Hi Ben,
A mate of mine was diagnosed with type I diabetes at the age of 21. We have skied, bush walked, run marathons and climbed together for many years. As a previous poster has mentioned, always keeping a glucose source with you (eg Gatorade, snakes, barley sugar etc) for the long multi-pitch days is really important. Good luck with it all, if you are vigilant with your diet (ie careful monitoring of your carbohydrate intake) and subsequent insulin requirements there is nothing you can't do.
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