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Insulin levels have to be checked and maintained by Type 1 diabetics to avoid serious complications CASES of a potentially deadly diabetes complication are steadily increasing in Scotland, with those from the poorest areas most likely to fall ill or die. A nationwide study led by Edinburgh University found that rates of fatal diabetic ketoacidosis (DKA) doubled in Scotland between 2004 and 2018, with a total of 472 deaths and 30,427 hospital admissions recorded over the 14 year period. Angela Mitchell, director of charity Diabetes Scotland which funded the study, said the figures were "incredibly concerning". DKA is a serious complication affecting people with Type 1 diabetes, whose pancreases cannot produce insulin - the hormone required to enable glucose to be used for energy.