A patient with type 1 diabetes presents with high blood ketones and rapid breathing. This indicates which acid-base disturbance?

Ketone accumulation produces an anion-gap metabolic acidosis (diabetic ketoacidosis), with compensatory rapid deep (Kussmaul) breathing and a fruity acetone breath odor.Other options: Alkalosis and respiratory acidosis do not match ketone buildup with compensatory hyperventilation.Key exam takeaway: High ketones in diabetes = metabolic acidosis (DKA), with Kussmaul respirations.