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Question: From Tennessee, USA: My nephew is 21 years old. He has Type 1, discovered 3 years ago. He also smokes. He is in my care, and he is currently hospitalized for DKA. He is in total denial. Cannot keep a job, becomes sick and has to quit. He refuses any suggestions of support groups as well. His blood sugars run high, I know this because of his frequent urination and mood swings. Testing his levels is also out of the question. He is hospitalized 3 to 4 times a year for DKA. I am in desperate need of counseling for this young man. I love him, but the topic of his diabetes is something he won't listen to. Please advise, and tell me what to expect, based on his current health attitude. Answer: I have to fall back on my early training, when I was taught that "repeated hospitalizations for ketoacidosis in general have a psychological root." My strong recommendation is therapy. However, at 21, your nephew is a legal adult and able to choose his own path. The outcome sounds bleak without intervention. If his behavior is endangering his life, you can petition to have him committed for a psychological evaluation. It will not make you popular with him but it might save his life. CMB DTQ-19990517011523 Original posting 6 Aug 1999 Posted to Hyperglycemia and DKA

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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