Hyperglycemia and Ketone Testing
Hyperglycemia means high blood sugar. For people with type 1 diabetes, hyperglycemia caused by insufficient insulin can lead to diabetic ketoacidosis, a very serious situation that requires emergency medical treatment. Hyperglycemia can also be caused by eating too much food, which requires treatment to lower blood sugar levels but which does not lead to DKA. The only way to determine between the two situations is through ketone testing.
Causes of Hyperglycemia
Eating too much food relative to the amount of insulin injected
Missing an insulin injection
Blockage in insulin pump tubing
Disconnected insulin pump infusion set
Illness or stress
Symptoms of Hyperglycemia
Testing for Ketones
There are two ways to test for ketones: urine testing and blood testing. Just as blood glucose testing proved to be superior to urine glucose testing, so too is blood ketone testing proving to be better than urine ketone testing. Ketones appear first in the blood, then in the urine after being filtered by the kidneys. Thus the body has been producing ketones for a while before you can detect them in the urine. Children with Diabetes Highly Recommends blood ketone testing over urine ketone testing.
Since ketones in the blood can be detected well before ketones in the urine, there is the possibility to treat sooner than you would if you waited for urine testing to show a positive result. Blood ketone testing can be easier for parents who have very young children with diabetes who do not always have the ability to urina Continue reading