People with diabetes who don’t eat may also have elevated ketone bodies, but this should be analyzed in the context of the individual.
Diabetic ketosis: due to insufficient insulin, resulting in glucose can not enter the cells for normal metabolism, the body lacks energy can only produce energy through lipolysis. When there are too many ketone bodies produced by lipolysis, it exceeds the liver’s compensatory capacity and accumulates in the bloodstream, eventually leading to diabetic ketosis, which is usually associated with poor blood glucose control.
Starvation ketosis: Diabetics who consume too few calories or skip meals are prone to hypoglycemia. If they are chronically hungry, they will break down large amounts of fat to produce energy, which can lead to elevated ketone bodies in the blood and positive ketone bodies in the urine, resulting in starvation ketosis.
If a diabetic patient has increased ketone bodies, there is a possibility of diabetic ketoacidosis, which requires prompt medical attention and active cooperation with the doctor to apply hypoglycemic drugs to control the condition.