
to what everyone else said. Smoking = amputation is the word from each and every endocrinologist and GP I have talked to over the last 8 years and 11 months. Alcohol consumption is also discouraged strongly if you do not have control or are having a bad week. I hate to break this to the OP but this is
NOT a condition you can "blow off for any length of time without serious negative consequences.

Best of luck and hope the smoking and drinking stop.