Subject: Re: High protein diets: Ketoacidosis and insulin

From: trisa@juno.com (Theresa B Gilman)

>Theresa,

>It's my understanding that as long as your body makes some insulin,

>one's >ketone levels won't kill. That's why most type 2 diabetics don't go

>into >ketoacidotic comas or DKA like type ones. Type two's usually go into

>hyperosmolar ( I want to say shock, but i don't think that's right) shock

>from having such high bloodsugars.

>Julie

Julie,

I, too thought that type II diabetics aren't at much risk for developing

ketoacidosis, but my doctors, who are diabetes

specialists/endocrinologists, and my dietician, and my diabetes educator

have all in the past 3 years stressed the importance of testing for

ketones on sick days. Why? Because the risk for type II's is still

high, even though we continue to produce some insulin. So I believe

there is still warant to watch for ketones...at least on sick days or

days when your sugars are very high. IMHO.

Theresa

trisa@juno.com