Urinary ketones are common in pregnancy. This study shows that 22% of women have urinary ketones at either 16 or 28 weeks gestation and 8% have ketones at 36 weeks gestation. In some previous studies, maternal ketonuria has been associated with adverse fetal outcomes.
What does it mean when you have ketones in your urine during pregnancy?
Ketones are by-products of fat breakdown in your body. When found in your urine, they indicate that you’re not eating enough calories at regular intervals during the day or that your blood glucose is too high. Small amounts of ketones in your morning urine can result from: not eating enough the previous day.
Are ketones bad during pregnancy?
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.
What causes positive ketones in urine?
If your cells don’t get enough glucose, your body burns fat for energy instead. This produces a substance called ketones, which can show up in your blood and urine. High ketone levels in urine may indicate diabetic ketoacidosis (DKA), a complication of diabetes that can lead to a coma or even death.
Can pregnancy increase ketones?
Studies have shown all women have increased ketone levels during pregnancy18,19 and so mild levels of ketosis should be expected and should be considered ‘normal’, especially when taken from early morning urine samples after fasting through the night.
How do I get rid of ketones in my urine?
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 ketones in urine?
Dehydration. High blood sugar levels, which lead to high ketone levels, significantly increase urination and can lead to dehydration.
Why do I have ketones in my urine if I’m not diabetic?
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.
Can infection cause ketones in urine?
Excess ketones build up in the blood and eventually “spill over” into the urine. Diabetic ketoacidosis is usually triggered by: An illness. An infection or other illness can cause your body to produce higher levels of certain hormones, such as adrenaline or cortisol.
What diseases cause ketones in the urine?
The causes of high levels of ketones and therefore ketones in your urine include:
- Poorly controlled diabetes.
- Diabetic ketoacidosis (DKA).
- Starvation: not eating for prolonged periods (for example, 12 to 18 hours).
- Anorexia nervosa.
- Bulimia nervosa.
- Alcohol dependency.
- Ketogenic diet (high-fat, low-carbohydrate diet).