Sarah Hyland hasn't had an easy health journey overall, as the model and actress is more than open about. Having had issues with her kidney in the past among others like endometriosis, her fitness has been difficult to maintain. That said, she looks great in a new series of shots on Instagram, in a swimsuit teasing her new engagement photos. (In one, she says "thank you" to Vanessa Hudgens.) How does she stay so fit? Read on to see how Sarah Hyland stays in shape and the photos that prove they work—and to get beach-ready yourself, don't miss these essential 30 Best-Ever Celebrity Bathing Suit Photos!

The Modern Family star has struggled with kidney dysplasia and endometriosis impacting her life. One certain health issues are simply out of her control, she focuses on what she can control. "It really is this balance of mental, emotional and physical reality," said Hyland. "So if you're feeling mentally and emotionally drained, or if you are in a very dark space, you have to pull the string on the other side to lift you up out of that." According to the NIDDK, "Kidney dysplasia is a condition in which the internal structures of one or both of a fetus' kidneys do not develop normally while in the womb."

For Sarah, working out helps a lot, but certain health hurdles can get in the way at times. Due to her health concerns, she's ended up in the hospital a few times with various issues and it's hard to have a consistent workout schedule. She focuses on what she can do and doesn't beat herself up if she has to stray off schedule.df44d9eab23ea271ddde7545ae2c09ec

Sarah doesn't have time for trolls online waiting to comment on her body. When she started receiving comments like "eat some bread," Sarah shut that down fast via Instagram. "I've been reading some of your DMs and so many of you are like, 'Girl, you fine, but like, eat some bread!'" Sarah said. "I would like to put in a request for anyone who is concerned about my bread consumption to send it to Wells Adams, because he is the sole person who knows about how much bread I consume on a daily basis. Thanks! Love you, mean it. 'K, bye," Hyland finished. 

"I never really paid attention to skincare at all," she says. "I didn't think that it was necessary because it wasn't at that time. But as I got older, you start to be like, 'Oh, I should probably be taking care of myself more and eating more greens than fast food and using moisturizers instead of not and really investing in myself.' Rather than other trivial things." Sarah started to put a lot of emphasis on her skin care, including what she eats to take care of the outside of her body when she can't  always control what's happening inside."It's been a big transformation for me, not only health wise but emotionally, physically and mentally," Sarah says. "If you don't have control in some areas of your life, you need to be able to take control of the other ones that you can do." 

"To be able to take control of my body and use a product that makes me feel comfortable because I'm not able to do what normally makes me feel comfortable has been really amazing," she says. Building up her confidence has helped her through those tough health struggles and kept her head high. "I don't mind when you say that I look pregnant. Or fat. Because I know that my face is swollen from my medication that is saving my life," she says. "My self confidence is not rendered from your comments. Because I will always be too fat. I will always be too skinny. I will never have enough curves to be called a woman. And I will always be" judged "for wearing a push up bra. Love the you you set out to be. Be the best version of yourself. Be healthy."