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.
September 24, 2001
Hyperglycemia and DKA
Question from Chesapeake, Virginia, USA:
In type 2 diabetes, do you usually develop ketosis prior to initial diagnosis? Is there any danger of someone with type 2 diabetes going into DKA?
Prior to diagnosis of type�2 diabetes, when the blood sugars are elevated, you can see ketones in the urine. The ketones are produced because of the inability to use glucose as an energy source. This is not the same as DKA [diabetic ketoacidosis]. In DKA, you have increased ketones that result in systemic acidosis.
Only in rare situations do people with type 2 diabetes develop DKA. This is usually in the setting of a serious precipitating illness, such as severe infection or heart attack.