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What Is The Danger Level Of Ketones In Urine While Having Diabetes?
Hi I m type 2 diabetic and my sugar level has been very high ranging from 250 to 400 and Im allergic to insulin, I just came home from the ER they found ketones on my urine the level was 500 today i checked again at the clinic and it was 1000.My question is whats the danger level of ketones?
Wed, 27 Aug 2014
The presence of ketone bodies itself is not a good sign. Allergy to insulin is very rare. If possible try analogue insulin. I suggest you to immediately admit yourself under a diabetologist for immediate blood sugar control.
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Urine
value Designation Approximate serum concentration
mg/dL mmol/l
0 Negative Reference range: 0.5-3.0[6] 0.05-0.29[6]
1+ 5 (interquartile range (IQR): 1-9)[7] 0.5 (IQR: 0.1–0.9)[8]
2+ Ketonuria[9] 7 (IQR: 2-19)[7] 0.7 (IQR: 0.2–1.8)[8]
3+ 30 (IQR: 14-54)[7] 3 (IQR: 1.4–5.2)[8]
4+ Severe ketonuria[10] - -
plasma osmolarity (above 320 mosm/kg)
diabetic ketonuria is a genuinely serious medical emergency.
Without urgent treatment, this diabetes complication can lead to death. With adequate and rapid intervention and treatment, mortality rates are lowered to around 5%.
How is diabetic ketoacidosis treated?
Treatment of diabetic ketoacidosis involves administering intravenous fluids to correct dehydration.
Insulin is also required to instantly suppress the ketone bodies that the body manufactures. Treatment of other underlying causes of DKA must also be addressed, including infections.
value Designation Approximate serum concentration
mg/dL mmol/l
0 Negative Reference range: 0.5-3.0[6] 0.05-0.29[6]
1+ 5 (interquartile range (IQR): 1-9)[7] 0.5 (IQR: 0.1–0.9)[8]
2+ Ketonuria[9] 7 (IQR: 2-19)[7] 0.7 (IQR: 0.2–1.8)[8]
3+ 30 (IQR: 14-54)[7] 3 (IQR: 1.4–5.2)[8]
4+ Severe ketonuria[10] - -
plasma osmolarity (above 320 mosm/kg)
diabetic ketonuria is a genuinely serious medical emergency.
Without urgent treatment, this diabetes complication can lead to death. With adequate and rapid intervention and treatment, mortality rates are lowered to around 5%.
How is diabetic ketoacidosis treated?
Treatment of diabetic ketoacidosis involves administering intravenous fluids to correct dehydration.
Insulin is also required to instantly suppress the ketone bodies that the body manufactures. Treatment of other underlying causes of DKA must also be addressed, including infections.
I find this answer helpful
1 user finds this helpful
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