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 South Dakota
Gestational Diabetes Care Guidelines
Urine Ketone Testing
- Ketone testing is an important part of monitoring gestational diabetes.
- Consider urine ketone testing if
- Patient is obese (> or equal to 26 BMI)
- Patient experiences weight loss
- Insulin therapy is initiated
- Patient has other illnesses
- Significance of ketonuria needs to consider that, since
a number of patients will have ketonuria because of normal pregnancy
physiology.
- Discontinue ketone testing if all results are trace or less.
- Moderate or higher ketones reflect inadequate calories (starvation
ketosis) NOT diabetic ketoacidosis.
- If results are frequently positive then a referral to an RD for MNT
should be considered even if increased calories require initiation of
insulin therapy to achieve euglycemia.
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Page last modified: December 20, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me