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Old Jan 4th, 2011, 11:20 AM   1
SmileyShazza
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29 week midwife check - Ketones in Urine


Just got back from my 29 week midwife check.

Blood pressure was perfect, fundal height spot on, heard the heartbeat and baby was kicking away in the waiting room. I had been worried about there being sugar in my urine sample as last time there were traces in it but it came back clear - only problem was that there were ketones in it this time instead Midwife seemed quite suprised to see they were in there and couldn't quite understand it.

I asked the MW if that was a problem and she said no but typically I've come back and done a Google search and am not quite sure what it means some places say that it could be an indication of Gestational Diabetes and then others say it is lack of fluid and not eating enough. The midwife asked me what I'd drunk today and I said about 3/4 litre of plain water and a cup of tea so far and she said that should be fine for that point in the day.

So now I'm not really sure what this all means. Most places seem to give the indication that ketones mean your body is using all its energy and taking away stores from your body fat and muscles to function and that you should increase your food and drink intake. Other places say its an indication that you may have Gestational Diabetes

I do have a GTT test next Monday where they will be testing for GD so I suppose I will know more then. Anyone had ketones in their urine at all? m trying not to worry too much about what it might mean, the midwife didn't seem too concerned about it but she did say that the test next week may shed some light on it all.



 
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Old Jan 4th, 2011, 11:42 AM   2
DanielleM
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How many keytones were in your urine? It should say in your green book using + signs. I know when I was diagnosed with GD it was like ++++keytones due to lack of appetite and replacing food with sugary drinks. If you only had +keytones it could just be that you had not eaten breakfast so your body is converting stored fats to energy, as you said you only had water and tea. Hope this helps. x



 
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Old Jan 4th, 2011, 11:53 AM   3
SmileyShazza
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Thank you for your reply DanielleMitch

Just had a look and it looks as if she has written "tr ketones" which I'm assuming means trace as last time she write "tr glucose" and she said there was only a small trace in the sample.

I had breakfast at 7.15am (porridge and a glass of water) but didn't have a mid morning snack as we were doing training today at work so didn't have anything to eat until about 1.15pm which may have been the cause I suppose.

I'm hoping that now the festive season has passed and I am back at work my eating patterns will go back to normal as they do change slightly when I am off. Hopefully I will have a clearer picture after I've had that GTT test next week as well



 
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Old Jan 4th, 2011, 12:10 PM   4
elli
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I had keytones once at around 18wks. I'd had to skip lunch and hadn't drunk as much water as usual due to being really busy at work before rushing off to my antenatal appointment. Midwife didn't seem concerned at all, she said they wouldn't worry just for keytones alone, without any other symptoms/problems, so long as they weren't still there at my next appointment.

Since you're already booked for a GTT I wouldn't worry too much, just keep on drinking plenty of water and make sure you eat regularly - as the previous poster mentioned, keytones in urine can just be a sign that your body is burning stored fat.

Hope the test goes ok



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Old Jan 4th, 2011, 12:52 PM   5
DanielleM
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Yeah trace keytones aren't something to worry about too much and as long as it is not with glucose this time, just wait and see what the gtt says but dont let this worry you probably something and nothing. Like I say when I was diagnosed my glucose and keytones were very high (think glucose goes up to 7+) and I had all those symptoms but just thought it was pregnancy didnt even think of GD. They think I actually have type 1 diabetes and have had it before pregnancy anyway.



 
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Old Jan 4th, 2011, 13:51 PM   6
Dream.A.Dream
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If it was only trace I wouldn't worry. I had hyperemesis and was puking everything and had to go in on a drip a few times but that was when they were showing +++ or ++++ ketones. It's if you're not eating and drinking enough xx



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Old Jan 4th, 2011, 15:20 PM   7
MommaCC
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Hiya
I had a ketone problem when I was dehydrated with morning sickness. I was popped on a drip over night and it soon sorted itself out. It was due to lack of fluids and food body starts to break down muscles and use that. Don't worry tho it's really easy for them to sort out with food and drink. XxxxX



 
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Old Jan 4th, 2011, 16:45 PM   8
SmileyShazza
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Thank you all for the replies

I think I'm going to really try and increase my fluid intake a bit as I could probably do with drinking a bit more, it gets very boring drinking plain water though. Am avoiding fruit juices and squash because of the sugars in them as I am really trying to keep an eye on my sugar intake at the moment becauase of the GTT test.

My friend has given me a list of foods to eat that give slow releasing energy so am going to try those out and hopefully combining the two things will make a difference. Am also going to try eating smaller amounts but more often as my stomach can't handle a normal plate of food at the moment anyway.

I just want to make sure I'm doing everything I can to reduce any risk and give the baby (and me) everything that we need to comfortably get through the day



 
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Old Jan 4th, 2011, 16:50 PM   9
babyloulou
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I got keytones and protein at 28 weeks. I doubled my water intake and made sure I ate plenty of wholemeal carbs. They were gone at my next test xx



 
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Old Jan 4th, 2011, 16:57 PM   10
BubbaG
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I have had it at every mw appointment since 20 wks... They were v high when I had a stomach infection and I was put on a drip but every appointment I have some in my urine and my mw never really says anything!



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