Lg Cwd
Need Help

Submit your question to our team of health care professionals.

Current Question

See what's on the mind of the community right now.

Meet the Team

Learn more about our world-renowned team.

DTeam Archives

Review the entire archive according to the date it was posted.

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.