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I Did A Urine Test That Showed I Have A

Posted on Thu, 13 Jul 2023

Question: I did a urine test that showed I have a trace of ketones in my urine. Is it safe to take metformin when I have trace of ketones?

Answered by Dr. Dr diwashish biswas (27 hours later)

Brief Answer:
Switch to insulin needed

Detailed Answer:
Hi
I Am Dr Diwashish
Welcome To Ask A Doctor Service
No in case of ketosis, metformin should be stopped and insulin should be started till ketosis subsides.
Because metformin itself causes lactic acidosis and may further complicate the situation.

I Hope Your Query is clear now.
Thank You

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr diwashish biswas (9 days later)

when I did the urine strep it said trace like a small amount should i still not start the metformin?

Answered by Dr. Dr diwashish biswas (43 minutes later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi
I Am Dr Diwashish
Welcome To Ask A Doctor Service

Even in the presence of slightest amount of ketosis, metformin should be avoided.
I Hope Your Query is clear now.
Thank You

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng