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Posted 7/10/2019 12:05 PM (GMT -5)
My 12-year old son passed out yesterday at the grocery store. Medics did some tests, then today his doctor check and found no ketones in his urine. He gets blood work done tomorrow.

I have found conflicting opinions on how much weight to put in the urine test. Some say that no ketones means it is much less likely that he has diabetes, but some say that test doesn't tell us much.

Thoughts?
Posted 7/10/2019 3:31 PM (GMT -5)
Hi There and Welcome!

Firstly, does your son show any of these symptoms? Is there Type 1 Diabetes in your family?

Does he have 3 or more of these symptoms? Especially, 1., 3., 6., or 7.

1. Increased thirst and frequent urination. Excess sugar building up in your child's bloodstream pulls fluid from tissues.

2. Extreme hunger.

3. Weight loss.

4. Unusual Fatigue.

5. Irritability or behavior changes.

6. Fruity-smelling breath.

7. Blurred vision.

8. Yeast infection.

There are other reasons for fainting and protein in the urine.

Here is a good site:

https://www.mayoclinic.org/diseases-conditions/type-1-diabetes-in-children/diagnosis-treatment/drc-20355312

(Sorry, You will have to copy and paste.)

I was diagnosed in a small town back in 1961, when I was 3 years old. Things were less complicated back then. smile
All the Doc did was the Clinitest and it showed orange(Highest blood sugar). He also tested my urine for sweetness and smelled my breath. There you go diagnosed. He was right!

Best to you and your son.
Posted 7/10/2019 9:31 PM (GMT -5)
Hi wpack3 and welcome. Sorry for the problem your son had. What other tests were done? As far as I know, medics would have taken his blood sugar on the spot. Did they do that? Do you know what the result was?

Testing a 12-year-old means a blood test in which the doctor would be looking at his blood sugar level at that moment and also what the average has been for about 90 days. Another one would be a fasting blood test in which he would have a blood test in the morning before he eats or drinks anything but water. As a youngster, they would probably be looking at a type 1 diagnosis which means his blood sugar would be high because he no longer produces insulin to control his blood sugar.

As MsOuchie wrote (thanks, Ms Ouchie!), the list of symptoms are important to observe. Unexplained weight loss might be one of the first observations you see. And thirst, frequent urination... etc.

In any case, you have to start with lab tests, the blood tests I described above. On the lab sheet, you might see A1c which is the blood test that measures our blood sugar levels over 90 days. There is no preparation for this test so it can be taken at any time of the day. A random test can be done at the same time. The fasting is only done after about 8 hours of no food or drink (except water) so that's usually done in the morning.

Urine tests are not used for diagnosis anymore as far as I know. Please let us know how these tests come out and if you have more questions. In the meantime, you can check out the link in my signature for more information about blood sugar.
Posted 7/11/2019 5:38 AM (GMT -5)
Urine keytones are for that specific Immediate timeframe.
Keep 💪. HT
Posted 7/12/2019 4:33 PM (GMT -5)
Hi Lanie:

No problem. I do hope that you are doing well and enjoying the beautiful weather. Take Care!
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