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Sunday, May 19, 2013
Ketones in 12yr old
My Dr. told me my child had high keytones and her body was eating her muscles, but she is not diabetic. What causes this with a healthy diet?
I think there is a key principle here and that is that when you have a question like this, you should direct it back to the doctor - if you are unsure about information like this, the doctor should want to explain it to you and is in a better position to do so than am I. It is not clear to me whether the result you are talking about is a real and important finding, an incidental finding or an artifact. Ketones can be found in the urine in healthy people without diabetes after a period of fasting. The commonest reasons for elevated urine ketones in people without diabetes would either be simply a prolonged period without eating or something else in the urine causing a false positive result on the test - there can be drugs and vitamins among the causes for that. Medical conditions in which urine ketones are elevated without either diabetes, fasting or a false result are possible but relatively uncommon in a person this age.
Robert M Cohen, MD
Professor of Clinical Medicine
College of Medicine
University of Cincinnati