What does positive urine ketones mean for women?

In the physical examination, there is usually a urine ketone test. Some people will have abnormal urine ketones, especially women. This is related to many situations. If women are before or after menstruation or during pregnancy, it is easy to have abnormal urine ketones. Don't worry, it is a normal phenomenon. However, if the urine ketone test is positive, it may be caused by hunger, sugar metabolism disorders in the body, etc., so what should I do?

What is the cause of high ketones in urine test?

If you are a woman, this test standard is inaccurate before, during or after your period, especially for pregnant women. Due to regular prenatal checkups, you will find that the values ​​for each period will be different. Even if the value is high, the doctor will immediately ask you to retest it after a few minutes, and the result will be different. Therefore, there is basically no need to worry too much about the ketone body index during this period.

Generally speaking, for urine tests of men and women, the middle section must be taken, because the beginning and the end may be infected with bacteria, which can easily cause numerical deviations. In particular, after taking the sample, it should be returned to the window as quickly as possible. Taking too long will also lead to inaccurate values.

If you have eliminated the above precautions and your ketone bodies are still high, you should also pay attention to other values. Does the female have occult blood? Are the other functional values ​​of the male also high? If not, the reference value is actually not very meaningful. At most, you can pay attention to regular diet, stay up less late and get more rest, and check every other day.

If there are abnormalities in the related values, then you need to pay attention to the high ketone bodies. Colds, strenuous exercise and fatigue can increase the levels. If the protein in your nutritional supplements is high, it will also affect urine ketone bodies. Ketone bodies are equivalent to toxins. You should drink water frequently to excrete these toxins from your body as soon as possible.

In addition to eating more fruits and vegetables, people with high ketone bodies should also strengthen their exercise. After all, physical illness will affect their physical condition. For those who like meat, they can eat more light meat such as fish. They must drink more water, because drinking water is not only for detoxification, but also an important way to enhance the decomposition of toxins in the body.

The last resort is to go to the hospital for an IV, or first check whether you have a urinary tract infection or liver function. After all, ketone bodies are waste products decomposed by the liver. Apart from the ordinary methods, the hospital should be able to give you a more authoritative way to be healthy.

3. Precautions for urine ketones

Please note during use:

① Since both acetone and acetoacetic acid in urine ketone bodies are volatile, acetoacetic acid is more easily decomposed into acetone by heat; after urine is contaminated by bacteria, ketone bodies disappear, so urine must be fresh and sent for testing in time to avoid false negative results or low results due to the volatilization or decomposition of ketone bodies;

② There is a difference in sensitivity between the dry method and the ketone powder method: the sensitivity of the ketone powder method to acetoacetic acid and acetone is 80mg/L and 100mg/L, respectively. It is not as sensitive as the strip test method, so the results of the two methods on the same pathological specimen may differ, and special attention should be paid when analyzing the results;

③ Ketosis caused by different causes has different ketone body compositions, and even the different disease courses of a patient may have differences. For example, in the early stage of diabetic ketoacidosis, the main ketone body component is β-hydroxybutyric acid, with very little or no acetoacetic acid. The measured results at this time may lead to an underestimation of the total ketone body amount. After the symptoms of diabetic ketoacidosis are relieved, β-hydroxybutyrate is converted into acetoacetate, which actually increases the acetoacetate content compared to the initial acute phase, making it easy to overestimate the severity of the condition. Therefore, testers must pay attention to the course of the disease and analyze the test results together with clinicians.

What are urine ketones?

The human body produces some products during metabolism, and the acetone, acetoacetic acid and β-hydroxybutyric acid produced during fat metabolism will be excreted in the urine, which are called urinary ketone bodies.

Urine ketone bodies cannot be detected using our current conventional methods. When a large amount of fat is decomposed, the ketone bodies in the urine will increase. At this time, a routine urine test will show ketone bodies as positive.

Hunger, impaired sugar metabolism and diabetic acidosis can all cause a large amount of fat to break down in the body. Therefore, there are many reasons why urine ketone bodies are positive.

When a routine urine test shows that urine ketone bodies are positive, you need to actively cooperate with the doctor to find the cause together, and then take appropriate treatment measures based on the cause.

Positive urine ketones caused by long-term malnutrition or hunger can be eliminated by a proper diet. If the positive urine ketone bodies are caused by strenuous exercise, they can gradually weaken until they disappear through proper rest.