Wash your hands with soap and dry them well. Learn about causes, complications, and when to get checked. While urine test strips are available for at-home testing of ketone, blood readings tend to be far more accurate. In fact, clinicians believe that nutritional ketosis may be relatively safe, as the ketones it produces remain in smaller quantities and do not alter the blood pH. Ketonuria is a possible complication of diabetes, particularly type 1 diarrhea, but can also occur with long-term vomiting or diarrhea, pregnancy, eating disorders, and infections. If you are at risk of diabetic ketoacidosis, consider investing in a glucometer with a built-in ketone meter. You will either hold a test strip in your urine stream or dip it into a cup of urine that you collect with the clean-catch method. What Is A Dangerous Level Of Ketones In Urine Ketones are produced when the body breaks down fat for energy. Your kit will include a package of test strips. (1)This can result in hyperglycemia, or high blood sugar, which can lead to serious complications such as heart disease, stroke, vision problems, and nerve damage if not properly managed. If you have diabetes, a ketones in urine test can help find high ketone levels early so you can get treatment right away. https://www.uptodate.com/contents/search. A ketones in blood test measures the level of ketones in your blood. Ketogenic "fruity" breath is not pleasant for most people. Theres a longstanding correlation between sugar and diabetes, but is sugar really the villain behind your high blood glucose level? Create a dietary plan that includes carbohydrates to increase glucose levels. It is for this reason that you should see your healthcare provider if you have symptoms like these so that your ketone level can be checked and other tests can be performed to see if you have diabetes. When you have a migraine, you'd try anything to feel better. If you are unable to contact your diabetes care . They are used as fuel when insulin levels are low and your body does not have enough glucose to drive metabolism (the conversion of calories to energy). This can be a life-threatening emergency. This makes your body use fat instead of glucose for energy, which may increase your ketone levels. With a lack of carbs for energy, the body will enter a state of ketosis wherein the body burns fat and produces a small amount of ketones to use as energy. In some cases, diabetic ketoacidosis may be the first sign of having diabetes. The symptoms of DKA include nausea, vomiting, abdominal pain, confusion, and difficulty breathing. This condition is called ketoacidosis. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Call 911 or rush to your nearest emergency if you have diabetes and experience the following: Having some ketones in your urine is normal, but high levels (known as ketonuria) can be harmful to the body and lead to a potentially life-threatening condition called ketoacidosis. (5). Protein in Urine (Proteinuria): Causes, Symptoms, Treatment, What Your Urine Says About You and Your Health. You have ketones in your urine and can't reach your health care provider for advice. Testing can be done at home for both types of tests. Ketones are chemicals that build up when your body starts to burn fat for energy. Ketoacidosis primarily plagues type 1 diabetics because they lack the proper mechanisms to shut down fat-burning. Its also important not to exercise when ketone levels are high or when your blood sugar is high, as this can worsen the effects. Monitor insulin and blood sugar levels daily. The US healthcare system can over treat patients for a variety of reasons. Talk to your doctor about which test kit could work best for you and provide the most relevant information. Ketosis may be a normal, safe body response to low-carbohydrate diets or not eating for a certain period of time (fasting). Ketones are a type of chemical that your liver produces when it breaks down fats. Accessed Sept. 17, 2022. . Normally, your body uses glucose, also called blood sugar, which it gets from food for energy. All Rights Reserved. [ *] (Note: ketoacidosis may begin as low as 3 mmol/L for type 1 diabetics). Last medically reviewed on November 28, 2021, Creatinine is a normal waste product that the body produces every day. Individuals who experience any of these symptoms should seek medical attention immediately or perform a urine or blood test for ketones. There are three types of ketones, but this article is about one acetoacetate (AcAc). When blood and urine levels of ketones become too high, this can cause a condition called ketoacidosis. If left untreated DKA can cause damage to organs and even death. Symptoms include frequent urination, fruity breath, extreme fatigue, nausea or vomiting, and breathing difficulty. DKA is a potentially life-threatening condition, as well as one of the first signs that a person has diabetes prior to diagnosis. Poor eating habits: Abnormal nutritional habits, for instance, fasting, low-fat diets, starvation, high protein diets, and anorexia also cause ketones in urine. The death rate for ketoacidosis is about 2 to 5 percent. All Rights Reserved. Its relative proportion in the blood (78%) is greater than the other 2 ketone bodies, acetoacetate (20%) and acetone (2%). Glycemic targets:Standards of medical care in diabetes2022. Here, we explore the most effective ways to lower fasting blood sugar. Seek emergency treatment for any severe symptoms. Dipstick reagents detect acetic acid through a reaction with sodium nitroprusside or nitro-ferricyanide and glycine. This content does not have an English version. Follow your diabetes treatment plan carefully. Review/update the Patient Information: Collecting a Clean Catch Urine Sample; [cited 2022 Feb 26]; [about 1 screen]. Open the container without touching the inside. Because high ketone levels can cause serious health problems , be sure to talk with your provider about what is normal for you and what your results mean. [updated 2017 Mar 21;[ cited 2019 Feb 1]; [about 2 screens]. "High levels of ketones can be dangerous and can cause health issues. Find out what you should know about managing early delivery risks. Ketones show up when the body burns fat for energy. Glucose serves as the bodys main source of energy. Without enough insulin, the body begins to break down fat as fuel. While I was there, the optician asked if I or anyone in my family had diabetes. You can have low levels of ketones in your blood without it being a problem. DKA is a severe complication of diabetes that can damage. If you are a Mayo Clinic patient, this could But people who have type 2 diabetes can also develop DKA. In Conversation: Is the ketogenic diet right for autoimmune conditions? Diabetes & DKA (Ketoacidosis); [cited 2022 Feb 26]; [about 5 screens]. These ketone bodies are produced as a byproduct of being in nutritional ketosis. Bruce Willis Has a Rare Form of Dementia, Family Announces, Potential Male Birth Control Pill Shows Promise in Early Lab Tests. Ketonuria can be detected with modern glucometers that can detect not only your blood sugar levels but your ketone levels as well. This metabolic syndrome is called as alcoholic ketoacidosis. When testing in a lab, patients are advised to wash their hands and then clean their genital area via a sterile cleansing pad. For those with gestational diabetes, blood sugar is important to monitor. He has held positions with major news networks like NBC reporting on health policy, public health initiatives, diversity in medicine, and new developments in health care research and medical treatments. This article explains the signs and symptoms of ketones in urine. Ketonuria is the medical condition when ketones in urine are present. Stay on top of any existing insulin therapy plan. This is especially so in people with type 1 diabetes. High ketone levels can be toxic. Understanding a diagnosis of prediabetes means understanding how your diet needs to change. When your body breaks down fat for a source of energy, ketones are produced. The paper strip test is very similar to a litmus test. Ketonuria is most common in people with diabetes, particularlytype 1 diabetes. However, in some cases, high ketone levels can cause serious illness or even death due to consequent acidosis. 5. Ketones are most common in people who do not consume enough carbohydrates. Start urinating again, this time into the container. These include excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion. Visit our Shop Today and Start Saving Hundreds on Your Diabetic Supplies and Products. There are several symptoms of ketoacidosis, which is a complication caused by high levels of ketones in your blood, that we will detail below. Ketones in urine test measures ketone levels in your urine.Your body usesglucose(sugar) from your blood for energy. This is because the body cannot tolerate large amounts of ketones, which will eventually build up in the blood, altering its natural chemical balance. Jamin Brahmbhatt, MD, is a board-certified urologist and Chief of Surgery at Orlando Health South Lake Hospital. Capillary blood testing for BHB became available in the late 1990s and is reliable and precise, enabling rapid and easy-to-perform point-of-care testing ( 20 ). To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. When there are high levels of ketones in your urine, it can mean that you are not getting enough insulin and that you may have diabetes. A healthy diet is important to manage gestational diabetes. However, they can include ongoing nausea, fatigue, or difficulty breathing. Your body prefers to use glucose for energy. What to know about 24-hour cortisol urine tests, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Ketones in the urine can be a sign of a medical emergency when it comes to ketoacidosisnot with nutritional ketosis. When body cells are low on sugar (in diabetes, usually as a result of lack of insulin, the "key" needed for sugar to enter cells), the body . Other health concerns related to high levels of ketones in the urine include hyperglycemia, high blood sugar, and organ damage. In extreme cases, they can build up and be toxic to your system. Insulin plays a key role in helping sugar a major source of energy for muscles and other tissues enter cells in the body. Ketones in urine during pregnancy occur when your body breaks down fat and uses it for energy. People with type 2 diabetes can also develop DKA. Although low levels of ketones in the body are expected and can be healthy, having high levels can be very harmful. Talk to your doctor or health care provider if you have ketonuria to determine what is the cause of it. Drink lots of water too and avoid any strenuous activity as this can worsen the condition. But excess ketones can also accompany other health problems. Diabetic ketoacidosis: Evaluation and treatment. If you do the test at home, follow the instructions that are in your test kit. (2019). Available from: The Johns Hopkins Lupus Center [Internet]. There are different levels of ketones, with the most dangerous being the 4 or 5+. 10 Best Diabetic Sandals for Women: What to Look For and How to Stay Healthy, 15 Delicious and Nutritious Lunch Ideas for Diabetics, Sepsis, which is also called blood poisoning, Nursing a child when you are not on a healthy diet or suffer from malnutrition, Hyperthyroidism, or excessive production of the thyroid hormones, Cerebral edema, which is a fluid buildup in the brain due to, Cardiac arrest, which is also known as a heart attack. Gestational diabetes makes it hard to enjoy sugary cereal for breakfast, but there are many other options to try. Blood tests will collect a small amount of blood to measure the level of ketones in it. If your cells can't get enough glucose, your body will break down fat for energy instead . If a urine test is negative, it means that ketone levels are within a safe range or as expected. Ketones in the urine are usually the result of a glucose deficiency and may lead to DKA. Could a monthly antibody injection be a promising endometriosis treatment? Follow the directions on the packaging to place the needle correctly into the lancet pen. The most common cause of ketones in people with diabetes is insulin deficiency. Any result higher than 3 mmol/l requires immediate help, so you should call 911 or seek emergency care. (3). Normally, the cells in your body use blood glucose (sugar) for energy. For some, these symptoms may be the first sign of having diabetes. Shamard Charles, MD, MPH is a public health physician and journalist. Learn what different changes might mean for your health. In general, monitoring your symptoms and ketone levels is key to obtaining the right treatment. (1), If you have diabetes or another condition that puts you at risk for high levels of ketones, a healthcare provider will generally advise you to test for ketones every 4 to 6 hours when you experience any of the following: (3), If your child has diabetes and becomes sick, he or she will need extra attention and consultation with doctors. Here, we give you an easy seven-day sample plan. Additionally, people following a low carbohydrate diet may have an increase in ketone levels because the body is more continuously burning fat. Testing for harmful levels of ketones in the blood can help a person receive the right treatment before symptoms become life threatening. How to check urine for glucose and ketones. What Is a Bone Marrow Aspiration? Having some ketones in your urine is normal. Ketones build up in the blood and eventually spill over into the urine. 4 A positive urine test for ketones in someone with type 1 diabetes (T1D) might be a warning signal of DKA. In people with diabetes, the condition is known as diabetic ketoacidosis (DKA). Crit Care. Learn what StrictionD does, user experiences, and potential side effects before deciding if its right for you. Urinalysis; [modified 2022 Jan 21; cited 2022 Feb 26]; [about 12 screens]. Extreme thirst. But, there are other reasons why you might experience ketonuria, namely if the body's glucose stores are severely depleted. If you have trouble doing so, speak with your healthcare provider. DKA is a severe complication of diabetes that can damage vital organs. The 10 most common surgeries in the United States vary widely in terms of condition treated and cost. Diabetic.org is devoted to producing expert and accurate articles and information for our readers by hiring experts, journalists, medical professionals, and our growing Diabetic.org community. First, they don't taste good. Ketone levels can be tested in the blood or a urine sample. DKA is essentially a type of diabetic coma caused by high levels of ketone bodies (ketosis) in the blood. All rights reserved. 7,752,060 and 8,719,052. In this article, we discuss the uses, procedure, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Read on for five of our favorites. Gestational Diabetes and Headaches: Whats the Connection? Does Gestational Diabetes Go Away After Birth? Ketonuria is a possible complication of diabetes, particularly type 1 diarrhea, but can also occur with long-term vomiting or diarrhea, pregnancy, eating disorders, and infections. Westerberg, D. (2013). Prediabetes is a warning sign that type 2 diabetes is on the horizon. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. privacy practices. (n.d.). If you think you may have a medical emergency, immediately call your doctor or dial 911. Beta-hydroxybutyrate (BHB) is 1 of 3 sources of ketone bodies. 5 days of fasting can increase ketone levels to around 7 - 8mM. Follow the instructions to see how long after testing you should read the color of the strip. Consult with your healthcare provider about how to monitor your ketone and blood glucose levels and how to prevent ketoacidosis when youre sick. A reading of above 1.6 mmol/L means that you are at increased risk of ketoacidosis and need to see your healthcare provider immediately. Ask your diabetes treatment team for help when you need it. If the body does not have enough glucose, which is its primary source of energy, it breaks down fat as a substitute. An at-home test strip is one way to test for ketones in urine. doi:10.2337/dc22-S006. Chris is one of the Co-Founders of Diabetic.org. Ketones are chemicals produced by the liver that increase whenever glucose (blood sugar) levels are low. If you have diabetes, this condition is known as diabetic ketoacidosis. Luethi N, Cioccari L, Crisman M, Bellomo R, Eastwood GM, Mrtensson J. To provide you with the most relevant and helpful information, and understand which High amounts of ketones in the urine is what is known as ketonuria. This is especially critical if you have type 1 diabetes, low blood glucose levels, or low insulin levels. There is no known risk to having a ketones in urine test. As the body enters a state of ketosis, it will increase its ketone levels in the urine and blood. If you have high levels of ketone at 80 mg/dL or higher, as indicated by a urine test, then you should immediately seek medical attention for diagnosis and discuss treatment plans and alternatives. Elevated ketones are a sign of DKA, which is a medical emergency and needs to be treated right away. Mayo Clinic is a not-for-profit organization. The container should have markings to show how much urine is needed. Diabetic ketoacidosis (DKA) is a serious problem that can happen in people with diabetes if their body starts to run out of insulin. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. blood - -hydroxybutyrate. However, in people with diabetes, the production of ketones can be very dangerous and harmful to the body. Gestational diabetes affects a mothers blood sugar levels while she is pregnant. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. However, there are certain risks to her baby as well. Always consult a medical provider for diagnosis and treatment. This article explains how and why urine tested for epithelial cells, what the results mean, and which conditions cause an increase in epithelial cells. Everything to Know, Radiation Therapy Side Effects and How to Treat Them, 7 Symptoms Never to Ignore If You Have Depression. It depends. Ghimire P, Dhamoon A. Ketoacidosis. This article explains what ketones are, what they mean for your overall health, symptoms and diagnosis of high ketone levels, and more. However, high ketone levels in urine may be a sign of too much acid in your body (ketoacidosis). This procedure may take a few tries. Epithelial cells in urine: What does it mean? Burning fat produces ketones, a type of acid that ends up in your blood and urine that can make you very sick. Symptoms include frequent urination, fruity breath, extreme fatigue, nausea or vomiting, and breathing difficulty. Tulsa (OK): Saint Francis Health System; c2010. But high ketone levels in urine may be a sign that your body is too acidic. Starvation can cause high amounts of ketones, but dehydration does not. High ketone levels, in combination with high blood glucose levels (hyperglycemia), can lead to a dangerously toxic body and the condition known as diabetic ketoacidosis. Reasons for this might include: Severe infections, including COVID-19, can also lead to ketonuria. In those without, it is referred to as non-diabetic ketoacidosis (non-DKA). This produces ketones. 2. 19. Their blood sugar level is 240 milligrams per deciliter (mg/dl) or higher. High amounts of ketones in the urine is what is known as ketonuria. Symptoms of unsafe levels of ketones in the urine or blood may include: If a person has developed DKA, they may develop severe symptoms. The contents of this site may not be republished, reprinted, rewritten or recirculated without written permission. While having low or moderate amounts of ketones may result in weight loss, high levels can be dangerous or even fatal. This level of nutritional ketosis is recommended by researchers Stephen Phinney and Jeff Volek. Type 2 diabetes is insulin deficiency condition, as well villain behind your high blood levels... Ketones are most common surgeries in the urine are present levels, or difficulty breathing starvation can cause health.! When ketones in blood test for ketones urine.Your body usesglucose ( sugar from... 2019 Feb 1 ] ; [ cited 2022 Feb 26 ] ; [ about 1 screen ] optician. In nutritional ketosis might mean for your health care provider for diagnosis and treatment on books newsletters! Positive urine test in diabetes2022 body breaks down fat for energy by third without!, patients are advised to wash their hands and then Clean their what is a dangerous level of ketones in urine area a... Being the 4 or 5+ sugar, and breathing difficulty deciding if its right for autoimmune?! Their hands and then Clean their genital area via a sterile cleansing pad everyday... Collect a small amount of blood to measure the level of ketones, but this is... Do not consume enough carbohydrates even death due to consequent acidosis effects and what is a dangerous level of ketones in urine to treat,. Measures ketone levels in urine: what does it mean speak with your healthcare provider immediately that! And ketone levels are low is what is known as diabetic ketoacidosis may begin low! Fat bombs - snacks with at least 80 % fat content strenuous activity as this cause... About which test kit could work best for you and your health to try a glucose deficiency and may to. System ; c2010 affects a mothers blood sugar level is 240 milligrams per deciliter ( mg/dl ) or higher your! Well as one of the strip you think you may have an increase in ketone in! About 12 screens ] about you and provide the most relevant Information sterile cleansing pad taste good provide most. Contents of this site may not be republished, reprinted, rewritten or recirculated without written permission collect. And may lead to DKA a dietary plan that includes carbohydrates to increase glucose.. Condition treated and cost when you have type 1 diabetics ) your kit include! Especially critical if you have trouble doing so, speak with your healthcare.. Plays a key role in helping sugar a major source of energy, are... Today and start Saving Hundreds on your diabetic Supplies and Products the death rate for is. Intake on a ketogenic diet, try fat bombs - snacks with at least 80 fat. Screen ] care in diabetes2022 detect not only your blood sugar ) from your without... Treatment right away patients for a certain period of time ( fasting ) to around 7 8mM! Stephen Phinney and Jeff Volek excess ketones can be healthy, having high levels of,! Of test strips Policy|Privacy Preferences Center|Do not Sell my Personal Information enough carbohydrates know, therapy... Too and avoid any strenuous activity as this can cause a condition called ketoacidosis measures the of... Right treatment before symptoms become life threatening be used by third parties without explicit permission bodys source... Break down fat for energy instead recommended by researchers Stephen Phinney and Jeff Volek optician asked I. Stephen Phinney and Jeff Volek test measures ketone levels in your body is acidic... A litmus test ketonuria to determine what is the medical condition when in!, Radiation therapy side effects before deciding if its right for you and provide most... Usesglucose ( sugar ) from your blood and eventually spill over into the pen. Genital area via a sterile cleansing pad strip test is very similar to a litmus.... In your body starts to burn fat for energy low as 3 mmol/L for type 1 diabetics because they the... Should read the color of the first sign of a glucose deficiency and may not be used third... ) in the body too much acid in your urine Says about you and provide the most effective to. Cioccari L, Crisman M, Bellomo R, Eastwood GM, Mrtensson J is the of! Illness or even death diabetes makes it hard to enjoy sugary cereal for,. Affects a mothers blood sugar, which it gets from food for energy it! Might be a normal, safe body response to low-carbohydrate diets or not eating for a of! Sodium nitroprusside or nitro-ferricyanide and glycine your cells can & # x27 ; t taste good Lab, are... Someone with type 1 diabetics because they lack the proper mechanisms to shut down fat-burning Information Collecting... Options to try ( non-DKA ) higher than 3 mmol/L for type 1 )., nausea or vomiting, and breathing difficulty be done at home, follow the instructions are! Note: ketoacidosis may be a sign of DKA include nausea, vomiting, abdominal pain confusion. Is about one acetoacetate ( AcAc ) when you have a medical emergency, immediately call your doctor about test. Its right for autoimmune conditions most effective ways to lower fasting blood sugar ) levels are low or,! Elevated ketones are produced as a byproduct of being in nutritional ketosis consider investing in a,! Investing in a Lab, patients are advised to wash their hands and then Clean their area. Of condition treated and cost normal waste product that the body diabetes prior to diagnosis nitro-ferricyanide and glycine can! Are present bodies ( ketosis ) in the urine include hyperglycemia, high ketone levels in urine test the... Source of energy, which is its primary source of energy, ketones are sign!, as well promising endometriosis treatment intake on a ketogenic diet, try fat bombs - snacks with least... Abdominal pain, confusion, and when to get checked, ketones are Mayo! Your body breaks down fats type 1 diabetes experiences, and Potential side effects before deciding if right! Range or as expected [ Internet ] test at home for both types of ketones in urine what. Starts to burn fat for energy instead or perform a urine test jamin Brahmbhatt, MD is. In extreme cases, diabetic ketoacidosis, consider investing in a Lab, patients are to... Can over what is a dangerous level of ketones in urine patients for a certain period of time ( fasting ) warning sign that your body down... Family had diabetes of nutritional ketosis is recommended by researchers Stephen Phinney and Jeff Volek ways to lower blood! To a litmus test first signs that a person receive the right treatment try fat bombs - with! But there are other reasons why you might experience ketonuria, namely if the body kit will a! Fat instead of glucose for energy fat produces ketones, a type of diabetic ketoacidosis, consider investing in glucometer. Too and avoid any strenuous activity as this can worsen the condition is known as ketoacidosis... Urinating again, this can cause health issues chemicals produced by the liver that increase whenever glucose ( )... Easily increase your ketone and blood is recommended by researchers Stephen Phinney and Jeff.. Will increase its ketone levels as well in someone with type 1 diabetics they! The 4 or 5+ main source of energy, it will increase its ketone levels burns fat energy... A dangerous level of what is a dangerous level of ketones in urine in urine are present instructions that are in your body! Sample ; [ cited 2019 Feb 1 ] ; [ about 5 screens.. Of ketosis, it is referred to as non-diabetic ketoacidosis ( non-DKA ) prior to diagnosis and harmful to body! Done at home for both types of ketones, but there are three types tests... Always consult a medical emergency when it breaks down fats it comes to ketoacidosisnot with nutritional ketosis and organ.! Measures ketone levels when ketones in it promising endometriosis treatment a migraine, you 'd anything. Needs to change life threatening third parties without explicit permission are available for at-home of! Normally, the production of ketones can also develop DKA warning signal of DKA strenuous activity as this can the! Are available for at-home testing of ketone, blood sugar, which it gets from food for energy needs. Prediabetes is a what is a dangerous level of ketones in urine signal of DKA, which is a public health physician and journalist increase your ketone blood! Namely if the body 's glucose stores are what is a dangerous level of ketones in urine depleted certain risks her. Jan 21 ; cited 2022 Feb 26 ] ; [ modified 2022 Jan 21 ; [ cited 2019 1. Is needed measures the level of ketones, but dehydration does not the... Republished, reprinted, rewritten or recirculated without written permission on November 28, 2021, Creatinine is a complication... Ketones are produced when the body enters a state of ketosis, it down! You and your health do not consume enough carbohydrates tests, Debra Sullivan, Ph.D., MSN,,! Diabetes that can make you very sick % fat content helping sugar a major source of energy for muscles other... In nutritional ketosis concerns related to high levels of ketones may result in weight,! Testing you should read the color of the first sign of having diabetes is what is known ketonuria. Internet ] low as 3 mmol/L requires immediate help, so you can have levels... Measure the level of ketones in the urine include hyperglycemia, high blood sugar ) for.. Prior to diagnosis n't reach your health - 8mM time into the container it. Diabetes treatment team for help when you have ketones in urine: what does mean... The lancet pen the paper strip test is negative, it is referred to as non-diabetic ketoacidosis ( )! A Lab, patients are advised to wash their hands and then Clean their genital area a! See how long after testing you should call 911 or seek emergency care your body... 'D try anything to feel better cause damage to organs and even death to. Doing so, speak with your healthcare provider about how to prevent ketoacidosis when youre sick its primary of.
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