| Re: What are ketones in the urine?
Angltin,
Women who have had gestational diabetes are at increased risk for developing diabetes later in life, usually Type 2.
When the body cannot utilize the glucose circulating in the blood for fuel due to either a lack of insulin, insulin resistance, or a combination of both, the body starts burning fat and muscle tissue for fuel instead. Ketones are a byproduct of this process. In a person who has no glucose because they are low-carbing, ketones are usually not too serious. However, the combination of ketones and high blood sugar can create a condition called diabetic ketoacidosis (DKA), which can be very dangerous and even fatal.
The fact that you had gestational diabetes and produced ketones then, and the fact that you are producing ketones now, should be a huge red flag to your doctor. Unless you are eating an extremely low carb diet, like Atkins, there is no reason your body should be producing ketones unless you are, indeed, diabetic and not processing glucose properly.
Have you had any fasting blood glucose tests? Do you know what the results were? Do you have a monitor so you can test yourself? I would not let your doctor brush this off...if you are diabetic, the sooner you get appropriate treatment, the better.
A glucose tolerance test may be in order. At the least, you should have a couple of fasting blood glucose tests done and an A1c.
Ruth
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