Urinalysis in severe hyperglycemia

Urinalysis Part 1.Mp4 (Health And Medical Video July 2018).

With hyperglycaemia, the doctor may prescribe urine analysis for sugar and ketones.

Ketones are substances that are formed as a byproduct in the process of burning fat in the absence of insulin.

In the development of hyperglycemia (high blood sugar) in patients with diabetes insufficiency (type 1 diabetes) or its poor digestibility (in type 2 diabetes), the body begins to generate energy for cells from fat stores.

Despite the fact that ketones are a good source of energy for many cells, in large quantities they can be toxic and cause ketoacidosis - an extremely difficult condition with a life threatening effect.

The number of ketones in the urine can be measured not only by the doctor, but also by using special test strips. The result is determined by the corresponding color scale of the test.

When to conduct the analysis on ketones

Patients with type 1 diabetes are advised to perform ketone analyzes in the following cases:

  • Malaise (caused by a cold, flu or other diseases) accompanied by nausea or vomiting;
  • Pregnancy;
  • High blood sugar (more than 240 mg/dL or 13.3 mmol/l or according to doctor's recommendations).

In patients with type 2 diabetes, even when taking insulin, the probability of development of ketoacidosis is minimal. However, in severe forms of the disease, there is a risk of developing a ketoacidosis.

Patients with type 2 diabetes are advised to perform ketone analyzes in the following cases:

  • Severe malaise (caused by a cold, flu or other illnesses) accompanied by nausea or vomiting;
  • High blood sugar (greater than 300 mg/dl or 13.3 mmol/l or according to physician's recommendations), which is constantly increasing throughout the day.

When to go to a doctor

The result of the analysis on ketones must always be negative. In case of any positive result, you should immediately contact your doctor. It is also urgent to contact a doctor if the level of sugar in the blood does not decrease or there are stomach pains, nausea, vomiting, rapid breathing, sweet mouth smell, accelerated urination.

After the patient has contacted the doctor, he needs:

  • Drink as much water and liquids as possible to eliminate dehydration and reduce the amount of ketones;
  • Continue to measure blood sugar from time to time (it can be elevated, and then you will need a small amount of fast-acting insulin);
  • On the advice of a doctor to contact the nearest emergency department for intravenous administration of insulin and infusion.

It is necessary to record the details of all conducted urine tests. These records will help the doctor to prevent complications in a timely manner.

Urinalysis in severe hyperglycemia

Category Of Medical Issues: Diseases

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