Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
July 10, 2001
Hyperglycemia and DKA
Question from Longs, South Carolina, USA:
Can a person be in acidosis and not have urine ketones? Is acidosis more common in type1 or type 2 diabetes?
The only situation I know of where ketones might appear negative would be dipsticks (such as Ketostix) which might be negative in neonatal (newborn) diabetes because babies cannot produce acetone — the substance that makes Ketostix change colour.
DKA [diabetic ketoacidosis] is markedly more common in type 1 diabetes but it can occasionally occur in type 2 diabetes.
[Editor’s comment: There are other disorders (that have nothing to do with diabetes or DKA [diabetic ketoacidosis]) that can cause what is technically called metabolic acidosis. For example, poisoning with certain acid substances will cause acidosis.