If I were you I wouldn't worry about it. I've been type 1 for a bit longer than you've been alive. I grew up using humulin R/N, and testing 4 times a day. I've survived some truly epic lows and I work as a software developer. My brother has had type 1 for 50 years, he's currently getting a second university degree. When you're 65, you'll have caught up to me now except you will have had much better insulin, CGMs, pumps, and whatever they come up with next.

I’ve been taking topamax for migraines for a year. I started at 25mg and worked my way up to 100mg. The brain fog started immediately but so did the migraine relief so I toughed it out. As I worked up in dosage I noticed that I was really struggling to complete sentences and write papers in my graduate class. At work it wasn’t so bad because of muscle memory but school has been a struggle. At 100mg, I realized I just couldn’t take the medication anymore regardless of how much relief it was providing. I have tapered back down to 50mg and the cognitive function has improved significantly but still not 100%. I will probably come off of it altogether but I’m going to go back down to 25mg and adding in Nurtec every other day. I think it really depends on how long you have taken it and how much. Best of luck to you.

I sometimes describe myself as having been ‘chemically lobotomised’ by lamotrigine, so immense have been its impacts on my cognition. However the stability it affords me is easily the only reason I am still here today. It’s a trade-off, and an unfortunate one, but to me this underscores how truly serious and disabling a disease Bipolar is