Comments on: Ketones with normal blood sugar http://www.type-1-diabetes.zolushka123.com/2007/08/04/ketones-with-normal-blood-sugar/ for anyone who has been touched by this disease Mon, 01 Dec 2008 22:01:20 +0000 http://wordpress.org/?v=2.2.1 By: collier500 http://www.type-1-diabetes.zolushka123.com/2007/08/04/ketones-with-normal-blood-sugar/#comment-4349 collier500 Sun, 05 Aug 2007 04:30:31 +0000 http://www.type-1-diabetes.zolushka123.com/2007/08/04/ketones-with-normal-blood-sugar/#comment-4349 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 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

]]> By: Mary Kinney http://www.type-1-diabetes.zolushka123.com/2007/08/04/ketones-with-normal-blood-sugar/#comment-4348 Mary Kinney Sat, 04 Aug 2007 19:33:46 +0000 http://www.type-1-diabetes.zolushka123.com/2007/08/04/ketones-with-normal-blood-sugar/#comment-4348 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 <!--more--> 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 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

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