Hi all! *waves*
I've not been active on this site in a while but I wanted to see if there was anyone else out there like me.
I was dx 15 years ago this March, just through a vigilant parent who could tell something wasn't right with me. I never went into DKA and honestly, never really knew what it was or how to avoid it other than keeping my blood sugar under control.
I didn't take care of myself for a good 5 years, only taking my long acting insulin, but never checking my sugar and never bolusing for meals. I can only imagine what my sugar was on a day-to-day basis. My a1c's, when checked were generally about an 8.
Flash forward to two years ago, I got married & promised the hubs I would start taking better care of myself. I got on the Omnipod & got a Dexcom cgm. My last two a1c's have been 5.9 and 6.2, which my endo was completely thrilled with (and gave us the green light to have kids, which we aren't yet).
***POTENTIAL TMI WARNING***
Sooo a couple Saturday's ago, I attended a bridal shower where there were NO healthy food options. EVERYTHING was sugar sugar sugar and I was starving so I bolused as much as I could and ate. My sugar was off the screen of my Dexcom (over 400 for those of you who don't have one) but I figured it'd come down eventually once I metabolized all that junky sugar out of my system. And it did. The next day, Sunday, I was feeling pretty crappy and at 11:15 I started tossing cookies - which is extremely extremely rare for me, and that should have been a big huge blaring warning signal right there. It'd been 12 years since I'd thrown up and I'd never thrown up like this. I was back in the bathroom every two hours, but when I couldn't hold down water, I knew I was getting dehydrated and I needed help. I had thrown something in my back from vomiting so every breath hurt and I couldn't even catch my breath (still not sure what caused that).
Off we went to the E.R., aka: the longest car ride of my life (we only live 20 minutes from the hospital). We told them we suspected DKA and I was seen right away. Well, "seen" as in, they took me to the back and started processing me. I was pretty offended at the way a couple of them asked "How long have you been diabetic? Why did you stop taking your insulin??" To which I breathlessly and as forcefully as I could, answered, "Fifteen years and I DIDN'T STOP!" But I guess they had to assume that; after all, what kind of dummy veteran diabetic allows themselves to go into DKA?? **raises hand**
Later that night after a tortuous ER experience (they couldn't get a vein to get an IV in me, I was so dehydrated, I kept begging for water even though I knew I would throw it up, I kept having to get up to use the bathroom, even though my back was in such stabbing pain), they moved me to ICU where I stayed for another 2.5 days. They think I had some kind of UTI as well which may have lowered my immune response and made things worse? I haven't seen my hospital records yet, but I'm pretty healthy as far as things go - never any colds or flu anymore and barely any allergies. But I bounced back fairly quickly, judging by how irritated I was once they moved me to a regular recovery room for one night. I stayed out of work for another full day, used the weekend to recover, and headed back to work the following Monday.
Overall, it could have been a LOT worse, but I also should have recognized the signs of DKA (I was never really shown or taught that) and gone to the ER sooner.
But now it's like my body has re-set itself. I'm at the opposite end of the spectrum, decreasing my basal rates by 40% sometimes just so I'm not drinking a gallon of juice just to stay above 70. I'm trying to ride it out for a while to see if my body will settle into some kind of pattern--thank God for my Dexcom! I have a follow up visit to the endo scheduled in June (couldn't get it any sooner, but they need time to look through my 281 page hospital notes!).
I really want to hear if anyone else has experience with DKA after having T1 for a while and how their body reacted afterwards.
Thanks for reading!