Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
August 6, 1999
Hyperglycemia and DKA
Question from Tennessee, USA:
My nephew is 21 years old. He has Type 1, discovered 3 years ago. He also smokes. He is in my care, and he is currently hospitalized for DKA. He is in total denial. Cannot keep a job, becomes sick and has to quit. He refuses any suggestions of support groups as well. His blood sugars run high, I know this because of his frequent urination and mood swings. Testing his levels is also out of the question. He is hospitalized 3 to 4 times a year for DKA. I am in desperate need of counseling for this young man. I love him, but the topic of his diabetes is something he won't listen to. Please advise, and tell me what to expect, based on his current health attitude.
I have to fall back on my early training, when I was taught that “repeated hospitalizations for ketoacidosis in general have a psychological root.” My strong recommendation is therapy. However, at 21, your nephew is a legal adult and able to choose his own path.
The outcome sounds bleak without intervention. If his behavior is endangering his life, you can petition to have him committed for a psychological evaluation. It will not make you popular with him but it might save his life.