Sounds like your son is at least pre-diabetes. If he isn’t diagnosed T1D, suggest pushing for antibody testing. My other thught is the GM might be a misdiagnosed adult onsetT1D, as an estimated 10% of T2Ds are acutually T1D.
If antibody positve, that should get your son ongoing attention and supplies to closely watch his condition and, possibly, treatment that will delay onset/slow progression of the disease.
The year after I was diagnosed as T2D, my daughter was diagnosed T1D and in ketoacidosis. After twenty six years progression and antibody testing, my diagnosis was changed to adult onset (LADA) T1D. And my GM was adult onset diabetes, that being before antibody testing. I think it likely she was actually adult onset T1D.
First- Defnition of DKA - Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body does not have enough insulin. Insulin is a hormone that helps glucose (sugar) from the blood enter cells for energy
You are speaking of a different kind of DKA. DKA with too much glucose is a real problem for the newly diagnosed.
Second Fear-mongering? - A rapidly rising is a significant problem. You can draw the line anywhere. 200, 250, 300? For me, it is 200, but to be fair, that is on the low side. But fear mongering? I think not.
Yes, I go over 200, but I have insulin to bring it down; this person only has time. In a rapidly rising blood sugar, with no insulin to combat it, 200 and rapidly rising is a fair level. Remember at the ER they will likely sit, have to explain, be tested, and convince the ER doc. If this looks like latent or slow onset, they need to document the issue so others can diagnose it. Again, one can disagree on the level, but not the action.
Finally, experienced person with diabetes? - I have had T1 for 50+ year, I see you were DX’d in the 80’s? You should know better than calling someone one out as inexperienced and having no idea about them.
I’m sorry my words offend you, but I stand by them.
Also, I never called you inexperienced, so I have no clue what all that is about. Your experience even seems to agree with me that we don’t need to rush to the hospital when our BG goes over 200, but rather make that decision based on symptoms/risks of DKA.
I go over 200 when ever my site is inflamed or my cannula gets bent or if I miscalculate my dose.
As long as you are not staying there, it’s no big deal.
I move into DKA rather fast with no insulin being pumped after an hour I’m over 300 and feeling sick. 2 hours and I’m well into it with dizziness nausea and thst unexplainable feeling that you only know it from experiencing it.
I’ve never gone to the hospital except when I was first diagnosed.
Even though I know it’s dangerous, I can just give myself a large dose of insulin and drink water.
This doesn’t really happen now that I have cgm because I get an alarm if I go past 160. But once I hit 160, I know I’m going to pass 200 but at least I have time to react before symptoms begin.
I feel a ton of empathy for kids back in the days before insulin, they had to feel that awful feeling for weeks before finally dying from it. It’s really unimaginable.
