Ketones with normal blood sugar
Hi All,
Until we get to the pediatrician tonight, I thought I’d ask the pros
here.
Maddie has some sort of “bug”, it seems to be running through the
daycare center. She has high fever, sore throat, stomach ache, and
ketones!!!!!
However, her blood sugar is perfect. I thought they went hand in
hand. Endo says I need to raise her sugar to give her more insulin to
clear the ketones.
Stephanie
August 4th, 2007 at 10:33 pm
Hi Stephanie,
I hope your daughter is better soon.I was also like Lisa and advised
to drink more,and that was 40 years ago!I can’t see,if her blood
sugars are good why she would need more insulin and more carbs.No
doubt your endo knows what she is talking about though.
I found this on the net:
It is very possible for a child to have ketones in the urine after 24
hours
of the “stomach flu”, especially if the child has had a fever or if
vomiting and diarrhea have been severe. The presence of ketones in
the
urine indicates that the child is metabolizing fat for an energy
source
because the carbohydrate stores have been depleted. One of the
typical
responses to an illness is for blood glucose levels to be above
normal.
You indicated that this child had a normal blood glucose level, which
may
reflect the normal elevation and greater than normal utilization.
This is
what would be expected in a child with fever, vomiting and diarrhea.
It is
important to be sure that the child is drinking lots of fluids and
that
she/he gets 75-100 grams of carbohydrate. Good foods for that would
be
juices, sodas (especially ginger ale, which helps calm some people’s
stomachs), sports drinks, juice pops, and popsicles. As soon as the
child
can tolerate foods, bland foods such as rice also help supply enough
carbohydrate to minimize ketosis.
Howard
August 5th, 2007 at 7:30 am
no, always remember to check ketones when your child is ill, that is a time they can have then even if they aren’t “high”.
last summer Syd caught a bug while with her Grammie on vacation and even though she was low her endo asked if we checked ketones and duh…we hadn’t. I always try to remember that if she is in any way ill to check her.
Hugs, Rhonda