DEAR DOCTOR K: I have had Type 1 diabetes for 20 years. I'm worried I may get ketoacidosis, even though I never have. How do I protect myself?
DEAR READER: You are at risk for ketoacidosis, but the fact that you've never had it is encouraging. It means you're already doing the things you need to do to prevent it. That's important, because diabetic ketoacidosis is a serious complication of Type 1 diabetes. Let's start with a few basics. Type 1 diabetes is often called "insulin-requiring" diabetes.