DKA is more likely to develop in someone who has type 1 diabetes , but a person with type 2 diabetes can be at risk if they have uncontrolled blood sugar, are missing doses of medication, or have a severe illness or infection. According to the American Diabetes Association ADA , there are a number of conditions under which people with diabetes should test themselves for ketones in addition to any specific instructions given by a healthcare provider or healthcare provider :.
Self-testing ketones via the urine generally is considered less accurate than blood ketone testing, but when done carefully it can yield reliable results that can be used to determine if further steps should be taken.
There are many brands of urine ketone test strips available over the counter at drugstores, supermarket pharmacies, and other stores where medical supplies are sold. Ketostix is a common brand. Ketone urine test strips are also available by prescription. The best way to select urine ketone test strips is to ask your healthcare provider for recommendations or a prescription.
The U. Food and Drug Administration FDA issued a warning in not to purchase or use pre-owned test strips sold at a discount on online marketplaces like Amazon, eBay, or Craigslist. The FDA also warns against buying or using strips that aren't authorized to be sold in the United States one clue: the instructions are in a language other than English. According to the FDA, these substandard strips could provide inaccurate results: "If a user receives an inaccurate result from a test strip and uses this result as a basis for their treatment, they could take too much medication or not enough medication potentially leading to serious patient injury, including death.
Whatever brand strips you buy, it's important to read the product insert in detail to see if the directions for use vary from the generic ones below. If they do, follow those exact instructions instead. There are two ways to saturate a test strip with urine. One is to simply hold the test strip in the stream of your urine until it's saturated. The other is to collect a "clean-catch" sample. If you're a woman, open your labia and use the cloth to clean from front to back.
As you urinate into the toilet, hold the collection cup in the urine stream until you've got an ounce or two. The cup likely will have markings to indicate the amount.
After you've finished peeing and have washed your hands, dip a test strip into the cup to saturate it thoroughly. If the test strip takes on any color other than the original beige it's an indication that there are some ketones in your urine. Compare the color of the strip to the color chart that comes with the test kit; this will give you a range of the amount of ketones in your urine. If it appears you have small or trace amounts of ketones in your blood, it may indicate the beginning of ketone buildup.
In that case, the ADA recommends testing your urine again in a few hours. If your results show you have moderate or large amounts of ketones in your urine, take this as a danger sign and call your healthcare provider right away.
The ADA also advises keeping a log of your results that you can share with your healthcare provider or healthcare provider, who can use this information to help make changes to your diabetes management plan if necessary.
Testing urine for ketones isn't as accurate as testing blood. If you have diabetes and there is a high level of ketones in your urine then you should contact your GP or diabetes team immediately.
DKA is a serious problem that can occur in people with diabetes if their body starts to run out of insulin. This causes ketones to build up in the body, which can be life-threatening if not spotted and treated quickly. DKA mainly affects people with type 1 diabetes but can sometimes occur in people with type 2 diabetes. If you have diabetes, it's important to be aware of the risk and know what to do if DKA occurs. Symptoms of DKA include:. An audit of findings from coronial autopsies.
Diabetes Care. Epub Feb 9. Well after 3 days in Antabuse I've caved in and had a bottle of cider it was only a ml bottle oh n a few mouthfuls of pins and lemonade anyways that was 2 hours ago n I can't understand why I've Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this article What are ketones? What are the causes of ketones in the urine?
Who should test for urine ketones? Are urine ketone test strips reliable? Ketone testing is most often done if you have type 1 diabetes and:. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples.
Talk to your provider about the meaning of your specific test results. An abnormal result means you have ketones in your urine. The results are usually listed as small, moderate, or large as follows:.
Ketones build up when the body needs to break down fats and fatty acids to use as fuel. This is most likely to occur when the body does not get enough sugar or carbohydrates. This may be due to diabetic ketoacidosis DKA. DKA is a life-threatening problem that affects people with diabetes. It occurs when the body cannot use sugar glucose as a fuel source because there is no insulin or not enough insulin. Fat is used for fuel instead.
Ketone, semiquantitative - urine. Laboratory Tests and Diagnostic Procedures. Sacks DB.
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