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High Ketones Normal Blood Sugar

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Understanding Results

Now that you’ve learned all you can about controlling diabetes, you are probably wondering how exactly do I measure results, and how do they all tie in to give me a big picture of how well my diabetes is controlled? Here are some of the most common tests you will be taking as you manage your diabetes: Blood glucose testing: Monitoring blood glucose allows you to gauge how well your blood sugar is controlled and make adjustments to correct it. A1C testing: This is done in a lab by a healthcare professional, and looks at your average blood glucose level over the last three to four months. Ketone testing: This is done when you are ill or pregnant to ensure your body isn't burning fat instead of glucose. Blood pressure measurement. Other lab tests: Such as cholesterol testing, urine protein testing (albumin/creatinine ratio [ACR]) and kidney function testing. More information on specific tests. HOW DO ALL THESE NUMBERS TIE IN? Make sense of the numbers with GLUCOFACTS®DELUXE Diabetes Management Software. GLUCOFACTS®DELUXE tracks your blood glucose results over time and helps you identify patterns and trends. For example, there may be a certain time of the week (weekends, perhaps) t Continue reading >>

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  1. CharleneRed

    Sick child with normal blood sugar but ketones in urine?

    My 5yr old has type 1, and has the flu. Her blood sugar is pretty normal to sometimes low as she does not want to eat but is drinking fluids. I tested her urine for ketones and they are 2+. I was told to increase her bg and give insulin every hour. does this make any sense?

  2. foxl

    2+ seems high. Ketones can simply indicate that you are burning fat as fuel -- either your own or dietary.
    My non-D daughter, now 10, used to get horrible ketone breath because when ill, she would NOT EAT!
    But GIVE INSULIN every HOUR??? No.

  3. furball64801

    I would not think insulin every hour could be regulated and you would have the stacking affect, make sure she has plenty of fluid.

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Watch me as I go through the process of going out of ketosis and getting back into ketosis while testing with a breathalyzer. Hoping to find an affordable alternative.

Ketone Testing: What You Need To Know

What are ketones? Why should you test for ketones? How do you test for ketones? And what should you do when you find ketones? What are ketones? Ketones are produced when the body burns fat for energy or fuel. They are also produced when you lose weight or if there is not enough insulin to help your body use sugar for energy. Without enough insulin, glucose builds up in the blood. Since the body is unable to use glucose for energy, it breaks down fat instead. When this occurs, ketones form in the blood and spill into the urine. These ketones can make you very sick. How can I test for ketones? You can test to see if your body is making any ketones by doing a simple urine test. There are several products available for ketone testing and they can be purchased, without a prescription, at your pharmacy. The test result can be negative, or show small, moderate, or large quantities of ketones. When should I test for ketones? Anytime your blood glucose is over 250 mg/dl for two tests in a row. When you are ill. Often illness, infections, or injuries will cause sudden high blood glucose and this is an especially important time to check for ketones. When you are planning to exercise and the b Continue reading >>

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  1. derphamster

    Yes you were on the way to DKA, because you are not producing enough insulin to meet your body's needs whilst working out.
    You can go into DKA without your blood sugars being high if you have a mismatch in insulin requirement vs insulin output. The normal/low blood sugar DKA is quite rare but it can happen if the circumstances are right. You did the right thing to fight it, by having some carbs and protein and drinking a lot of water. If it repeats and you can't get the ketones down and you feel unwell you need to go to hospital. DKA can put you in a coma within hours so you need to take it seriously.
    I'd try to ease off doing hard workouts. You can still exercise but if this happens again you should rethink. You can also use this to back up your story at the doctors.

  2. joralo

    Thank you derphamster, you always give great advice in all of my threads. :) Now I'm even more scared....I feel even more wary of the oGTT now, I shouldn't take it if I react this badly. If I am on my way to DKA with just some exercise and not much food - how will I react when downing 75 g of glucose? Probably straight to DKA... I really don't know what to do, other than sit around and wait until I actually develop whatever form of diabetes I have - so that some doctor will finally help me out and take me seriously. Even if I took the oGTT - what if it's one of those rare unpredictable days where my body still handles it and at the 2nd hour it is < 200...I will be sent home as "glucose intolerant" and would still be none the wiser. This limbo state truly sucks, sorry had to vent.

  3. derphamster

    Don't worry, ogtt won't cause you to go into DKA. You'll still be making the same amount of insulin, which is obviously enough for normal activities (evidenced by your normal readings most of the time). DKA occurs not from high blood sugar, but from not having enough insulin for your needs. The reason you got ketones when you were exercising is that a workout drastically increases the body's need for insulin as there are hundreds of hungry muscles competing for fuel, which is delivered by insulin. When insulin can't keep up, the body must burn fat for fuel which generates ketones.
    I also forgot to mention that your lack of food (specifically, carbs) before your workout could also cause your body to produce more ketones due to not enough glucose. If you'll be doing something strenuous, consider having a 10-15g carb snack shortly beforehand.
    The high blood sugar normally associated with DKA is a result of too little insulin for the body's basic function, so even though a person is eating carbs, the sugar just stays in the blood and builds up to a high level. The high blood sugar is a symptom, not a cause.

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Ketones And Children With Type 1 Diabetes – What’s Important?

What are ketones and when do you check for them in children with type one diabetes? This is a common question I get! I think when children are diagnosed, this a frequent part of the education that is easily forgotten or misunderstood due to the overwhelming amount of information being taught. So let’s look at why we would check ketones, how to check them, what the colors on the strips mean, and what to do if ketones are present. Why Check Ketones: When someone with type 1 diabetes does not not get enough insulin, their blood sugar levels rise, so the body is forced to use fat for energy. When fat is used for energy for an extended period of time, ketones develop. Ketones are a waste product of fat. If someone with type 1 diabetes does not get enough insulin, diabetic ketoacidosis (DKA) can develop. The length of time it takes and how high one’s blood sugar are varies, however DKA can occur in a few hours. Symptoms of DKA: high blood sugars ketones in blood and urine nausea, vomiting, and abdominal pain confusion lethargy (tired, sluggish, weak) difficulty breathing unconsciousness DKA is a very serious and life threatening situation. Speak with your health care providers to det Continue reading >>

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  1. Jodi9

    Ketones with a low blood sugar

    I know a bit about the dangers of ketones in your urine because of high blood sugars. However, has anyone experienced ketones in your urine after having perfectly normal blood sugar ranges? Last night I woke up and had a regular reading, but in the morning I had ketones in my urine. Yesterday, I walked around a lot and didn't have a chance to eat much until dinner time. Frankly, I don't enjoy eating these days and didn't like it much pre-diabetes diagnosis. I get too worried about having a high blood sugar that I prefer not to eat much! So why in the world would I have ketones?! It is very confusing. If anyone else has had experience with this, I'd appreciate your thoughts! My endo says I'm different from his "usual" patients and doesn't have much of an answer for me :(

  2. BadMoonT2

    Low amounts of keytones in your urine indicate your body is burning fat instead of carbs and is not dangerous. Most people will show low ketones in the morning because they are fasting, this would be consistent with your description of what you ate yesterday. Ketoacidosis is the presence of high amounts of keytones and high blood sugars simultaneously and is very dangerous. This often happens in T1's on diagnosis because they have no insulin in their bodies. Here is a link to a

  3. Ann8

    I am just about always in ketosis and my blood sugar levels are very good. My diet is pretty ketogenic. I get most of my energy from burning fat instead of glucose. Ketones are the by-product of fat burning.
    The dangerous combination is ketones + high blood sugar.

    I think that most people feel anxious or frightened of food for awhile after diagnosis. You can work through that, though. Really, you can! If you follow a structured food plan for a bit, you won't have to worry about going too high or too low. You might have a look at Dr. Bernstein's Diabetes Solution. He describes a very thorough, detailed way of eating that is safe. You may decide that you want to eat more carbohydrate than he suggests--lots of people find they can eat more carbs without spikes--but giving yourself a break from the anxiety might be a good thing to try for a bit, first. You can make small changes from there with confidence that you're not doing anything harmful to your body.

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