Hello, and I hope I can help you today. The greatest likelihood in your situation is that you have gestational diabetes. The majority of the time during routine prenatal care for diabetes somewhere between 24 and 28 weeks. Ketones, a byproduct of sugar metabolism being present in your urine along with sugar backs up the diagnosis. If you re test for gestational diabetes was performed more than a month ago, or if you never had one, I suggest you share these results with your healthcare provider as they may want to repeat the test. Gestational diabetes can be controlled sometimes with diet, however many women require oral hypoglycemics or insulin to control their blood sugar. This risk is increased in women who are obese or who have a family history of diabetes. So needing additional help in reducing your blood sugar during pregnancy is common and is not the fault of an inability to properly follow a proper diet. So I suggest for the benefit of the health of your pregnancy that you make an appointment with your prenatal care provider and that you discuss your results with them they may want to do more intensive screening for diabetes and depending upon the level of your blood sugar may prescribe medications. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, Dr. Brown