Diabetes and HIV

[Irish4]

Doctors,

Recently I have made a major mistake that I am completely regretting. I met a woman at a bar, who was known to be promiscuous. We ended up having vaginal sex. I wore a condom from start to finish and it did not break because I removed the condom myself and noticed that it was not broken. I realize that I am probably worrying needlessly, but it has really consumed my mind. I am in a long term relationship with a girl that I love and I am completely hurt over my decision. I have since returned to our normal unprotected sex, but ever since the incident, her blood sugars have been a bit higher at night. She is type 1 diabetic. I know this probably has nothing to do with it, but it freaks me out. I would really appreciate some reassurance or expert advice. I have had no fever or sore throat. The only symptom or medical concern I had was I felt a bit fatigued for 2 days, but not fully sick. I also had a mouth infection next to an abscess tooth.

1. Do you think I need hiv testing after this incident?
2. Do you think that her diabetes blood sugar would be affected by ARS?
3. Should I just move on from this situation?

[Edward W Hook, MD]

Welcome to our Forum.  It sounds to me as though you are feeling a bit guilty about your recent misstep.  Even most people with many sexual partners do not have STIs of any sort.  The sexual exposure you describe was safe sex- condom protected sex does not lead to risk for HIV or for other STIs as long as the condom is worn throughout the encounter and does not break.  In such a situation, I do not see a need for HIV (or other STI testing).  

I see no reason to relate her higher than usual sugars to your dalliance, nor would I relate your own recent increased fatigue to anything other than possible anxiety.

In answer to your specific questions:

1. Do you think I need hiv testing after this incident?
No, I see no medical need for testing.

2. Do you think that her diabetes blood sugar would be affected by ARS?
No, I would not.

3. Should I just move on from this situation?
that would be my advice.

I hope these comments are helpful.  Please do not worry. EWH

[Edward W Hook, MD]

Gald to help..Take care. EWH

[Irish4]

Thanks doc, have a great christmas. Yime to move forward with my life.

[Edward W Hook, MD]

Repetitive question. This is not ARS.  ARS symptoms do present together. EWH

[Irish4]

So my diarrhea alone would not change your opinnion of my testing requirements? Even if the diarrhea has been over a week? Also, does ARS symptoms present together? So diarrhea would be with fever, sore throat, and others at the same time?

[Irish4]

So my diarrhea al

[Edward W Hook, MD]

No, isolated diarrhea is not a sign of recently acauired HIV infection.  ARS typically presents with high fever, muschle aches, diarrhea, and sore throat, among other symptoms.

Take care. EWH

[Irish4]

One last question doctor and I will end the thread. I have been suffering from diarrhea for a week now. No fever or nausea. My exposure was 5 weeks ago. Just curious if this is typical of ARS or HIV, diarrhea only that is. Thanks again.

[Edward W Hook, MD]

You will be fine.  Have confidence in your condom.  EWH

[Irish4]

THanks doctor. I appreciate your quick response. I believe that I might just be hypersensitive to all symptoms whether large or small. I have read numerous threads on here explaining how safe condom protected sex is. I have never had a std and this is a new experience for me. I started to question whether or not the condom started to slip up my penis or other ridiculous events. However, I filled the condom with water after to look for leaks.....nothing. I was afraid that the condom just didn't work appropriately. I know it is just anxiety speaking. Thank you for all you guys do. THis forum is extremely helpful.