The most important thing about ketones. Ketonuria during pregnancy: how dangerous is an increase in acetone in the urine? Elevated urine ketone bodies during pregnancy

Such a pathological condition as ketonuria is considered quite dangerous during pregnancy. However, if you are diagnosed with elevated ketone levels based on test results, do not panic. In most cases, ketonuria during pregnancy is a temporary phenomenon and does not require special treatment. However, you should be aware of the factors that trigger ketonuria and the possible consequences.

Ketone bodies in urine

In the process of general metabolism, as a result of the synthesis of glucose in the human liver, three decay products are formed:

  • beta hydroxybutyric acid;
  • acetoacetic acid;

In medicine, they are called ketones or ketone bodies. In the body of every healthy person, their presence was found in microdoses - 20-50 mg. In laboratory urine screening, such indicators are almost invisible. Ketones are excreted by peripheral tissues, as well as along with urine.

Important: during pregnancy, the dynamics towards an increase in the specified rate is a reason to conduct an additional examination to diagnose ketonuria.

Ketones in the human body perform a number of vital functions:

  • maintain energy balance;
  • are a source of energy;
  • nourish most of the tissues.

In case of detection high level acetone, including during pregnancy, the doctor diagnoses ketonuria, that is, an increased content of ketone bodies.

There are a number of factors that increase the production of ketones in a situation of relative norm:

  • intense exercise;
  • strict (protein) diet, fasting;
  • dehydration;
  • alcohol intoxication;
  • hot weather for a long time;
  • surgical interventions;
  • stress, high psycho-emotional stress.

Ketonuria of this etiology is not dangerous to human life, however, it requires a more attentive attitude to your body and lifestyle in general.

Methods for the diagnosis of ketonuria

All diagnostic methods for studying the level of ketones in the body can be formally divided into:

  • home, when they are allowed to be carried out independently;
  • laboratory.

By means of the former, ketonuria during pregnancy can be determined mainly in a pronounced form. The main symptoms are a strong smell of acetone in urine, vomit, if any, and during breathing.

A related method is the use of chemical impregnated indicator test strips. They work by reacting a chemical with the ketones present in the urine. As a result of the interaction, the color of the indicator strip changes, and you get information about the level of acetone.

Known and alternative way definitions of ketonuria. You will need ammonia for it. Add a couple of drops of alcohol to a container of freshly harvested urine and watch the dynamics. The urine will turn a deep red color if ketone bodies are exceeded.

Laboratory studies for the diagnosis of ketonuria are more reliable and indicative, which is especially significant during pregnancy. In the event that you were sent to the laboratory for testing, adhere to a number of rules:

  • about a day before collecting the biomaterial, give up fatty, salty, smoked food;
  • perform hygiene of the genitals;
  • collect exclusively morning urine;
  • use a sterile container for collection.

In laboratory conditions, the level of ketone bodies is fixed using the Lange test using the signs "+" and "-":

  • «-» – negative result;
  • "+" - insignificant presence of ketones;
  • "++", "+++" - a positive reaction to the presence of ketone bodies;
  • "++++" - ketones in the urine sharply exceed the norm.

Additional examinations in case of detection of ketonuria during pregnancy include:

  • general, biochemical blood tests;
  • glucose tolerance test;
  • blood test for glucose concentration;
  • Organ ultrasound abdominal cavity, thyroid gland.

Ketonuria is a rapidly progressive disease, therefore, during pregnancy, it is important not to delay in finding out the causes of its occurrence. Any delay can cause irreparable harm to the child.

Reasons for the growth of ketones in pregnant women, symptoms

In some cases, the increase in the level of ketone bodies in the urine is due to physiological factors. We found that metabolic products are excreted through the liver and kidneys. During pregnancy, these organs are under increased stress and do not always immediately adjust to the new rhythm. Thus, during pregnancy in the first and early second trimester, ketonuria is understandable. In addition, at the beginning of pregnancy, provided there is no high physical activity, at proper nutrition early toxicosis may well become a catalyst for the growth of ketone bodies.

By the end of the second trimester, progressive ketonuria often indicates late toxicosis -.

Important: gestosis is extremely dangerous for the mother and the fetus, therefore, medical intervention and proper treatment cannot be dispensed with.

Other known causes of ketonuria during pregnancy include:

  • water imbalance in the body;
  • improper nutrition;
  • low-carb diets;
  • nervous strain;
  • high physical activity;
  • poisoning;
  • viral, bacteriological diseases;

It should be noted that ketonuria during pregnancy, which requires complex treatment, can be caused by more serious reasons:

Symptoms of having a high level of ketone bodies are unstable and vary based on related factors. However, most often women complain about:

  • dizziness;
  • fatigue;
  • increased sweating;
  • bad breath;
  • feeling thirsty;
  • pain in the peritoneal region.

During pregnancy, regularly take a urine test for ketonuria and do not neglect the recommendations of your gynecologist if found.

Treatment of ketonuria in pregnant women

With an insignificant increase in ketones - physiological ketonuria during pregnancy, special drug treatment does not apply. It is eliminated spontaneously after taking appropriate measures:

  • restoration of water balance;
  • correction of the diet;
  • regular stay in the fresh air;
  • normalization of the emotional state.

In a number of serious diseases that provoke a significant increase in ketones in the body, efforts are aimed at eliminating the root causes of the disease. So, in case of poisoning, an urgent cleansing of the body is shown and subsequent therapy to neutralize the action of toxins.

If a woman is sick with diabetes, the doctor will necessarily prescribe a special diet to control blood glucose levels.

When strong, drugs are used aimed at internal hydration of the body. To replenish nutrients and prevent fetal starvation, it is appropriate to take a course of restorative droppers. Ketonuria during pregnancy requires careful study, on the basis of which a decision is made on further actions.

Be attentive to your body during pregnancy! Listen, pay attention to even minor changes, because now the health of your future baby is in your hands.

During the entire period of pregnancy, a woman has to monitor her health and regularly take urine tests. Such studies allow not to lose sight of the possible changes that occur in the body. future mother... Small amounts of ketone bodies found in urine during pregnancy are quite normal.

But if these indicators in urine are increased, this is an alarming sign! It may indicate the development of a pathological process. What can have a negative impact on the fetus and the health of the woman herself.

What are ketones?

The human body has a complex structure. The food products entering it provide a person with energy, participate in the process of maintaining life support. Incoming fats and protein are broken down and their waste is excreted from the body. Metabolic products - ketone bodies, are produced in the liver during this process. During pregnancy, ketone bodies and their presence in urine in large quantities can signal the development of a dangerous disease - ketonuria.

Even in the early stages, a pregnant woman needs to properly balance her diet, try to eat less smoked and fried foods, pickles. The presence of ketone bodies in the urine can be caused by the intake of vitamins and certain medications. In this case, a woman can feel good. In order for the urine analysis during pregnancy to be more accurate, she needs to temporarily stop drinking the prescribed medications and, after 2 or 3 days, undergo the study again. The increased content of ketones says:

  • acetone in urine;
  • beta hydroxybutyric acid;
  • acetoacetic acid;
  • nitrites - salts of nitrogen (this indicator indicates infections of the kidneys and urinary tract).

If the body contains glucose in an amount below normal, this can also cause an increase in ketone bodies in the urine during pregnancy, and therefore lead to health problems.

The norm of ketone bodies in the expectant mother

During pregnancy, ketones are usually not found in urine during diagnostic procedures. Within 24 hours, the body produces them in small quantities. Their volume ranges from 20 to 50 mg, and they are very quickly excreted from the urine. Found in the urine of pregnant women, these substances can become a signal that a woman has high blood sugar, she does not eat properly, has bad habits and leads a sedentary lifestyle. It is these reasons that can cause the determination of ketones in the analysis. The urine tested for ketones helps to determine how well the pregnancy is going, whether the expectant mother has any infections in her body.

Ketones in urine during pregnancy should not exceed 1-2 mg per 100 ml of urine. You can control their performance yourself. To do this, you need to buy Legal test strips with an indicator at the pharmacy. They look like pregnancy test strips. This test for ketones only shows an approximate amount. The test strip is dropped into a glass of urine. The check time is 2-5 minutes. The results of the analysis are deciphered by the indicator strip in relation to a special scale:

  • with a cross - traces of substances are not present.
  • 1 plus - shows a low amount of ketones (0.5-1.5 mmol per liter). Such a weakly positive reaction indicates a mild form of ketonuria. You can correct the indicators with proper nutrition.
  • 2 pluses - about the increased content of substances (4 mmol per liter). This result indicates a moderate severity of the disease. You can also reduce their level yourself. But the consultation of the attending physician does not hurt.
  • 3 or 4 pluses - signal about possible complication... Such a high content of ketones in urine (more than 10 mmol per liter) can provoke a critical condition in a pregnant woman. In such a situation, it is better to call ambulance and hospitalize her.

An increase in the level of ketones can be indicated by the smell of acetone from the mouth or from sweat. Acetonuria is a clinical term. It occurs with acetoanemia or ketoacidosis. With this clinical picture, ketones (acetone) are formed in the patient's blood, which are excreted through the kidneys in the urine. And if earlier it was a rarity, then the increasing number of patients with diabetes mellitus has significantly changed these indicators. The analysis performed for this disease will show a high ESR. The onset of the disease is determined by erythrocytes and leukocytes. The level of the latter will be high.

If, in the second trimester, organic substances (up to 15 g) were found in the expectant mother during the study, they may indicate the presence of such diseases as: gestational diabetes, kidney disease, mental retardation of the fetus, osteoporosis, damage to blood vessels, diabetic ketoacidosis. The consequences of a high level of ketones in the body of a pregnant woman can lead to premature birth or miscarriage, and in the presence of diabetes mellitus, there is a threat of coma and clinical death.

Causes of high urine ketone levels?

There are many reasons why ketone levels increase. The main factors that can provoke such a violation:

  • stressful condition caused by bearing a fetus, worrying about a baby, a difficult course of pregnancy;
  • restructuring of the hormonal background;
  • pathological processes in the thyroid gland;
  • improper metabolism, obesity;
  • sudden weight loss;
  • preeclampsia, especially if it manifests itself in the third trimester;
  • diseases of the gastrointestinal tract, liver.

The bad environmental situation, injuries to bones and muscles, has its effect.

Ketonuria in a pregnant woman. Why does it occur in the third trimester?

Ketonuria in pregnant women during the entire period of pregnancy or on later dates is not the norm and has its own reasons why this condition occurs. The first pregnancy of a woman may be accompanied by mild or severe toxicosis. Its impact on female body very negative. And if it is completely impossible to remove ketone substances, then it is really possible to reduce them with the help of diet and drugs that are prescribed by the attending physician.

In the later stages of fetal development, a woman's body has to withstand high loads. The kid develops and grows very quickly. And if at this time a woman feels unwell, and urine analysis showed the presence of ketones, the doctor prescribes hospitalization for her. This will allow you to start treatment on time and avoid intoxication of the mother and child.

How is ketonuria treated? Diet and prevention

Treatment of ketonuria is prescribed by a doctor after a comprehensive examination in a clinic or hospital. Diagnostics and detection possible diseases is carried out in a laboratory way when passing urine, blood tests, when undergoing an ultrasound scan. How to get rid of elevated ketone levels, your doctor will tell you.

He will prescribe the most effective and gentle treatment that will eliminate the cause of the ketones. In the presence of gastrointestinal diseases, etiotropic therapy is prescribed (if pathogenic flora is found in the body), with exacerbation of chronic diseases, a therapeutic diet. If the problem appears due to the presence of an infection, an antibacterial agent is chosen by the doctor. Taking antibiotics during pregnancy or choosing medications on your own  is strictly prohibited!

If a woman is found diabetes It is especially important to maintain normal glucose levels to avoid complications. Diet is equally important. Meals should be fractional, from 5 to 6 meals a day, in small portions. Exercise, yoga, and walking in the fresh air have a positive effect. The support of relatives is very important at this time! For a woman at this time, the psychological aspect can become one of the main ones.

During pregnancy, control over all indicators is necessary. laboratory research... During this period, the hormonal background of the woman changes, therefore, the test results may differ from the norm. One of these indicators is the level of ketone bodies in the urine. Commonly called acetone and acetoacetic acid. Ketone bodies in urine during pregnancy are the result of metabolic processes occurring in the liver. They are formed as a result of lipid breakdown and energy release.

Normally, they are completely excreted from the body in the urine, leaving no traces. During pregnancy, the synthesis of ketone bodies is higher, they are formed faster, increasing the load on the liver tissue. An increased level of ketone bodies in the urine is called ketonuria. Ketonuria is a dangerous pathology for both the maternal organism and the fetus. A high level of ketones causes severe intoxication of the body and can lead to fetal hypoxia.

Norm

The normal level of ketone bodies in the urine of a pregnant woman should not cross the threshold of 2 mg per 100 ml of urine. It is not necessary to visit a laboratory to determine the level of ketonuria. You can purchase special test strips at pharmacies. They have an indicator with which you can determine the approximate amount of a substance in the urine.

The reasons for the development of pathology

There are no reliable reasons for the increase in urine ketones. All processes in the body are interconnected, and one process can be a catalyst for another, which will ultimately lead to an increase in acetone in urine. The predisposing factors that cause the development of ketonuria include:

  • psycho-emotional overstrain, stressful situations associated with the course of pregnancy;
  • hormonal disorders;
  • endocrine system diseases (thyroid pathology, diabetes mellitus);
  • low level of immunity;
  • inappropriate nutrition (untimely nutrition with a low level of energy value and vitamins);
  • protein food.

During pregnancy, hormones and taste buds change, women tend to eat more protein-rich foods. In response to this, the liver is activated, which tries to rebalance the balance of carbohydrates by breaking down fats, and therefore the level of ketone bodies rises.

Stress and overexertion can also lead to the development of ketonuria.

The increase in ketone bodies is promoted by:

  • obesity;
  • pancreatic pathology (pancreatitis);
  • bad habits (alcohol, smoking);
  • metabolic disorders;
  • a sharp decrease in body weight;
  • gestosis, especially in the 3rd trimester;
  • pathology of the gastrointestinal tract (inflammation of the small and large intestine, the main symptoms of which are vomiting and diarrhea, leading to dehydration);
  • disruption of the liver;
  • musculoskeletal injuries;
  • negative impact of the environment (contaminated sources of drinking water, air, etc.).

To prevent complications that may arise in the fetus, it is necessary to immediately eliminate the causes of the increase in ketone bodies in the urine.

Symptoms

The symptoms of ketonuria are:

  • general weakness, lethargy, excessive drowsiness;
  • nausea;
  • headache;
  • single vomiting;
  • abdominal pain;
  • perverted appetite;
  • acetone breath;
  • acetone odor in urine.

Moderately elevated ketone levels may be asymptomatic. Only with a pronounced or sharply increased level of ketones is such a clinical picture observed. When carrying out laboratory studies in biochemical analysis, the glucose level will be sharply reduced.

Diagnostics

It is only possible to confirm ketones in urine using laboratory diagnostic methods. These include:

  • Lange test;
  • test Lestrade;
  • legal test;
  • Rothera's test;
  • using test strips or tablet forms.

In a hospital or clinic, it is necessary to bring the morning urine sample in a sterile jar to the laboratory. Laboratory workers using special reagents will be able to determine the amount of ketone bodies. How do I conduct a test using test strips? It is necessary to urinate in a sterile jar in the morning, having passed the first portion of urine. Then take a test strip and dip it into the glass for a few seconds (3-5). A color change to purple indicates an increase in ketone levels.

The following data may also appear on the strip:

  • "X" - there are no traces of ketone bodies;
  • "+" - low level;
  • "++" or "+++" - increased level;
  • "++++" - a sharp excess of normal values.


Determining the level of ketone bodies with a test strip at home

Various trade marks that produce such test strips have their own shades. So do not be alarmed if your shade is bright red instead of purple, etc. The principle of determining ketones in urine using tablets is similar to that of test strips. Needed on white paper sheet put a special pill. Then apply a small amount of the morning urine sample to it from the pipette. A change in the color of the tablet to a bright lilac color indicates pronounced ketonuria.

Gestosis and third trimester

Early toxicosis or gestosis - pathological conditions that can lead to a sharp increase in ketone bodies. They are manifested by dyspeptic disorders, which lead to disruption of metabolic processes in the body of the mother and fetus. Clinically, toxicosis is characterized by: repeated vomiting, increased salivation, stagnation of bile (the appearance of hepatic odor and jaundice), various skin rashes and disorders of the nervous system (mood swings, headache, severe general weakness, and more).

Gestosis is characterized by an increase in blood pressure, the development of edema in the lower extremities and the loss of protein sediment in the urine. The reason for the development of preeclampsia is a violation of the attachment of the embryo to the endometrium of the uterus. Gestosis can provoke the development of fetal intoxication, miscarriage or freezing of pregnancy. In case of untimely referral to a specialist, there is a threat to life not only for the fetus, but also for the mother.

In addition, gestational diabetes mellitus may develop, accompanied by a violation of carbohydrate metabolism. With this pathology, the level of glucose rises sharply in the venous blood. Pregnant women are worried about thirst, hunger and frequent urination. Gestational diabetes mellitus requires adequate therapy. She is appointed by an endocrinologist individually for each patient.

The development of ketonuria in the third trimester is a pathology. Due to the intensive growth of the fetus, the load on the female body increases. Toxicosis is also added to this condition, especially if this is the first pregnancy. When visiting a specialist and identifying ketonuria, the pregnant woman should be immediately hospitalized. Untimely provided health care, late normalization of ketone body counts can provoke fetal death.


In order to reduce the level of ketone bodies, specific therapy is not required. It is necessary to exclude the factor provoking a high level of ketone bodies, follow a diet, walk in the fresh air and perform adequate physical activity

Inpatient treatment

After a thorough diagnosis, you must undergo a course of treatment. Depending on the gestational age, the patient may be offered outpatient treatment (if early) and inpatient treatment (later). Depending on the cause of the increase in ketone levels, different therapy may be prescribed. Pick up medicines only a doctor should, since self-treatment can aggravate the condition of the pregnant woman and the fetus.

If the cause of development is an infectious agent, then antibacterial therapy is needed. The groups of antibiotics that are not prohibited during pregnancy include penicillins, cephalosporins, and macrolides. The doctor must conduct the necessary tests to rule out allergic reactions to these drugs.

If the cause of the development of high levels of ketones in the urine is endocrine diseases (hormonal imbalance, thyroid problems or obesity), it is necessary to consult an endocrinologist. Together with the gynecologist, he must determine the level of therapy that will improve the condition of both the mother and the fetus. In addition, it is important to observe preventive measures, which include vitamin therapy. Insufficient intake of vitamins in the body of a pregnant woman can disrupt the embryonic development of the fetus.

A critical increase in the content of acetone bodies is fraught with:

  • intoxication of the mother and fetus;
  • premature birth;
  • dehydration of the body;
  • impaired renal function;
  • deterioration of vision;
  • the formation of microthrombi;
  • heart failure;
  • miscarriage;
  • coma;
  • lethal outcome.

What to do if ketone bodies are elevated during pregnancy

In such a situation, first of all, you should consult a doctor. In a situation where urinalysis revealed a significant increase in acetone bodies during pregnancy, inpatient treatment with medication is recommended. In order to neutralize ketones, infusion of saline is indicated. In addition, hospitalization is necessary when, against the background of even a slight increase in ketone levels, a pregnant woman experiences:

  • malaise;
  • constant fatigue;
  • headache, dizziness;
  • nausea, vomiting.

Ketonoria diet

In a situation where the problem is a consequence of malnutrition: abuse of fatty, salty, smoked food - an increase in the level of acetone bodies in the urine lasts no more than 4 days. Diet will help to avoid such phenomena during pregnancy. In other cases, for example, when an increased content of ketones is caused by pathologies of the liver, digestive tract, changing the diet towards healthy food will help the body recover faster. As for nutritional issues for the treatment of ketonuria during pregnancy, doctors recommend adhering to the following rules:

  • Eat meat only boiled or baked.
  • Prepare light vegetable soups.
  • Include porridge in the diet.
  • Refuse heavy fatty foods.
  • Not to starve.
  • Observe the drinking regime.
  • Support the body's immune forces.
  • Eat fractionally.

At elevated level ketones in urine are recommended to drink juices, fruit drinks, fruit drinks. Compliance drinking regimen along with the restoration of electrolyte balance, it accelerates the healing process. Remember, a woman's body during pregnancy needs a varied, balanced diet, so it is highly undesirable to adhere to strict dietary restrictions and make up a nutrient-poor menu. Read more about prohibited and permitted products below.

Allowed

Forbidden

Meat: rabbit, beef, turkey

Pork, lamb

Low-fat dairy products: kefir, yogurt, cottage cheese

Strong broths

Stale bread

Sweet pastries, fresh bread

Lean fish

Cream, fat sour cream

Canned food, smoked meats, marinades, pickles

Non-sour sauerkraut

Offal

Oatmeal, buckwheat groats

Garlic, green onions, sorrel, tomatoes

Mild cheeses

The period of pregnancy is characterized by increased attention to the condition of the woman. Ketone bodies in urine during pregnancy are indicators of abnormalities. The appointment of tests will help the doctor diagnose problems, quickly take measures to solve the problems that have arisen. Urine analysis is the most common procedure during pregnancy, which allows you to identify excess, indicating how the body is coping with the load that has arisen.

General information

Ketones are metabolic products formed in the liver when fat is broken down and energy is released. Normally, they are split and excreted from the body, in this case, traces in the urine are not found. During pregnancy, ketone bodies are sometimes formed faster, increasing the load on the liver... Urologists call ketones in urine during pregnancy ketonuria. Pathology is dangerous for the mother and for the child, as it leads to intoxication of the body.

What is the norm during pregnancy?

The body can excrete 20-50 mg of ketones. It is this content that is excreted in the urine. The level of substances in the urine makes it possible to monitor the normal course of pregnancy. A condition where ketones are elevated can cause:

  • diabetes;
  • inactive lifestyle;
  • bad habits;
  • fatty food;
  • smoked food.

Ketone bodies allow you to determine how the pregnancy is progressing, whether there is an infection in the body.

The norm of ketones in urine during pregnancy is up to 2 mg / 100 ml. To control the level, it is not always necessary to pass the analysis. At the pharmacy, you can find test strips with an indicator similar to a pregnancy test. Remember, they show the approximate content of ketone bodies. Dip the test strip into the test glass for 3-5 seconds, decode it with the indicator strip:

  • cross - no traces were found;
  • one plus (+) - low concentration;
  • two pluses (++) or three (+++) - increased concentration;
  • four pluses (++++) - a sharp excess of the norm.

What are the reasons for the increase in ketone levels?

Doctors do not name the exact reasons for the increase in the level. The main factors provoking the appearance of ketonuria are highlighted:

  • emotional overload associated with the onset, course of pregnancy;
  • hormonal disbalance;
  • pathology of the thyroid gland;
  • weak immunity;
  • improper diet, especially snacks on the go;
  • consumption of a small amount of fluid;
  • preeclampsia, especially in the third trimester;
  • weak or impaired metabolism;
  • overweight, obesity;
  • drastic weight loss;
  • diseases of the gastrointestinal tract, accompanied by vomiting and diarrhea;
  • liver disease, disruption of its normal functioning;
  • musculoskeletal injuries;
  • harmful effects of the environment.

So that the pathology does not affect the fetus, the causes that caused it must be eliminated in as soon as possible... Signs of an increase in acetone are easy to identify: a sharp amber from urine, the smell of acetone from the mouth, physical and mental breakdown. Any of the signs indicating an increase in the concentration of ketones will lead to complications, the development of severe pathologies.

Ketone Bodies for Gestational Diabetes and Pregnancy


Gestational diabetes occurs when the amount of glucose in the blood rises.

Gestational diabetes mellitus is a condition that occurs exclusively during pregnancy, there is a violation of the metabolism of carbohydrates. Overweight and obese women have a predisposition. The disease can be inherited. The features of the course of the previous pregnancy and the size of the fetus affect the increase in sugar in the body. After childbirth, the level returns to normal.

Sometimes the sugar level does not return to normal, after childbirth it develops into type 1 or type 2 diabetes. Diabetic ketoacidosis is detected in the second and third trimester, accompanied by the identification of ketone bodies in the urine. The use of insulin will help to avoid complications such as premature birth, placental insufficiency, the development of abnormalities in the newborn. The principle of pregnancy management is to prevent an increase in sugar levels.

For pregnant women, the blood glucose rate is 3.33-6 mmol.

Why does ketonuria occur in the third trimester?

The third trimester causes increased stress on the body, due to the active growth of the fetus. If urinalysis shows the presence of acetone, obstetricians-gynecologists recommend hospitalization. Ignoring ailments, unwillingness to inpatient treatment, leads to an increase in the concentration of ketones with the appearance of complications such as dehydration, intoxication of both mother and child. It threatens miscarriage and childbirth. ahead of time... In some cases, severe complications such as coma and death are possible. With timely treatment, complications can be avoided.

Why is there an increase in ketone bodies at a later date?


An increase in ketones in the urine may appear due to severe dehydration of the body.