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From Pittsfield, Massachusetts, USA:

I was told people with type 2 diabetes do not go into diabetic ketoacidosis. Is this true?


As far as I know people with type 2 diabetes do not go into DKA [diabetic ketoacidosis]. They with type 2 can have high blood glucoses, but do not produce ketones (or break down fats for energy).


Additional comments from Dr. Jim Lane:

As a rule, I would agree that people with type 2 diabetes generally do not develop DKA. However, under severe stress (such as from another illness), they can develop DKA.


Additional comments from Dr. David Schwartz:

People with type 2 diabetes can indeed have ketosis, but not commonly so. Type 1has sometimes been referred to as "ketosis prone" and type 2 as "non- ketosis prone." Type 2's, in general, do not go into DKA, but it is not unheard of.


Original posting 8 Jan 2002
Posted to Hyperglycemia and DKA and Type 2


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