January 25, 2001
Diagnosis and Symptoms
Question from Helena, Montana, USA:
My daughter had a fasting blood sugar done that was 65 mg/dl [3.6 mmol/L]. At the same time, she had no sugar in her urine, but still tested positive for ketones. I was told not to worry and no follow up was necessary. I have now found myself questioning everything she does. I need to know how much urination and thirst is excessive. I was so scared by what the clinic told me before that I find myself making mountains out of perhaps molehills. What do you think? Should I request more testing? Would it be very clear if she was showing the signs? Also, her lips are always dry and cracked. Would this mean dehydration?
Answer:
I appreciate your concerns. However, ketones in the urine are not typically concerning in an otherwise normal person with a normal blood sugar (yes–65 mg/dl [3.6 mmol/L] is normal). In addition, for your general information needs, please review Symptoms of Diabetes. You should talk with to your daughter’s pediatrician if you are still concerned that your daughter may have an illness.
MSB
