From North Wales, Pennsylvania, USA:
My daughter had to fast to take medicine for a dental visit and dehydrated very quickly. When they rehydrated her, her ketones were too high to release her and did not come down until after she was allowed to eat. I frequently smell her breath, and when it smells funny I test her urine. When I do this she has ketones in her urine but her sugar levels are fine.
What is causing this? She can not drink water. If she has too much water the ketones come back. She has ketones in her urine frequently which go away after she eats. I find that lemonade helps. What is going on?
You don't say if your daughter has diabetes or not. The presence of ketones merely means that the body is burning fat. Any child, especially a young or small child, will quickly start to burn fat if food is not being supplied.
Sometimes this occurs with hypoglycemia (called ketotic hypoglycemia), and sometimes this can mean insulin deficiency (in those with diabetes associated with high sugars and high ketones). Dehydration is different and reflects how much water (and salt) are being provided or lost. Dehydration can be associated also with metabolic situations where fat is also being burned to supply energy.
Original posting 18 Sep 2003
Posted to Diagnosis and Symptoms
Last Updated: Tuesday April 06, 2010 15:09:52
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. 1995-2017. Comments and Feedback.