“My first thought was that I had some dreaded disease,” Glen Wagner, 53 says of the day his doctor told him it was time to start insulin. “That really opened my eyes.” Glen, a 20-year veteran in the medical field, working as a paramedic and in facilities management, lived a life on the go. Meals were often from a drive-thru. There was little to no formal exercise, even though he would describe his lifestyle as physically active with his work. After 30 years, Glen quit smokeless tobacco cold turkey a few years prior to that doctor’s appointment. Yet, it all caught up to him by his late 40s.