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Plus, all these factors interact in infinitely complicated ways: What happens to my blood glucose after five hours of sleep, a low-carb breakfast, lots of exercise, high stress, and a big cup of coffee? I bring this up because its the 150 th issue of diaTribe , and Ive often thought about what I would add to that list of 22 factors if I were to revisit the article especially given all Ive learned since then from so many people with diabetes, healthcare providers, and scientists