What can happen to type 2 diabetics during acute illness?

In the context of acute illness, individuals with type 2 diabetes can experience a variety of changes in their condition and physiology. During acute illness, insulin resistance tends to increase due to stress hormones released in response to the illness, making it more difficult for insulin to function effectively. This increase in insulin resistance can lead to higher blood sugar levels.

The choice stating that the condition may revert to type 1 is not accurate, as type 2 diabetes is characterized by insulin resistance and often accompanied by some degree of insulin deficiency, but it does not convert to type 1 diabetes, which is an autoimmune condition leading to the destruction of insulin-producing beta cells in the pancreas.

The correct answer reflects the reality that acute illness typically exacerbates existing conditions rather than changing the fundamental nature of the disease. Thus, understanding that type 2 diabetes will likely involve increased insulin requirements and potential complications during illness is critical for management. Patients may experience fluctuations in blood glucose levels and have specific dietary needs that may become even more critical during such times.