
A fruity or sweet-smelling breath is a particularly alarming sign and requires immediate medical attention. Other symptoms can include shortness of breath, abdominal pain, and confusion. These symptoms can be subtle at first, making early diagnosis challenging.
Diabetic ketoacidosis
With heart disease and the symptoms of DKA alone, it’s like a series of alarm bells, each symptom ketoacidosis fruity breath urging attention. By tuning into these signals, recognizing the symptoms of DKA, and acting promptly, we can be the maestros of our health orchestra. As many as 30% of children with type 1 diabetes are diagnosed because they experience an episode of DKA. About 6-8% of children diagnosed with type 1 diabetes will experience DKA at some point because of illness or poor diabetes management. When concentration levels in the blood of these substances increases, it can overwhelm the body, leaving the body unable to effectively rid itself of them. When this happens, a drop in bicabonate1-serum level and pH can begin.

Fasting and Acetone Breath Smell

During prolonged fasting, the body depletes its glucose reserves and begins to metabolize fat for energy. This process generates ketones, including acetone, which can be released through the breath. If any combination of these symptoms occurs alongside acetone breath smell, it’s essential to seek medical attention promptly. Fruity breath isn’t the only sign of a diabetes-related complication.
When you fast—especially for extended periods—the body’s glucose reserves become depleted. As a result, it starts breaking down stored fat for energy through ketosis. Diabetic ketoacidosis can be a life-threatening medical emergency. Acute liver failure is a very serious disease requiring immediate medical attention.

Type 1 Diabetes
Patients commonly presented with nausea, vomiting, and abdominal pain. The most common precipitating factors were infections (such as pneumonia and urinary tract infections) and non-compliance to treatment. In our study, infection and non-compliance to treatment were major precipitating factors. This result is similar to other studies, which also reported infections and non-compliance as major precipitating factors 2,3.
The Link Between Fruity Breath and Diabetes

“Jane Halfway house had diabetes for about 20 plus years but no one mentioned the word ketone or that you can get a handheld ketone meter. I just can’t think of her dying like that and at that time, possibly unnecessarily.” Read Douglas’s story. If the substances can be controlled and eliminated before the situation worsens, the rapid breathing can be avoided. For an object in the nose, your provider will use an instrument to remove it.
- In what type of acid-base imbalance would Kussmaul breathing be considered a compensatory mechanism?
- “Jane had diabetes for about 20 plus years but no one mentioned the word ketone or that you can get a handheld ketone meter.
- Blood sugar levels soar to incredibly high levels, but ketone production is minimal.
- What happens to the arterial carbon dioxide levels during Kussmaul breathing?
What are some conditions that may lead to lactic acidosis and Kussmaul respirations? Severe infections, shock, or poor tissue perfusion can cause lactic acidosis and trigger Kussmaul breathing. Why is salicylate poisoning particularly concerning in children? Children are more susceptible to accidental overdose, increasing the risk of life-threatening acidosis and abnormal breathing. Diabetic ketoacidosis (DKA) is the most frequent cause of Kussmaul breathing.
Common oral signs of diabetes include persistent dry mouth, swollen or bleeding gums, slow-healing sores, white patches (oral thrush), and chronic bad breath. Yes, bad breath is a common symptom of uncontrolled diabetes. This is particularly true if halitosis is accompanied by other signs such as frequent urination, excessive thirst, or weight loss.
Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. ➤ Metabolic disorders may cause abnormal acetone production. Treatment is usually done while the patient is hospitalized and involves fluids, electrolytes, and insulin. The condition is most common in Type 1 diabetics, though it can happen with Type 2 as well.
Does Diabetes Cause Red Eyes? Exploring the Link!
- If you are experiencing the symptoms of hyperglycemia, including blurry vision, increased thirst and urination, or unexplained weight loss, contact a doctor before your condition worsens.
- All condition, treatment and wellness content is medically reviewed by at least one medical professional ensuring the most accurate information possible.
- But don’t let fear keep you from taking good care of yourself.
It’s best to get to the emergency room since it is treated with insulin and fluids usually through an IV in the hospital. Gum diseases, including gingivitis, can cause bad breath, but not breath that smells like acetone. Having diabetes can also make a person more likely to develop oral health problems. When the breath of a person with diabetes smells like acetone, they should check their blood sugar levels. The FDA Adverse Event Reporting System database identified 20 cases of DKA in patients treated with SGLT2 inhibitors from March 2013 to June 2014.
What Is Diabetic Ketoacidosis (DKA)?
Dehydration can intensify ketosis by concentrating blood components—including ketones—leading to stronger odors emanating from breath. When someone experiences illness alongside poor nutrition—like during vomiting or diarrhea—their dietary intake may be insufficient for maintaining normal metabolic functions. Consequently, this deficiency leads to increased fat breakdown and subsequent production of ketones. It’s not just an odd smell; it can be a signal from the body that something is amiss. The scent resembles that of nail polish remover, which is a common household product containing acetone.
