James Talarico, Texas’ newest U.S. senator, recently opened up about a life-threatening medical emergency he experienced several years ago while campaigning for political office. The frightening incident ultimately led to his diagnosis with an incurable disease.
“I was lucky to be alive. The nurses and the doctors in Williamson County saved my life,” Talarico revealed during a recent CNN and Jubilee town hall.
Looking back on his first campaign for the Texas House of Representatives in 2018, Talarico explained how an ambitious decision to connect with voters took an unexpected turn.
“I was perfectly healthy and I decided to do something a little unusual,” he recalled.
“I decided to walk the entire length of my legislative district … It was 25 miles, I did the whole thing on foot all in one day, all in the Texas heat, and I held three town halls along that walk.”

James Talarico Diagnosed With Type 1 Diabetes After Life-Threatening Campaign Emergency
James Talarico revealed that a grueling campaign walk in 2018 led to a medical emergency that ultimately resulted in his diagnosis with Type 1 diabetes, a lifelong condition with no known cure.
Despite the demanding 25-mile journey through the Texas heat, Talarico said he initially felt confident about completing it. Having hiked in Big Bend National Park every year, he believed the relatively flat route through his legislative district would be manageable.
However, troubling symptoms began to emerge midway through the walk.
“But halfway through the walk I started to feel fatigued and nauseous. [I] actually threw up a couple times along the walk,” he recalled.
“Somehow I finished it. I went home. I figured I was dehydrated and I just needed a good night’s sleep.”
What seemed like ordinary exhaustion soon turned into a serious medical crisis. Talarico said he remained asleep for 36 hours, prompting his concerned family to rush him to the emergency room.
At the hospital, medical staff checked his blood glucose levels and discovered a dangerously elevated reading of 900 milligrams per deciliter (mg/dL). For comparison, a normal fasting blood sugar level is generally below 100 mg/dL.
“I was in a state of diabetic ketoacidosis, which leads to coma and death without insulin,” Talarico explained.
“I was diagnosed with Type 1 diabetes on the spot. I was lucky to be alive. The nurses and the doctors in Williamson County saved my life.”
Diabetic ketoacidosis (DKA) is a potentially fatal complication that develops when the body lacks sufficient insulin, causing harmful acids called ketones to accumulate in the bloodstream. Without prompt medical treatment, the condition can result in unconsciousness, coma, or death.
What Is Type 1 Diabetes?
Type 1 diabetes is a chronic autoimmune disease in which the body’s immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas.
Insulin is an essential hormone that helps glucose, or blood sugar, move from the bloodstream into the body’s cells, where it is used for energy.
When the body produces little or no insulin, glucose accumulates in the bloodstream, potentially causing dangerous blood sugar levels and serious health complications.
Unlike Type 2 diabetes, which involves insulin resistance and may also involve reduced insulin production, Type 1 diabetes occurs when the body loses its ability to produce sufficient insulin.
Although there is currently no cure for Type 1 diabetes, people living with the condition can manage it through lifelong insulin therapy, regular blood sugar monitoring, and appropriate medical care.