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Conditions and Diseases > Diabetes Forum > No insulin in 24 hours - normal blood sugar
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Q: No insulin in 24 hours - normal blood sugar
asked by: diabetic1997ga on October 21st, 2009
New User
I've had juvenile diabetes for 13 years and I've never encountered a problem like this before.

Every morning I get up and take insulin, I take more before I go to bed at night. Yesterday my sugar levels kept bottoming out all day long. I was steadily having to drink juice, cokes, and other drinks with sugar, and I was having to eat constantly. After dinner, my blood sugar read 183. I was scared to take insulin before bedtime because of the events in the previous day, so I didnt. I woke up and my b.s. was 89. I still haven't taken any insulin and my sugar now reads 75. I have no idea what is going on with my body.
I haven't taken insulin in over 24 hours, but my blood sugar remains normal.
Could anyone help, please?
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Dr. Joel W. Steelman , MD
replied on November 2nd, 2009
You have an interesting situation. If you had described this situation maybe 20 years ago. My response would have been that you likely had antibodies in your blood stream that were binding insulin and releasing it at unpredictable times. This was a common situation when animal-derived insulins were used. It is quite rare nowadays with recombinant human insulin to see this situation.

Situations that could explain your situation besides insulin binding antibodies would include delayed emptying of food from the stomach, celiac disease, addison's disease, or perhaps a new oral medication that you did not mention in your history.

Nevertheless, I am concerned that you are at risk for DKA as a type 1 diabetic without any type of insulin coverage. I strongly recommend speaking with your diabetes doctor or your doctor's CDE about your symptoms.




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Courtie
replied on November 4th, 2009
Experienced User
You're lucky. I wish I had hypoglycemia instead of type one diabetes. the only times I don't have to take insulin with food is after exercise. Sometimes miracles happen. Maybe your prayers have been answered.
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