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Question:

From Bahrain:

We are testing our son's urine every morning using sticks that measure glucose and ketones. He is almost always in the 3+ and 4+ range of glucose. Is this okay? What should it be ideally?

Answer:

If there's sugar in the urine, the blood sugar must have been over 150 (or thereabouts) sometime since your son last urinated. Since you're finding sugar in the urine on a morning sample, you can assume his blood sugar was high at sometime during the night.

This is not a desirable situation. The urine test for sugar should be "negative" if it's at all possible to get it there, as that would be a reflection that the blood sugar overnight is staying below 150.

We don't recommend using urine sugar tests as a measure of control anymore. Sometimes the only available test strips for ketones are combination strips like you've been using; we'd ignore the sugar results if you're doing blood sugar testing. The blood glucose monitoring checks would certainly be a better way to judge whether to change his treatment program.

SS

Original posting 1 May 96

  
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Last Updated: Tuesday April 06, 2010 15:08:52
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