Sugar and ketones in urine

[OhShutUpThomas]

I've been incredibly tired lately, lost appetite and very thirsty. Went to midwife yesterday and had ketones and sugar in urine. She said I need to eat more but when I described what I'd had that day she said it should have been fine.

Has anyone else had this?

Anyone?

The only time I've had sugar and keytones is when I've had diabetic keytoacidosis (I'm type 1). I was under the impression that dehydration was the problem rather than not eating enough but I'm not sure how this works with non diabetics

I had ketones in urine last Saturday. Doctor said it could have been because I was either dehydrated or hadn't eaten enough that day. When they retested on Monday they were gone but now I'm on antibiotics for a potential GBS infection 😞 But that's another story. Have they made another appointment for you to retest?

Yes I had this a few times in my first pregnancy. The midwife didn't seem concerned and told me to eat more too. My daughter was born happy and healthy.

They're retesting in two weeks but I might ask for it sooner. Really hope it's not GD.

Who gave you the appointment in two weeks? I'd definitely make an earlier appointment with your GP, especially as you are feeling tired and have lost your appetite!

I agree with Scrumptious I'd be definitely making an earlier appointment than two weeks time.

Hiya,
I'm a type one diabetic prone to ketones.

You can get ketones by having blood sugars too high for too long (diabetes) or by not eating enough carbs (starvation ketones).

If your midwife didn't seem too concerned then I would put it down to not having eaten enough carbs that day. Eating foods with no carbs won't help reduce ketones. They are caused when you don't have enough energy in your system ie. carbohydrate or sugar so your liver produces ketones to break down muscle tissue to get energy from there instead.
If it's still the same at your next appointment then I'd say she will test you for gestational diabetes.
There are levels of ketones as well, you may only have had a trace of them which could be why she didn't seem worried.

Hope this helps :)
Claire x

I've just been diagnosed with GD (this week) and put on insulin (today), so I am no expert. However I would certainly be asking for a GTT asap. Glucose in urine and ketones are indicators of GD - I've had the glucose but not ketones, which the specialist midwife was surprised about as I'm getting quite ill with the high bs.

It might be nothing, but not all midwives are clued up about everything. A GTT isn't the nicest test, unless you love Lucozade, but it's well worth it! Good luck x