Ketones – Problematic Substances in Urine (Nursing)

00:00 Now ketonuria this means I have ketones in my urine.

00:04 This could be a sign of uncontrolled diabetes.

00:09 I know there's a lot of you out there that are doing the keto diet and it's a good thing when you have ketones in your urine, that would be something I'd need to know if I'm assessing urine analysis If you're in a keto diet, if you're strictly strictly limiting your carbohydrate intake we need to know that because then the ketonuria would not be such a big deal.

00:30 You but if you're not eating a very strict keto diet if we see ketones in your urine, this could be a sign that your diabetes is not well controlled.

00:40 Well, where does that come from? Well ketones are a byproduct of fat metabolism.

00:46 People who are diabetic.

00:49 They can't get the glucose out of their bloodstream into their cells either because they don't have enough insulin, they don't have any insulin, or the insulin they have their body just doesn't work well with.

01:01 So if they can't get the glucose out of the bloodstream into their cells for energy, they go after fat and a byproduct of breaking down fat for energy are ketones.

01:12 Now can also happen in pregnancy, people who we talked about carbohydrate free or keto diets or someone who's really malnourished in starvation, because their body just starts ripping apart anything it can to get energy.

01:25 So ketones in your urine is not a good sign if you're eating a regular diet want to keep a really close eye on that.