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Old 08-21-2008, 07:42 PM
chopin chopin is offline
Junior Member
I am a: Type 1
 
Join Date: Aug 2008
Location: Swindon, UK
Posts: 20
dka + high bs + alcohol = misdiagnosed?

Please dont judge, I just want some answers.

I was diagnosed as type 1 about 4 weeks ago. I am 29 years old.

Had 2 doc appointments at my local surgery in 3 days, 2 blood tests, one fasting, one not. One showed levels of 15.0 mmol/l (270mg/dL), the other 25 mmol/l (450mg/dL). Both were done in the morning at 8am. Doc sent me to hospital, I also had ketones of +3 on the urine test and sugar in my urine. My lifestyle for the last 2 years has been below sedate. It has been **** right lazy, with an intake of carbs that is disgracefull.

Now I did drink heavily, and the last 2 months had done so every second day. I also did consume a low carb/high protein diet, though in the few days previous to diagnosis had overconsumed choclate and other sweet stuff. My weight at diagnosis was approx 105kg (231lb), with a height of 1.88m (6'2").

Having been sent to hospital I was diagnosed as type 1 in DKA state. I did inform them of the overconsumption of alcohol and sugar previous whilst I was there. I was then put on NovoMix 30/70. 10 units before my brakfast and evening meal though I have reduced this to 8 in the last 4 days with no change in my BS readings!

Apparently due to my weight and height (BMI of approx 28) I have to be type 1? [I am 15kg (33lbs) overweight!]. No c-peptide/GAD65 test have been taken. I have asked to take the tests but keep getting told I am type 1 and their is no point wishing otherwise!

After discharge (I discharged myself) I have kept on a low carb diet. I have drank alcohol 3 times. Once the same day as I discharged myself (BS high of 15mmol/l), once 2 weeks after (BS high of 10.8 mmol/l), and today (BS high of 6.0mmol/l).

At all other times, sticking to a low carb diet, though refraining from alcohol, my readings before and after food have been between under 7mmol/l (126mg/dL).

Now my diet has gone low carb with no sweets/chocolate for nearly a month. I have been also excercising approx one hour a day daily.

One other thing, I have noticed that if I eat carbs, even complex ones at breakfast, that my BS level spikes. This includes high fibre (non sugar added) muesli with all dried fruit removed. If I eat the same thing later on in the day my BS is fine. I have read about the dawn phenomonon.

I find it exceptionally easy to control my BS with diet. The question is:
-Am I honeymoooning?
-Am I type 2 and was in a state known as alcoholic ketoacidosis?
-Am I pre-diabetic, which due to alcohol and bad diet went into DKA?
-Am I non-diabetic who was in alcoholic ketoacidosis with high BS [hyperglyceamic] (according to the studies its rare but possible)?
-Is it possible my natrual dawn phenomonon reading is exceptionally high and has possibly caused a false diagnosis?

I am aware that a possible over consumption of alcohol could be the cause of the t1 diabetes and ask everyone to not comment on my previous or current lifestyle, just the possibility of misdiagnosis.

Thanks to anyone that responds!

Martin
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