*1.3.8 Ketosis prone diabetes*

Ketosis prone diabetes is a form of diabetes that is characterized by severe beta cell dysfunction presenting with DKA or unjustified diabetes.

It is a syndrome classified by four systems that are based on: immunological criteria; immunological criteria and insulin requirements; BMI and immunological criteria, or beta cell function. They are all non-autoimmune diabetes with severe insulin deficiency [4]. The classes are non-autoimmune diabetes with DKA, [16] the ketosis-prone insulin-dependent (clinical features of type 1 diabetes) and ketosisprone non-insulin-dependent clinical characteristics of type 2 diabetes, [17] lean ketosis-prone features of Type 1. and obese Ketosis-prone features with features of type 2 diabetes [18, 19].

However, in Africa, these conditions were present in the past 4–5 decades [20–22]; with the usual characteristics of absence of autoimmunity and beta-cell function reduction in this category, there are those who may need insulin for a short time and those that may need insulin permanently. These patients present with DKA (**Figures 2** and **3**).
