Which complication is primarily associated with type 1 diabetes?

• A. DKA
• B. Non-ketotic hyperosmolar coma
• C. Hypoglycemia
• D. Hyperglycemic hyperosmolar state

Answer: (A)

The main idea is that type 1 diabetes involves an absolute lack of insulin, so the body switches to fat breakdown for energy. This rapid fat breakdown produces ketone bodies, leading to metabolic acidosis and dehydration from excess urination. The combination of high glucose, ketones, and acidosis defines diabetic ketoacidosis, the hallmark complication associated with type 1 diabetes. While hypoglycemia can occur, especially with treatment, and non-ketotic hyperosmolar states are more typical of type 2, the distinctive complication linked to type 1 is DKA.