From Dallas, Texas, USA:
I am a 50 year old woman, Type 2, but I have Hashimoto's thyroid disease, so I suspect I may be Type 1. I am taking Glucophage [metformin, a pill for Type 2 diabetes].
Why do I have ketones if my blood glucose is in normal ranges? I check these occasionally as well as blood glucose twice daily. Yesterday I was not hungry at 6:30 P.M., had a lunch of chicken salad on a slice of bread earlier at 1:00, and had large ketones per the strip, no sugar in urine. Blood glucose was 124. This is not an infrequent occurrence. Could it have something to do with the Glucophage?
I have read that Type 1s have ketones more than Type 2s?
Also, what exactly is lactic acidosis and how does this happen? Is this related to ketones in any way? I have read the insert about Glucophage that the pharmacy provides, but I don't really understand.
I'm not convinced either that you are actually type 2 and I do agree with you that quite possibly you are suffering from a slowly evolving form of type 1 diabetes.
Regarding ketones, they are produced in the body when insulin is lacking (this is why ketones are more frequent in insulin deficient type 1 versus insulin resistant type 2 diabetes) and fat are overoxidized.
Regarding the biguanide compound metformin (brand name Glucophage), this is not the cause of your ketonuria.
Original posting 9 Mar 1999
Posted to Blood Tests and Insulin Injections
Last Updated: Tuesday April 06, 2010 15:09:02
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.