[SCRN1]

They don't always end up in DKA to be diagnosed.

January of this year, I was also one of those who felt unusually thirsty...contributed it to the dry air at the hospital, voided gallons frequently (or least it seemed like gallons, LOL)...contributed it to drinking so much, blurry vision...been wearing glasses/contacts most of my life and now over 40, so I thought my vision had changed again and it was time for my yearly eye exam, constant fatigue...contributed it to two recent deaths in the family, getting past the holidays, and crazy sleep patterns because of working 12-hr night shifts. Had someone else mentioned all these symptoms to me, my first thought would be for them to have their BG checked. With myself? Didn't occur until the 2nd week. I checked it and it was in the mid-300s.

At first, the doctors automatically diagnosed me with Type 2 because of my age (43). I could stand to lose a few pounds, but I've never been obese. Also, I never had gestational diabetes. At first, I was put on Glucaphage. Didn't help and Actos was added. That didn't work either and my blood sugars were now more in the 400s. Glucotrol XL was added but didn't help either. Insulin was added and that finally brought my BG down. I even had several hypoglycemic events. I had been telling them all along (after the 1st visit when diagnosed though) that I'd bought some Ketostix and my urine showed heavy ketones. Never was given an answer for that. I also told them that all my symptoms came on me extremely fast and I've had my blood sugar checked within the year (more than once) and it was WNL. Finally, after doing my own reading & looking for all the info I could find on diabetes, I insisted at my doctor's office they test me to see if I have Type 1 or Type 2. Well, guess what? It pays to take responsibility in looking out for yourself. I was told that the GAD and C-peptide showed that I am Type 1. I got a referral to an endocrinologist who I'm now seeing and no longer having to take the PO diabetic meds. I do take Levemir @ HS and Apidra AC 3 times daily. They're trying to talk me into a pump, but I'm don't want one just yet.

I'm also curious about becoming hypoglycemic with Type 1 if you obviously weren't on insulin at that time. I'm sure different people react different ways, but when I delay a meal during the day (which also means delaying giving myself insulin), my blood sugar shoot way up. The only time it goes low is if I didn't get enough carbs after an insulin dose.

[Myxel67]

Usually if your BG goes way up when you delay a meal, it means your basal insulin coverage is inadequate. Levemir does not usually work a full 24 hours, so it's possible your highs may come as the Levemir is fading. Splitting the Levemir into 2 doses, or trying Lantus might help.