A typical diabetes is a rare form of diabetes mellitus (DM) that presents with diabetic ketoacidosis (DKA). However, in contrast to type 1 DM, patients with atypical DM undergo spontaneous remission and maintain long-term insulin independence. Ketosis-prone type 2 diabetes tends to be more common in older, overweight, non-white people with type 2 diabetes, and DKA may be their their first presentation of diabetes.
HOW IS KETOSIS-PRONE DIABETES MELLITUS DIAGNOSED?
The condition is easily diagnosed because it is typically characterized by the presence of ketoacidosis. The condition is present on four forms based on the presence or absence of β-cell autoantibodies (A+ or A−) and β-cell functional reserve (β+ or β−).
HOW IS KETOSIS-PRONE DIABETES MELLITUS TREATED?
There is no treatment for Ketosis-prone Diabetes Mellitus, only symptomatic relief may be provided. Increasing intake of fluids may help combat dehydration due to polyuria. Maintaining a healthy lifestyle may help in addressing other symptoms
DID YOU KNOW?
Atypical or ketosis-prone type 2 DM is a recently identified form of DM. It has been described in various ethnicities, and family physicians in an ethnically diverse country such as Canada are likely to encounter patients with this condition. The natural course of atypical DM is distinct from either type 1 or type 2 DM, and an awareness of this entity can facilitate early diagnosis and adequate management.