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Question: 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. Answer: 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. MS Original posting 9 Mar 1999 Posted to Blood Tests and Insulin Injections

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:01
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