterproof Omnipod 5 insulin pump, she was able to pursue her passion for water sports. She now surfs regularly and encourages others, particularly young women and water sports enthusiasts with T1D, to pursue their passions without letting diabetes hold them back.
“I actively work with young women and athletes, especially surfers, to encourage them not to let T1D limit their dreams,” she says. “It’s all about managing your diabetes while pursuing what you love.”
Balancing Work, Parenting, and Surfing
Dr. Thorsell acknowledges the challenges of balancing work, parenting, and personal passions. “Prioritization and time management are key,” she says. “I maintain a healthy lifestyle, which includes daily exercise, healthy eating, and self-care, to manage stress and ensure my well-being.”
In the 25 years she has lived with T1D, Dr. Thorsell has accomplished numerous milestones, from surfing around the world to hiking the Inca Trail and even completing six half-marathons. She is a living example of how diabetes does not define her; rather, it has shaped her into a resilient and active individual who leads a fulfilling life.
Conclusion
Dr. Thorsell’s story is one of resilience, passion, and transformation. Her diagnosis of T1D didn’t just spark a career in endocrinology; it also fueled her love for surfing and other adventurous activities. Through the latest advancements in diabetes technology and her personal experience, she continues to inspire and help others living with T1D achieve their goals and live life to the fullest.
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