520!

yeah my antibody testing was negative and my C peptide was very high. My provider still is suspicious that I am a type 1 but I'm not sure why

I do appreciate your sharing your experience! :-)

Natalie ._c-

As Lila said, Ketosis-prone Type 2's are almost always black or Asian, occasionally Latino. They are often slim (but not always), and when the BG is brought down, they can usually control with d+e (like Halle Berry, who is often accused of not really having diabetes), or oral meds. Sometimes they need insulin. Read Michael Barker's site on Ketosis-Prone Type 2 -- I don't have the URL, but you can google it.

What level you produce ketones at depends on why you are high. To produce ketones the insulin level needs to be low enough that your cells' basic metabolic needs are not being met. So you can be HI (too high for the meter to read) from a missed bolus and have no ketones because your basal rate is still meeting your body's basic need for insulin, or you can be 14 (250 mg/dl) because you have an infection and your body's need for insulin has just gone way up (and you haven't compensated with increasing your dose) and have large amounts of ketones. It's more about insulin level, which of course we can't measure, than about a "tipping point" in blood sugar level.

Wow! I'm glad you recovered.

I have avoided looking @ the thread as 520 would freak me out but it's good to hear that you fixed it. My interest was kind of how long it took the Humalog to get you down? I'm T1 and have a pump and generally behave myself these days.

I noted that you don't like shots much but OTOH, I had a prediabetic Keith Richards fetish (dx'ed @16) and don't mind needles at all. I played around w/ IV R shots which, while *highly* (or maybe *lowly*?) dangerous, would drop my BG from the 300s to about 50 in like 1/2 hour? I don't sweat so much from lows any more but the sweating would start about 15 min after the shot and I'd test my BG and still be at like 175 or so but sweating already from which I concluded that the sweats were more related to 'change' rather than 'low'? I'm not sure if the T2 folks are at all interested in that but I loathe lounging around waiting for highs to come down w/ the pump/ 'log and figured I'd bring it up. I don't think mainlining Novlog/ Humalog would have the same 'advantage' (sic) b/c they work fast b/c they are engineered to be absorbed faster so they'd hit the same way in a vein or not? Plus R is really cheap, like $20 a bottle I think? Again, I can only warn you 1) the AMA/ ADA/your doctor do *not* recommend doing that or taking any advice from crazy people named AcidRock wearing mirrored aviator shades in their profile pics and 2) it is *extremely* dangerous. Still...

I just learned something new! Sorry if I led you astray, Scott, by referring only to DKA and not to the comas that occur more commonly for type 2's!