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    • 12 hours, 45 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 14 hours, 43 minutes ago
      Derek West likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 19 hours, 18 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 19 hours, 18 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 21 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 21 hours, 13 minutes ago
      atr likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 21 hours, 49 minutes ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 15 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 18 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 20 hours ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 2 days, 21 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 2 days, 21 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 2 days, 21 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 2 days, 21 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days, 12 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 7 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 19 hours ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 20 hours ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 21 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 4 days, 21 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 22 hours ago
      Gary Taylor likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 8 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days, 18 hours ago
      ChrisW likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 5 days, 18 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      TCOYD Diabetes Nerd Your Best T1D Year Think Like a Pancreas
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      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
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    Were you experiencing DKA (diabetes-related ketoacidosis) when you were diagnosed with T1D?

    Home > LC Polls > Were you experiencing DKA (diabetes-related ketoacidosis) when you were diagnosed with T1D?
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    Several companies are investigating islet cell replacement therapies for people with T1D, some of which would require patients to be on immunosuppression therapies. Out of the following options, which of these outcomes would be the most meaningful and desirable for you?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. 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    32 Comments

    1. Amanda Barras

      I don’t know as I had just barely turned 4. I remember the Drs visit and the hospital but not the nature of my condition upon being admitted.

      5 years ago Log in to Reply
    2. Ahh Life

      Being only 4, I cannot remember a thing. In the subsequent 70years, however, I have only been symptomatic once or twice. ლ( ͡◣ ͜ʖ ͡◢)ლ

      2
      5 years ago Log in to Reply
    3. ConnieT1D62

      I don’t know. Perhaps I did. It was Nov/Dec 1962 and I was 8 years old. I remember being very sick “with something” causing nausea, vomiting, malaise, weight loss and extreme thirst with constant peeing.

      5 years ago Log in to Reply
    4. Steven Gill

      Originally diagnosed TYPE 2 and yes at that time.

      5 years ago Log in to Reply
    5. Sherolyn Newell

      If I was, it making me sick. My A1C at diagnosis was 14.1, so maybe. My first diagnosis was also Type 2. By the time I went to an endo, I was starving myself down to 8.3. At that time, my endo said it would be interesting to know if I had been experiencing DKA previously.

      5 years ago Log in to Reply
      1. Lynn Smith

        In 1967, at the age of 12, I was finally hospitalized for my symptoms. I had not kept down any food for nearly a week. Since I was already a skinny kid, that brought my weight down even further; I looked like a skeleton. Don’t know what my blood sugar was, but I am sure it was very high. My vision was very blurry so I had to wear glasses for a month or so until my body adjusted to normal blood sugars. I think I was in the hospital for four days.

        5 years ago Log in to Reply
    6. Joan Fray

      Sixty years ago. I was 12. My dad (t1d) himself) diagnosed me and took me to his doctor at Palo Alto Clinic. Home same day.

      5 years ago Log in to Reply
      1. AnitaS

        Wow, how wonderful your dad recognized what was going on and took you to an endo right away.

        5 years ago Log in to Reply
    7. rick phillips

      I was experiencing DIHD syndrome however.

      Dammit I hate diabetes syndrome

      3
      5 years ago Log in to Reply
      1. cynthia jaworski

        what is DIHD syndrome?

        1
        5 years ago Log in to Reply
    8. Mick Martin

      I don’t know as when I was initially diagnosed I knew virtually nothing of diabetes … even though I had a brother who had already been diagnosed as a type 1 diabetic. (Many years ago, type 1 diabetics were sent away to ‘special’ diabetic schools. My brother was more than a 100 miles from me, and the rest of my family.)

      What I do know is that when my doctor tested my urine, which was the way to test for diabetes, i.e. it was years before blood glucose meters became available for even doctor’s surgeries, I took my first insulin injection within about 1.5 – 2 hours. (I was admitted to hospital for about 1 week and was constantly bombarded with information of what to expect; what life was going to be like for me, etc. and was given no written information that I could refer back to.)

      5 years ago Log in to Reply
    9. Tere North

      The ketones weren’t tested, but they had to dilute my blood 50/50 to get a reading. Even then it was 800, so 1600 without.

      5 years ago Log in to Reply
    10. Amy Jo

      Found out due to a college class assignment that included a health screening.

      5 years ago Log in to Reply
    11. William Bennett

      I was certainly feeling sick, but not tipped over into DKA yet. Dr told my wife (I was 28) “If you hadn’t come in, you probably wouldn’t have been able to wake your husband up tomorrow morning.” So DKA adjacent, anyway!

      5 years ago Log in to Reply
    12. connie ker

      I was told over the telephone to my husband’s endo Dr. office to go buy a ketone test kit at the drugstore which I did. It showed ketones and the meter showed HIGH. I was 49 years old and later learned the term LADA which is what I have 23 years later.

      5 years ago Log in to Reply
    13. Conniekaycox

      Was forty nine. Spent 4 days in the ICU and almost died. Was horrid. That was march of 2020 when pandemic started. Am so thankful to all of you for sharing on here. Has been a rough year and a half. Without this site would have little to no information from people who live with this daily. Your all awesome.

      3
      5 years ago Log in to Reply
      1. Beth Franz

        The lack of good information from medical “professionals” is unreal. Like you, finding online forums with other patients sharing stories and info saved my life as well.

        5 years ago Log in to Reply
    14. Natalie Daley

      My doctor sent me for a five-hour fasting blood sugar test. The lab stoped it when it ranged 350-35. They said they don’t want to kill me. It was 1986 and this was my 40 birthday present. My GP treated it as Type 2 and had a dietician design a Draconian diet of 800 calories to lose 25 lbs. she agreed to 1100 but no more. I kept the diet and the weight off for five years. When my annual A1C was 12, I was placed in 70/30 insulin. He had no idea what to do with. A specialist at OHSU saved my life.

      5 years ago Log in to Reply
    15. Bob Durstenfeld

      I was 18 months old and had severe, chronic , diaper rash.

      5 years ago Log in to Reply
    16. Janis Senungetuk

      No, but I certainly didn’t feel well. It was 1955, I was 8 yrs. old. At no time during the whole month I was hospitalized did anyone say a word to me about diabetes, insulin injections or a specific diet. I’ll never understand why. All of the MD’s only spoke with my parents, just left me to wonder what was wrong.

      5 years ago Log in to Reply
    17. Becky Hertz

      I don’t know for sure but I doubt it. I Summit feel bad, just peeing and drinking and losing weight.

      5 years ago Log in to Reply
    18. AnitaS

      Yes, I was in DKA and lapsed into a coma at the hospital. Total time in the hospital was about 7 days. That was in 1973 and I was 9yrs. old at the time.

      5 years ago Log in to Reply
    19. LizB

      After feeling run down for a few weeks and then starting to feel really bad, unsable to do anything but drink and pee, I finally saw a doctor. He asked me to pee in a cup and then looked really scared. He told me to go to the ER immediately, don’t stop to go home for anything. He wrote a note asking them to take me right away. I still had to wait at least half an hour in the waiting room!
      In the ER the doctor there said she couldn’t believe that I was still conscious. She told my mother I should be dead. I got moved to a room very quickly where I was hooked up several IVs and monitors. Nobody really explained anything to me. I was begging them for a drink but wasn’t allowed anything. After 4 days they finally started to get everything in range and I was allowed to eat & drink. I spent 8 days in the hospital.

      5 years ago Log in to Reply
    20. Henry Renn

      Don’t know for sure but wasn’t really sick when insulin was begun at home.

      5 years ago Log in to Reply
    21. George Lovelace

      Father was LADA T1, I was Dxed in 1964, age 15. Surprised both Parents didn’t notice the 27 lb. weight loss, probably DKA caused.

      5 years ago Log in to Reply
    22. Denise Lyons

      Went to my Dr concerned that I might have type 2 diabetes. He brushed it off without any testing because I was a fit runner. Two months later I was found DKA, non responsive at home. Well he was right I’m not a type 2 diabetic…. This was 2020 at age 50.

      5 years ago Log in to Reply
      1. Karen Newe

        Stores like these frustrate me so much. A simple finger stick would have provided the information needed. I wish this became as standard as the blood pressure test.

        5 years ago Log in to Reply
    23. BOB FISK

      I was diagnosed in 1963, after a long series of mishaps that prevented me from going to my doctor. By the time he saw me, there was no doubt I was diabetic. He did a Benedict’s test, which of course was 4+. I was admitted to the hospital that evening and became unconscious during the night because of DKA that had existed for quite a while.

      5 years ago Log in to Reply
    24. lis be

      I don’t know, it was over 40 years ago. My mom brought me to the doctor because I was drinking a lot of water, peeing a lot and super thin. She saved my life! but I don’t remember hearing the term DKA until I was in my 20’s

      1
      5 years ago Log in to Reply
    25. PamK

      I was 2 1/2 years old, so I really don’t know if I was showing DKA symptoms.

      5 years ago Log in to Reply
    26. Molly Jones

      No DKA for me. I was diagnosed as type 2 during my annual check up at the age of 30. I don’t remember feeling any symptoms. The medications didn’t affect my BG and a around a month later the diagnosis was changed and spent a few days in the hospital getting adjusted to insulin.

      5 years ago Log in to Reply
    27. Beth Franz

      Yes with symptoms spanning over 2 months. Stopped eating, lost 40 lbs and barely walked upright into the ER that day with 500+ bg and zero potassium reserves. I had just moved into this city and had no PCP yet nor the ability to get into see a doc beyond the ER. I saw the look on that nurse’s face in the ER once my results started coming back as I got wheeled into the ICU. Apparently I was hours away from a coma. Misdiagnosed as T2, put on wrong amounts of insulin/meds and sent home. Retooling my diet, insulin amounts/types, and reading copious amount of information online is what has kept me alive!

      5 years ago Log in to Reply

    Were you experiencing DKA (diabetes-related ketoacidosis) when you were diagnosed with T1D? Cancel reply

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