Monitoring and Treatment of Ketone Bodies in Patients with Abnormal Glucose Metabolism During Pregnancy
Are ketones bad when pregnant?
In most expecting mothers presence of small amounts of ketones in urine during pregnancy is easily managed and causes no harm. However, in mothers with uncontrolled diabetes, ketone levels may increase and result in a complication called Diabetic Ketoacidosis in Pregnancy which requires immediate medical attention.
How are ketones treated during pregnancy?
The following will help to keep your ketones at a healthy level for you and your baby:
- Don’t skip meals or snacks.
- Eat three meals and three snacks every day.
- Eat all the carbohydrate choices in your meal plan.
- Include protein in each meal or snack.
What does it mean if you have ketones in your urine when pregnant?
High levels of ketones indicate you are not getting enough to eat or that you may be dehydrated. Your healthcare provider may retrieve a second urine sample collected through a catheter before determining the type of antibiotics needed.
What causes ketosis in pregnancy?
The fetus and the placenta use large amounts of maternal glucose as a major source of energy and this leads to decreased maternal fasting glucose. This, associated with relative insulin deficiency leads to an increase in free fatty acids, which are then converted to ketones in the liver.
Should I be worried about ketones in urine while pregnant?
Ketones in your urine may be a sign that you and your baby are not getting enough energy fuel in your diet. Ketones and your baby. Some studies have shown that excess ketones in a pregnant woman’s urine may affect developing brain cells and lead to babies with a lower IQ and future learning disabilities.
How do I lower my ketones?
If you detect ketones in your blood or urine, general treatment guidelines include drinking plenty of water or other calorie-free fluids to help flush ketones out of the body, taking insulin to bring your blood glucose level down, and rechecking both your blood glucose level and ketone level every three to four hours.
Can dehydration cause high ketones in urine?
Dehydration. High blood sugar levels, which lead to high ketone levels, significantly increase urination and can lead to dehydration.
What are the symptoms of ketones in urine?
- Frequent urination.
- Increased thirst.
- Muscle aches.
- Unexpected weight loss.
- Shortness of breath or trouble breathing.
- Nausea, vomiting, or abdominal pain.
Should I be worried about ketones in urine?
Talk to your doctor immediately if your urine results show moderate or large amounts of ketones. This is a sign that your diabetes is out of control, or that you are getting sick. If you are unable to reach your diabetes care team, head for the emergency room or an urgent care facility.
Is 40 ketones in urine high?
The results are usually listed as small, moderate, or large as follows: Small: <20 mg/dL. Moderate: 30 to 40 mg/dL. Large: >80 mg/dL.
Can you have ketones without having diabetes?
People without diabetes can also have ketones in the urine if their body is using fat for fuel instead of glucose. This can happen with chronic vomiting, extreme exercise, low-carbohydrate diets, or eating disorders.