Technically, what are normally called the ‘complications’ of diabetes are more accurately termed its ‘late sequelae,’ but hypoglycemic episodes are a true complication of the treatment of diabetes. Patients often report bizarre fantasies during these episodes, and I have often thought it would be interesting to produce a book with accounts of various hypoglycemic imaginings, such as has been done with LSD episodes. I am sure many patients have a single hypoglycemic hallucination which stands out as their most interesting.
My strangest one came after I had rolled out of a couch in the living room and was startled to find that the living room was now appeared to be the size of a high school gymnasium. My two small dogs were running around, but they looked to me to be mechanical imitations of real dogs, so I wondered where my actual dogs had gone. I stumbled to the front door and noticed that some exams had been delivered for me to grade, but I imagined that they had been lying on the floor for decades while I slept, so that there would be no point in grading them now. I opened the door and saw cars driving by, which I assumed were incredibly modern, high-tech innovations which had been developed during the many decades I had been asleep.
Then, in real life, I suddenly fell over, breaking my hip, and watched helplessly as one of my dogs ran down the stairs and out onto the sidewalk, but luckily he turned around and came back in. I dragged myself back into the house and looked for a phone to call for help, but they were all too high for me to reach. Fortunately there was a spare computer on the floor, which I used to email someone for help.