Type 1 diabetes is when the body's immune system attacks cells in the pancreas that are responsible for producing insulin. It is an autoimmune disease. Whereas in Type 2 diabetes, factors like family history or poor diet could be the leading cause. This is a condition where there is a problem in the way your body regulates and uses sugar as a fuel. In today's world, Type 1 diabetes has emerged as a silent epidemic which has impacted many and could include the risk of coma. In India alone, 70% of the population suffers from uncontrolled blood sugar levels. This can lead to uncontrolled diabetes and lead to coma or unconsciousness. There Are 3 Types of Diabetic Comas:Diabetic ketoacidosis comaHyperosmolar comaHypoglycaemic comaKetoacidosis ComaDiabetic ketoacidosis happens in people with type 1 diabetes. This happens due to the build-up chemicals ketones that are strongly acidic and can cause the blood to become too acidic. This happens when there is not enough insulin circulating in the body and the body cannot use glucose for energy. So, instead, fat is broken down and converted to ketones in the liver, which can build up when insulin levels are too low. One of the common causes of this could be a missed dose of insulin.Signs of ketoacidosis:extreme thirstlethargyfrequent urinationnauseavomitingabdominal paindrowsinessrapid breathingDiabetic hyperosmolar comaThis happens when your body is dehydrated and has a high blood glucose level. If you have forgotten your diabetes medications or insulin, or have an infection, illness, flu or pneumonia, or increased intake of sugary food or fluids, then you might be at risk. It is more common in people with type 2 diabetes, who have an infection or acute illness.What happens to your body? Your kidneys respond to high levels of blood glucose by doing their best to remove it and require a large amount of water. This is why you feel thirsty, however, are unable to drink enough water to replace the lost fluids. The way to deal with this is by intravenous fluids.This coma usually develops slowly over several days or even weeks, which means it can be prevented if high blood glucose levels are detected early.Diabetic hypoglycaemic comaHypoglycaemia or low blood glucose levels (below 3.5 mmol/l), occurs when a person on insulin takes an extra dose or an increased dose. It can also happen due to strenuous exercise without eating extra food, missing a meal, drinking too much alcohol or drinking alcohol without food. If the blood glucose falls very low, then the person can become unconscious, and seizures can occur. SymptomsTremorRacing pulse or heart palpitationsSweatingWeaknessIntense hungerConfusion, altered behaviour, drowsiness or comaIt is important to understand the various forms of diabetic comas is important to prevent in time. Both caused by severely high or low levels of blood sugar, each type has unique symptoms that cannot be disregarded. While good insulin control, a healthy diet, and monitoring can help keep the risk at bay, awareness of warning signs can save lives. Whether you have diabetes or are a caregiver for a person with diabetes, being well-informed allows you to act in advance to control the condition and prevent life-threatening complications such as coma.