Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
October 3, 2000
Question from Floral Park, New York, USA:
What would be some of the causes for a child with reasonably good blood sugars (150 mg/dl [8.3 mmol/L]) to be spilling glucose, but not ketones, in fresh urine samples? She is a type�1 diagnosed about six months ago, in good health, Hemoglobin A1c down to 7.5%, and otherwise well.
Some healthy children spill glucose into the urine at 150 mg/dl [8.3 mmol/L]. That is why urine glucose testing is so inaccurate to use to manage diabetes. On the other hand, the most likely reason for the glucose in the urine is that her blood sugar was higher immediately after eating. The urine in the bladder reflects all the blood sugars from the last time she urinated until the time of testing. If the blood sugar went up higher for a short time, glucose will spill into the urine and be present even if her blood sugar is low when she tests.