From Bel Air, Maryland, USA:
I am confused about ketone formation which I understand is a sign of insulin deficiency. Last week, my six year old son had moderate to large ketones during a viral illness despite good glycemic control. We checked his blood glucose at two- hour intervals and they were 72-154 mg/dl [4-8.6 mmol/L]. The ketones cleared with extra insulin and increased fluid intake. Were the ketones a result of improper insulin dosing or a direct result of the viral infection?
Checking ketone values gives you added information about how much extra insulin to consider providing. If the blood glucose levels are okay and even if the ketones are moderate to high, this only means you were not providing sufficient overall calories but were providing sufficient insulin.
You should review this with your son's diabetes team so you are more comfortable with this information since it is so important. However, if the blood glucose values are less than 200 mg/dl [11.1 mmol/L], it only means that your child had an infection, needed some extra insulin but not so much extra. Most likely, he was not eating so that fat was being burned for energy. It sounds like you did a good job.
Original posting 25 May 2003
Posted to Sick Days
Last Updated: Tuesday April 06, 2010 15:09:46
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 T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.