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Type 2 And Keytones

Kyleigh

Member
Hi I was diagnosed diabetic 10 weeks ago and told type 2 a week ago. I was just wondering if any one has had ketones present with type 2
Thanks x
 
Kyleigh said:
Hi I was diagnosed diabetic 10 weeks ago and told type 2 a week ago. I was just wondering if any one has had ketones present with type 2
Thanks x
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Hi @Kyleigh and welcome to the forum. I have never had ketones present with T2 but I'm confused about which type of diabetes you were told 10 weeks ago and now. Was it T2 then and T1 now? Do you happen to know what your HbA1c blood test result was? If you have any other info you can provide, that would help us be able to answer your question better. I will tag in @daisy1 who has some info for people new to the forum, regardless of which type of diabetes they have.
 
@Kyleigh - as a type 2, particularly if you eat a low carb higher fat diet you will sometimes see (lowish) levels of "nutritional" ketones, and these are perfectly hatural and normal. If you're testing urine with wee sticks be aware too that being dehydrated may also show you a highish concentration of waste ketones. If you read through the forum, especially the Fasting section you'll see that many of us T2s are eating a ketogenic/LCHF siet and regularly producing ketones.

This is completely different to the high ketone levels that you get with diabetic ketoacidosis (DKA) - where a combination of high ketone levels, high g;ucose levels and a severe lack of insulin can be a very serious issue, but this mainly affects type 1 diabetics, who can;t producde their own insulin. (See https://www.diabetes.co.uk/diabetes-complications/diabetic-ketoacidosis.html) But regardless of diabetes type if you're seeing highish levels and are feeling unwell, then you must seek medical advice.

Robbity
 
You can get ketones with type 2 but its not so common as with T1
High sugars and insufficient insulin production can cause you to be positive for ketones and to suffer the v dangerous condition of DKA.
As someone else mentioned a diet that is v low in carbs can put the body into nutritional ketosis which means you would also show positive for ketones but it is different to DKA.
The trick is knowing which situation you are in if you register positive for ketones on a blood / urine test
 
I had ketones when I was diagnosed with T2 whilst in hospital for another condition- they did question if I was T1 because of them and very high bs of 28 but after tests consultant said it was it was rare but can happen in a T2 with high bs
 
10 weeks ago on diagnosis I was told type 1 and my hba1c was 101 my retest 4 weeks ago it was 72. My gad anti body test came back last week normal so I was told type 2.
 
lovinglife said:
I had ketones when I was diagnosed with T2 whilst in hospital for another condition- they did question if I was T1 because of them and very high bs of 28 but after tests consultant said it was it was rare but can happen in a T2 with high bs
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My sugars were high as well 30.6 and it was questioned for 9 weeks until the results came back x
 
I have to be low carb as the hospital put me on novomix which I'm struggling with. The clinic are changing the insulin next week so I can hopefully be more in control of it all x
 
Kyleigh said:
I have to be low carb as the hospital put me on novomix which I'm struggling with. The clinic are changing the insulin next week so I can hopefully be more in control of it all x
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Mixed insulin can make it harder to reduce BGs and weight in T2. It's common for diabetes nurses and doctors to prescribe it though. Those who are more up to date with current practice will give one or both (if needed) of a long acting (basal) insulin and a short acting (bolus) insulin for mealtimes, along with the safety info the patient needs, and regular contact to ensure things are going well.

Your A1c of 70 is very similar to mine of 74. I cannot give medical advice, from my own experiences I am seeing excellent results using a basal-only insulin regime that is well managed with my nurse.

Some people in the forum disagree with the use of insulin for T2s but there are many of us doing it safely and successfully, whether short or long term. The key is to change what we eat first and foremost. As long as it is done safely, insulin therapy can help reduce the risk of serious short term complications better than dietary changes alone. I plan to consider going off insulin once my risks are reduced in a few months. There is more info about this approach at the links in my signature.
 
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