That’s what I told our primary care physician when he asked at the end of my doctor’s appointment. We were discussing my blood glucose numbers vs. A1C test scores. Both were a little high but had not caused any particular symptoms.

That was the last time I felt pretty good.

A few weeks later we embarked on a one month journey from Missouri— a lengthy drive to New York and back through the Great Smoky Mountains. I like to drive. ALS likely started months before that although symptoms became more visible as the driving trip progressed.

Some fatigue, a little labored breathing, and continued weight loss.