From Virginia, USA:
I am a type 1 diabetic. When I get high blood sugars (250 and up), I get the symptoms of ketoacidosis (thirst, frequent urination, tiredness) but when I check for ketones with Ketostix it's always negative. It does this even if I get a new bottle of strips to recheck with. It would take several days of very high sugars (300-up) just to produce a ketone reading on my strips. I usually get my blood glucose readings down before this happens, but during periods of sustained illness find it difficult to do this. Consequently, I feel like I have ketoacidosis when my urine strips say negative. What could be causing this?
If your Ketostix are negative, you don't have ketoacidosis. During times of illness, it is important to closely monitor your blood sugars, check for urine ketones frequently, and be flexible with your insulin dosing. You might want to check out sick day management guidelines at http://www.uchsc.edu/misc/diabetes/chap15.html.
Additional comments from Dr. Bill Quick:You're describing the symptoms of hyperglycemia. Ketoacidosis has additional symptoms you don't describe, such as extremely heavy breathing, abdominal pain, nausea, hypotension (dizziness upon standing), and a fruity odor to the exhaled breath.
Original posting 8 Apr 2000
Posted to Hyperglycemia and DKA
Last Updated: Tuesday April 06, 2010 15:09:08
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by Children With Diabetes, Inc, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2013. Comments and Feedback.