@bonkers82
A word of caution. (This already referenced by
@ziggy_w )
Diabetic ketoacidosis is normally diagnosed by a combination of high ketones and high blood glucose.
However if you are on medication that causes you to pee out sugar this can reduce your blood glucose readings when you are actually in ketoacidosis. Jardinace is a drug which causes you to pee out sugar.
So for someone who is on Jardinace and is showing rising ketones then A&E is probably a sensible move because DKA or EKA can develop very quickly and is dangerous if not treated promptly.
The ketone levels that you are showing are not considered dangerous for a T2 but are "blues and twos" for a T1.
As a rough guide up to 5 on the ketone scale is fine if you are on a keto diet. I've been up in the 4s whilst fasting.
However, for a T1 or an insulin dependant T2 it is different.
https://www.diabetes.co.uk/diabetes_care/testing-for-ketones.html
"
WHAT SHOULD THE KETONE TEST RESULTS BE?
- Under 0.6 mmol/L – a normal blood ketone value
- 0.6 to 1.5 mmol/L – indicates that more ketones are being produced than normal, test again later to see if the value has lowered
- 1.6 to 3.0 mmol/L – a high level of ketones and could present a risk of ketoacidosis. It is advisable to contact your healthcare team for advice.
- Above 3.0 mmol/L – a dangerous level of ketones which will require immediate medical care.
"
Your reading of 3.2 is up in the danger area by that guidance.
So if, and this is a big if, you aren't producing enough insulin to control your BG and this is being masked by the Jardinace flushing glucose out of your bloodstream then you could be showing symptoms of EKA. That is, your body isn't managing to get glucose into the tissues for energy and so is breaking down fat (and possibly muscle) for energy.
We can't diagnose, obviously, but it might be worth asking your GP if you can have your insulin levels checked because it seems that if you are producing adequate insulin then you aren't at risk from those ketone levels, but if you aren't producing enough insulin then the trips to A&E may have been a sensible move.
TL;DR - Jardinace can mask some of the symptoms of DKA which can lead to EKA.