Back to Ask the Diabetes Team Ask the Diabetes Team

From California, USA:

I was diagnosed a little over two years ago, with a fasting glucose of 389 mg/dl [21.6 mmol/L] in the ER. I was unable to eat for four days before my diagnosis because of nausea, heavy difficult breathing, and constant urination and thirst. I had lost 45 pounds in seven weeks. I was given Glucophage [metformin] and sent home to see my general practitioner the next day.

Over a seven month period, oral hypoglycemic agents did no good, so I was put on insulin for better control, and after reading a bit, I checked for ketones at home, and was running moderate even with eating 200 grams of carb per a day. My general practitioner swears I have type 2 diabetes and says the tests he's run prove this, but everything I've read suggests I have type 1. Do people with type 2 diabetes who are eating high amounts of carb spill ketones in the moderate to large range? I've shown him the camera shots of the sticks, and he says this is normal for someone with type 2 diabetes.


I think you bring up a good point. However, on insulin, it sounds like you are still having ketones in the presence of adequate carbohydrates. If your body does not have enough insulin to utilize the carbs, they are not doing any good. If your sugars are not high, I am not sure what the reason for the high ketones is. However, if the sugars are high, this could still be from inadequate insulin. If this is the case, I would check an anti-GAD antibody level and your C-peptide levels to make sure don't have Late-onset Autoimmune Diabetes of Adulthood (LADA).


Original posting 15 Oct 2002
Posted to Diagnosis and Symptoms


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:38
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.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.