[24M] Experiencing severe blood sugar spike and gastrointestinal issues

What might be happening

Based on the information provided, you are experiencing a severe spike in blood sugar levels, extreme nausea, and ongoing stomach issues including gassiness, bloating, abdominal pain, and diarrhea. As a person with type 1 diabetes, exocrine pancreatic insufficiency, and neuropathy, these symptoms could be related to your existing conditions or could indicate a new issue. Here are some possibilities:

• Diabetic Ketoacidosis (DKA): This is a serious complication of diabetes that occurs when your body has low insulin levels. It can cause high blood sugar levels, nausea, abdominal pain, and fruity-smelling breath. However, you did not mention having a fruity breath odor.

  • Treatment typically involves insulin therapy and fluid and electrolyte replacement.

• Gastroparesis: This is a condition that affects the stomach muscles and prevents proper stomach emptying. It is often caused by damage to the vagus nerve, which controls the digestive system. A complication of diabetes is neuropathy, which can damage this nerve.

  • Treatment typically involves dietary changes, medication to stimulate the stomach muscles, and, in severe cases, feeding tubes and intravenous feeding.

• Pancreatic Exocrine Insufficiency (PEI): You mentioned that you have been diagnosed with this condition. PEI can cause digestive problems because the pancreas does not produce enough enzymes to break down food. Symptoms can include diarrhea, weight loss, and abdominal pain.

  • Treatment typically involves pancreatic enzyme replacement therapy (PERT), which helps the body absorb more nutrients from food.

What you can do

Given the severity of your symptoms, you should seek immediate medical attention. High blood sugar levels, especially over 400, can be dangerous and should be addressed immediately.

In the meantime, here are some steps you can take:

1. Continue monitoring your blood sugar levels closely.
2. Try to stay hydrated. This can help to prevent further complications.
3. Avoid eating or drinking anything that could potentially worsen your symptoms until you can see a doctor.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Difficulty breathing
• Chest pain
• Confusion or difficulty staying awake
• Blood in your stool or vomit
• Severe abdominal pain

Remember, while I strive to provide accurate information, I am an AI and not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.