I have been dating a person with type�1 diabetes since age 13 for a long time, and recently, he recently had a massive panic attack during an insulin reaction. Can you have such a massive panic attack and not remember anything when it is over?

When symptoms of low blood sugar occur, it implies that the body is sensing the low sugar and is trying to reverse the low level. As the duration of diabetes lengthens, it is common to lose the early warning symptoms associated with low sugars. When this occurs, the only symptoms may be symptoms related to low sugars in the brain with central nervous system dysfunction the result. This can manifest itself as combative irrational behavior, seizures, loss of consciousness, confusion, or a variety of behavioral abnormalities. The panic attack may have been an extension of these central nervous system symptoms. It is always best to correlate the blood sugar with the onset of the panic attacks to see if there is a temporal relationship. Otherwise, it is just a guess, and you can’t move forward in treating them. If the symptoms are related to low sugars, it has been helpful to aggressively avoid hypoglycemia with the goal of a return in some of the symptoms.

JTL