That is rough.
Although I am not in your shoes, I suspect that I suffer something a bit similar since I eat to excess if I don't really stay vigilant about what and how much I eat or if I skip exercise. I feel like every new day is day zero again and the battle starts all over again.
My A1C was very high and I was luckily able to bring it down. But the struggle is never really over. It wears me out mentally.
I suspect a lot of it is genetically hardwired into people.
The pandemic lockdowns didn't help me. They made everything worse on that front.
I do what I can.
I think everybody does the best they can given everything influencing them moment to moment. Since we don't see what influences others struggle against, I think it is easy to fall prey to making false comparisons between people. Perhaps the burden I bear is lighter than this person's but heavier than that person's. What might be a battle to one is an all out war to some other poor soul. Wish I had an answer. Sorry that life isn't easier on you!