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DKA in type 2

Discussion in 'Type 2 with Insulin' started by Absxx, Dec 10, 2020.

  1. Absxx

    Absxx Type 2 · Active Member

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    Good morning I was recently in hospital with DKA and sepsis it really knocked me for 6. Has anyone else experienced DKA in type 2?
     
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  2. Oldvatr

    Oldvatr Type 2 · Expert

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    I used to think my bg; meter was being friendly when it said "HI" to me when I tested. Then I got a new meter and it shouted KETONES at me, and I thought it was being very clever, I did not suffer DKA and felt fine, but GP had a hissy fit and threatened insulin. I am lucky since I am clearly still producing insulin so did not suffer the acid buildup, If you got DKA then it suggests that something interfered with your ability to produce insulin, and over a period of time.

    Did you have some other infection or reaction going on at the time? Do you have a kidney issue? Some medications can induce pancreatitis, so it may need a change. DKA in a T2D does need a proper investigation and a watchful eye. Maybe get some urine test strips to check for ketones, or get access to a meter that measures the blood levels of ketones.

    There may be a simple explanation, but get it checked since DKA proper is a significant risk.
     
  3. ZedZeeZet

    ZedZeeZet Type 2 · Well-Known Member

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    Yep, type 2, diagnosed because of DKA. It's not common but not quite as rare as we are led to believe.
     
  4. Absxx

    Absxx Type 2 · Active Member

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    I had a dental abscess which went into my sinuses then got a virus on top of that (not Covid) I didn’t know I had to stop the empagliflozin which caused the DKA along with the infections
     
  5. Oldvatr

    Oldvatr Type 2 · Expert

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    That would probably explain it. These meds are strongly associated with DKA events but not sepsis - that was probably the abscess. Not common, but can occur with lowish blood sugars around 10 mmol/l (ish) even in healthy people.
     
  6. Absxx

    Absxx Type 2 · Active Member

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    Been given a blood testing kit that does ketones as well as my recent hba1c was 51 and I’m well controlled on metformin empagliflozin and semaglutide so they were surprised I went into DKA. Thanks for all the comments xx
     
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