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Message: <blockquote data-quote="JoKalsbeek" data-source="post: 2659614" data-attributes="member: 401801">How sure are you he's a type 2? There are a lot of indications for a possible type 1 variant here. Was he ever tested? (C-peptide and GAD tests). In adults, T2 is assumed as the tests are expensive, they don't get done unless there is reason to. Your husband's weight and apparent ketoacidosis should've triggered that line of inquiry, methinks. But who am I.In any case, it's not sugars, it's carbs we deal with. So there might be no sugar added into the beer, but the carbohydrates in there will turn to glucose once ingested. Same goes for fruit, cereals etc... So can you tell us exactly what he is eating and drinking, to maybe help explain the rise in the afternoon? Mind you, i really, really think you should find out whether he is truly a T2, because there's a bunch of red flags all over the place... And if he is using insulin, and might move from a fixed dose to carb counting at some point, you'll have to know how his body reacts to certain foods/drinks. <a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html</a> might help explain things some, but don't do anything drastic. I don't quite understand what stones are, being dutch, but I have a feeling he's quite underweight. That's more of a T1 thing than a T2 thing, as are high ketones in combination with high blood sugars. The difference? A type 2 is insensitive to their own insulin. We make plenty, our body just lost the ability to use it effectively. A T1 however, stops making insulin over a period of time. It can be quite fast, which is usually the case in children, but some adults have what is called a "honeymoon period", where the insulin output grinds slowly to a halt, as their immune system kills off rather vital bits of pancreas. Can be weeks, or even years. But then there's no more insulin to be had, and injections will be required. A T2 won't go into ketoacidosis unless a whole lot of things work against you (like steroid use, indeed), but a T1 runs a much higher risk of it. So you really need to know what's going on. T1 or T2. Not to alarm you or anything, just want to stress.... Find out. Don't ask for these tests, demand them. Your husband is already on insulin so he'll be alright either way, most likely.... But it is something to look into, because they're just not the same condition and there's certain things that need more attention in one than the other.Hugs,Jo</blockquote>

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