Question:
From Phoenix, Arizona, USA:
Do Type 2 diabetics produce ketones?
I'm a 41 year old overweight female. I was diagnosed with
type II diabetes approximately 1 year ago, diet controlled. My
sister, niece, and son are Type 1 diabetics. I have two
other sons that have tested positive for ICA's. Two
years ago I tested negative for ICA's. I have been
having small ketones on a regular basis with blood glucose levels at
150-185. Moderate ketones with blood glucose of 264. Is it
possible that I am an evolving type 1? I was under
the impression that Type 2's did not have to worry
about ketones.
Answer:
People with Type 2 diabetes can spill ketones during an illness (and may
temporarily need insulin). Given your strong family history of Type 1
diabetes, it is also possible, that you are slowly developing Type 1
diabetes (at the early stage of Type 1 diabetes, ketones may not be
present). If you are spilling ketones, I suggest you contact your own
physician for further evaluation.
TGL
Original posting 29 Mar 97
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