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I Am A Diabetic. Type II - Insulin Dependent. The
Question: I am a diabetic. Type II - insulin dependent. The past few days my afternoon sugars have been lower than normal (between 44 and 90). I have decreased my Humalog and eaten a few extra cards. I am at 96 just now and have the strongest smell of acetone on my breath. I see my endocrinologist tomorrow. Should I be concerned between now and then? I feel ok except for being a bit dizzy
Brief Answer:
About ketosis in type 2 Diabetes;
Detailed Answer:
Hello and thank you for asking!
I have gone through your concerns carefully.
Ketosis with normal blood sugar and without other symptoms ( anorexia from many days, fever, diarrhea etc) in type 2 Diabetic patient can be caused by inappropriate carbohydrate intake.
As a result, your body must use fat as fuel and ketones are increased manifested by the fruity smell on the breath.
If you have a urine deepstick you can check ketones in urine at home otherwise try to eat more carbs today, drink plenty of water and keep monitoring blood sugar.
In type 2 Diabetic patient, ketoacidosis is a rare condition with normal blood sugar and without other symptoms.
So, I'd suggest you can see your physician tomorrow and explain the situation.
Let me know if I can assist you further.
Best wishes,
Dr.Mirjeta
About ketosis in type 2 Diabetes;
Detailed Answer:
Hello and thank you for asking!
I have gone through your concerns carefully.
Ketosis with normal blood sugar and without other symptoms ( anorexia from many days, fever, diarrhea etc) in type 2 Diabetic patient can be caused by inappropriate carbohydrate intake.
As a result, your body must use fat as fuel and ketones are increased manifested by the fruity smell on the breath.
If you have a urine deepstick you can check ketones in urine at home otherwise try to eat more carbs today, drink plenty of water and keep monitoring blood sugar.
In type 2 Diabetic patient, ketoacidosis is a rare condition with normal blood sugar and without other symptoms.
So, I'd suggest you can see your physician tomorrow and explain the situation.
Let me know if I can assist you further.
Best wishes,
Dr.Mirjeta
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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