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Seek urgent medical attention if you experience: Persistent high blood glucose readings (above 15 mmol/L) Symptoms of hyperglycaemia that don't improve with treatment Unexplained weight loss or persistent fatigue Diabetic ketoacidosis (DKA) is uncommon in type 2 diabetes but can occur in certain situations, particularly if you have significant insulin deficiency, are taking SGLT2 inhibitors, or have a serious illness