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Is It Safe To Take Metformin When I Have Trace Of Ketones In My Urine?

Posted on Fri, 7 Jun 2024

Question: I did a urine test that showed I have a trace of ketones in my urine. Is it safe to take metformin when I have trace of ketones?

Answered by Dr. Dr diwashish biswas (27 hours later)

Brief Answer:
Switch to insulin needed

Detailed Answer:

Hi,

No in case of ketosis, metformin should be stopped and insulin should be started till ketosis subsides. Because metformin itself causes lactic acidosis and may further complicate the situation.

I hope your query is clear now. Thank you.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr diwashish biswas (9 days later)

when I did the urine strep it said trace like a small amount should i still not start the metformin?

Answered by Dr. Dr diwashish biswas (43 minutes later)

Brief Answer:
Please see detailed answer

Detailed Answer:

Hi,

Even in the presence of slightest amount of ketosis, Metformin should be avoided.

I hope your query is clear now. Thank you.

Regards

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng