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The Question
Tue Jul 24 23:08:53 UTC 2012

I got gestational diabetes when I had my second son which turned into diabetes type 1. I've had excellent control over the last 28 yrs
Asked By: denny300  
Category: Insulin
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and always registered as a non diabetic whenever I had the A1C test. Recently I stopped taking insulin I won't go into why (Long story) but I was off insulin for 5 days and I'm sure I ran 400 each of those days just going off my numbers for the 5th day. I'm back on insulin and back to normal how much damage do you think I did by not taking it for 5 days. I gotta say after 28 years it was the best 5 days of my life with no schedule and no clock to watch. Like I said I've have been in excellent health all of my life. Excellent blood pressure, excellent cholesterol I'm 5'2 1/2 and weigh 117 and have never been over weight. My Doctor rave about my health.
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Expert Answers (1)
2012-08-21 17:01:16.0

5 days of blood sugars in the 400's does not directly cause long term complications eye,kidney,foot, heart, nerve problems). You did put yourself at risk for diabetes ketoacidosis coma (DKA). You were lucky that this did not occur. Long term diabetes complications take about 6 years of uncontrolled diabetes to develop. So, they develop from poor control over time and not poor control for 5 days.

I can sense your frustration and desire for a break from diabetes and this happens to alot of people who have diabetes. It is almost to be expected and short(1 day) diabetes "vacations" are sometimes necessary and ok. But to be safe, take these vacations after meeting with a diabetes educator or other diabetes professional who can work with you to make sure your vacations are safe.

Regardness, you want to find all the support and knowledge you can to help you manage your diabetes. Knowledge is power. A diabetes educator can help you identify which areas of diabetes management are most stressful for you and help you find ways to cope and simplify your managment so it doesn't drive you nuts. Ask to be referred to a Certified Diabetes Educator and to diabetes self-mangement classes (even if you have had them before).

Diabetes support groups are also another outlet to make living with diabetes easier. At my support group meetings, it seems the members learn and help each other more than the speaker or I do.

Keeping your A1C in the non diabetic range is quite an accomplisment. The current recommended levels are between 6.5 to 7%. Speak to your doctor to make sure that your blood sugar levels are not too low. Good luck and thanks for the question.

Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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