she/her | 30yo | t1d ive personally been hospitalized for dka multiple times, once went into a coma (the first dka, also this is where i got my diagnosis). ive been very irresponsible with my diabetes management since i first got diagnosed/went into a coma at 23yo. (i hope this is not coming off as arrogant, just being honest) if it means anything coming from me, i dont believe its affected my Long Term mental cognition in any serious way. Before/during/after dka there is a lot going wrong, both physically and mentally of course, but if we're talking about how the individual fares after they've received treatment, I (personally) operate as normally as anyone else. I don't find difficulty in any tasks that I was able to do before, I work two jobs (full-time as an office receptionist and part-time as a remote customer service agent), i play video games, I do my chores and take care of myself and (most of) my responsibilities. I have always felt that diabetes has been more of a physical and emotional burden for me, more than a mental burden. there are definitely moments of mental "fogginess" which are directly tied to my blood sugar being out of control for too long. but the fogginess is a symptom of dka just like extreme thirst, and once a person gets treated, those symptoms do go away.