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Though I don't have diabetes and am not currently a parent, Reggie, I am familiar with the disease and recently worked closely with a mom struggling with the same issue. Her six-year old was diagnosed with Reactive Attachment Disorder and was "hell on wheels" -- as I'm sure you can gather from poking around in the chat here. Gina ended up in the hospital several times when her blood pressure skyrocketed; the control issues these children have seem specifically designed to blow up their moms. And though her personality is the high-strung, reactive type, mine is not, and I've never in my life experienced the kind of stress a foster child with RAD brought to my home and family. My husband suffered a stroke trying to responsibly manage him.

SO, health issues are something to consider seriously, but by no means prohibitive. Now single, and at the age of 52 with some emotional trauma behind me myself, I'm being very careful about choosing a child that has likely been traumatized in early childhood. I've decided to adopt a teen or two, as any mental health issues they may be struggling with are easy to spot on kids that age (except manipulation, if you're not experienced with that). I've also done a thorough inventory on what I will and won't live with, some of which has to do with can and can't. And I'm not adopting from any country in which I don't have the privilege of choosing my own child. I believe that God will guide me whether I have that right or not, but I think adoption should occur through partnership and a caring about everyone involved -- and I don't see how that's possible with paper adoptions. I'm also VERY familiar with local mental health resources and am seriously considering children whose special needs are physical. That might be a way for you to go, as you would have that in common. Keep in mind that children in the US come with Medicaid, though.

Good luck! And if there is one thing I might suggest you remember throughout your adoption process, it's that "There's no substitute for paying attention."