Diabetes is one of the most prevalent illnesses that affect people in southeastern Kentucky, Therefore, I am continually looking for updates on this disease. My question involves a situation in which a patient’s blood sugar was 1400 mg/dl [77.8 mmol/L] in the emergency room, but ketones were negative. How is that possible? How long does it take for ketones to spill into the urine? How long did it take for the blood sugar to reach this level?

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