Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
DTeam Archives

Review the entire archive according to the date it was posted.

icon-question-mark
June 14, 2007

Diagnosis and Symptoms, Honeymoon

Question from United Kingdom:

I was diagnosed with type 1 diabetes two weeks ago after I was taken to the hospital with high levels of ketones in my urine and my blood sugar at 12.0 mmol/L [216 mg/dl]. I was told I was in DKA and hence diagnosed with type 1. However, after being discharged from the hospital, my doctor decreased my insulin from eight units to two and then, a week ago, I was told to stop insulin as my sugar levels dropped a lot. I have been checking my sugar levels seven times per day for the last five days and they are in the normal range. Is there any chance that I don't have type 1 diabetes or is it a so called honeymoon period? Also, what other conditions except diabetes can bring on DKA?

Answer:

It is unlikely that you do not have diabetes after having an episode of diabetic ketoacidosis. What happens to explain your improved blood sugars is that the insulin-producing cells that remain and have not been destroyed are able to function more appropriately in a normal glucose environment. You are most likely in the honeymoon phase of type 1 diabetes. The good news is that the honeymoon tends to last longer with better glucose levels. Unfortunately, the underlying disease that destroys the insulin-producing beta cells usually destroys the remaining insulin-producing cells over time.

JTL