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Alexa is 30 years old and from Manchester. She's had Type 1 diabetes since she was 25 and is a long distance open water swimmer and triathlete, photographed here on a freezing day at Salford Quays where she practises her swimming.

I met Alexa by the docks at Media City in Salford where in sub-zero temperatures with the odd snow flake falling, Alexa bravely posed by the water in her swimming costume. I’m always impressed by the amount of people with diabetes that are driven to take part in these endurance sports which are hard enough anyway without factoring in the extra hassle of monitoring blood sugar.

James Clarke

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