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Diabetic. Any test to find out the amount of ketone bodies? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2586 Questions
User:I was reading about cluster headaches and got a little worried.

I am 34, smoker. I get a mild pain in the left temple sometimes, but it is not like cluster. It is very mild, its not severe for 10 mins --2 hours, but very mild throughout the day. Also it does not start after I sleep, in fact taking a nap makes it better. I don’t have migraine or sinus etc.

But am I at risk of getting cluster headaches in future because I smoke?? There is NO family or personal history of cluster headaches or migraines. Recently there have been changes in my sleep pattern because of a new job and I have been taking sleeping pills as prescribed by a doctor. Do you think this might cause the pain because if take a good afternoon nap, the pain is not there. There is no stuffy nose or tearing in the eyes, just pain in the left temple.
User:hello hello !! the above is not my query
User:this was long time back !! dunno how it came here again
User:neone there ??
Doctor:Dr. XXXXXXX here
Doctor:please proceed with your query
User:I am 34, diabetic (insulin dependant, cause it happened after chronic pancreatitis)
Doctor:Are you there?
User:Recently, sugar was out of control, so got a urine test as per the doc. This showed sugar :- present 3+ and ketones :- present
User:My question is how do I know how much ketone is present, i.e. small amount, or moderate or large amount ?? it would have showed present 2+ or 3+ if it was too much
User:What other test is there to find if ketone present is small or large and is serious ?
Doctor:Usually ketone bodies are tested only qualitatively
Doctor:so only their presence is detected
Doctor:but if you ask for a quantitative estimation of ketone bodies, the lab will tell you exact amounts of ketone bodies
Doctor:but knowing the exact amount of ketone bodies will not change the treatment
User:only better control of sugar is the line of treatment
Doctor:because presence of ketone bodies in the urine is serious, no matter how much
Doctor:your sugars should be controlled so that ketone bodies do not appear in the urine
User:but i read if its too high, hospitalization is required, iv fluids need to be given for dehydration etc ?
Doctor:Hospitalisation is required when the ketone bodies are detected,
Doctor:In such cases urgent control of sugars is required
Doctor:along with that, presence of ketone bodies means you have already developed some dehydration and sugar levels are very high
Doctor:So, I suggest you to follow your doctor's advice to the letter and keep in regular follow-up
Doctor:never neglect this, because it can be lifethreatening
User:thank you
Doctor:You are welcome
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