Acetone and ketone bodies in the urine during pregnancy

During pregnancy, future moms do a lot of urine tests. One such laboratory test is the determination of ketone bodies. This study is very important and helps to identify dangerous pathologies in the very early stages of their formation.

Normal in the urine should not be present acetone. The pathological condition in which urine ketones are elevated is called ketonuria. Its appearance in pregnant women is a rather unfavorable symptom. When this clinical sign appears, it is very important to immediately consult a general practitioner. In the body of a healthy woman ketone bodies are always formed, however they are excreted in sweat. The appearance of traces of ketone bodies in the urine is a manifestation of pathology. For the correction of these disorders requires the mandatory appointment of therapy.

The appearance of ketonuria in the urine in early pregnancy is quite common in toxemia. Also, this condition may be due to the threat of gestational diabetes. This pathology manifests itself in pregnant women and requires mandatory monitoring of its development.

Osteoporosis and an acute shortage of calcium in the fetus is also manifested in the development of ketonuria. This pathological condition is usually detected in the first half of pregnancy. When the diet is normalized, this violation can be corrected. The appearance in the urine of a high content of ketones in the early stages of pregnancy leads to the fact that future mommy appears reduced insulin sensitivity. This leads to the fact that blood glucose is no longer utilized by the cells of internal organs.

Ketonuria, which occurred in a pregnant woman in late pregnancy, may be due to various respiratory disorders that form in the fetus. The development of many pathologies due to this condition is largely due to the altered pH of the blood and urine due to the increased content of ketone bodies. Quite often ketonuria manifests itself in late pregnancy sporadically. In most cases, this condition is transient.

Before the appointment of treatment necessarily carried out comprehensive diagnostics. Doctors determine what reason contributed to the development of this condition in the future mother. If hyperglycemia and gestational diabetes mellitus became the cause of the pathology, in this case, sugar-lowering drugs are prescribed for the correction of disorders.

The metabolism of carbohydrates in the body is extremely important, as they are necessary for the nutrition of all internal organs and muscle tissue. If the synthesis of sugar in the body is disturbed, then this leads to the fact that the carbohydrate balance is disturbed.If the normal glucose concentration does not recover, then the amount of ketones will increase. The following reasons may lead to the development of such a situation:

• Untimely meals. Frequent skips of meals contribute to the disruption of metabolic processes, including pathological reduction of glucose in the blood.
• Insufficient intake of carbohydrates with food. To provoke a violation of carbohydrate metabolism can any hypocarbohydrate diet. It is important to note that the calorie intake of the future mom should exceed the caloric content of the diet of an ordinary woman by 20-25%.

• Excessive exercise. During pregnancy, the usual household activities can lead to a decrease in blood glucose. After the general cleaning of the apartment, a pregnant woman may have traces of ketones in the urine.
• Diabetes mellitus uncontrolled flow. Severe forms of this disease are accompanied by impaired metabolic carbohydrate processes. The insulin-dependent variant of diabetes mellitus is especially dangerous. Hypoglycemic coma is a critical condition, manifested by the appearance of a specific symptom - the smell of acetone from the mouth.
• Severe gestosis. Frequent bouts of nausea and vomiting provoke the development of a decrease in blood glucose. If the course of preeclampsia is prolonged, then this can lead to persistent ketonuria.

• Infections caused by bacteria or viruses. Severe infectious diseases, accompanied by high fever, can lead to the development of carbohydrate metabolism disorders.
• Protracted psycho-emotional stress. Excessive suspicion or excitement over trifles lead to the fact that the body of the future mother begins to falter. The development of metabolic disorders also leads to constant depression, in which the pregnant woman stays for a long time.
• Increased thyroid function. Hyperthyroidism is a fairly common pathology that occurs during pregnancy. This state is characterized not only by an increase in the blood of thyroid hormones, but also by a violation of general metabolic processes. Quite often, this situation is transient and is normalized after childbirth.
• Violation of metabolic processes. This situation occurs in many pathologies. In this case, not only violations of carbohydrate metabolism, but also fat.

And now we recommend to watch the video in which Dr. Komarovsky tells about where acetone in urine comes from.

The mild course of ketonuria, when only traces of ketone bodies appeared in the urine, practically does not manifest at all. If the course of the pathology develops, the future mommy begins to feel rather unfavorable symptoms. The degree of their severity may be different. Reviews of mummies, in whom ketone bodies were detected in urine during pregnancy, indicate that quite often they felt nauseous. This symptom has been bothering them for several months.

Also quite frequent symptom of ketonuria - excessive sweating. Sweat can have a rather unpleasant sour smell. Excess sweating or hyperhidrosis is manifested not only during physical exertion, but also in a state of complete rest. Future moms in this state get tired more quickly, they may experience unmotivated headaches. Some moms get dizzy. The more disturbed the carbohydrate metabolism in the body of a pregnant woman is, the more vividly these symptoms appear.

Determine ketonuria only by clinical symptoms will not succeed. For the diagnosis requires a mandatory analysis of urine. Screening of this condition is carried out using special test strips that can be bought at any pharmacy. The principle of their operation is quite simple. A special diagnostic layer is applied on the paper strip, which detects ketones in the urine.

A special table is used to evaluate the result. For ease of use, different concentrations of ketone bodies are determined using different colors. The future mom can do this research at home on her own.

Currently there are also multifunctional test strips. In addition to ketones, they can identify the main indicators of urine - leukocytes, protein, red blood cells, pH and many others. Such tests are very convenient for home use. They allow expectant mothers to significantly save the family budget and go to the laboratory for testing only if necessary. Take the laboratory test should be in the morning. In the evening urine, the amount of ketones can be changed. Some doctors recommend closing the vaginal opening with a cotton pad before urinating. In this case, the test results will be more reliable.

Many mummies collect urine in glass jars from under mashed potatoes. Immediately it should be noted that quite often the use of such containers can lead to false results. The container in which the urine is collected must be dry and clean. You can use glass jars, but you must wash them thoroughly and then dry them naturally.

In some cases a small trace concentration of ketone bodies in the urinary sediment is allowed. Excess them in the urine in excess of 15-60 mg / dL is considered a pathological condition and requires mandatory correction. If, against the background of a high content of ketone bodies in the urine, the future mom does not feel any discomforting symptoms, then in this case an obligatory recheck of tests is required. Usually they are held in 7-14 days. Repeated ketonuria is already a manifestation of pathology. In this case, blood glucose monitoring is also required.

It is possible to get rid of excess amounts of ketone bodies in the urine, following all the recommendations of doctors. The most important is the observance of the normal daily routine. A full sleep at least 8 hours a day is an obligatory measure of therapy that helps to significantly improve the future mom's state of health. Nutrition of a pregnant woman is very important for the correction of violations. For the prevention of hypocarbohydrate conditions requires the mandatory inclusion in the daily diet enough carbohydrates. The emphasis in the diet is on the "slow" carbohydrates: these products include all cereals and cereals.

For a great mood and getting vitamins to expectant mothers should definitely eat fruit. These are the main sources of "fast" carbohydrates. They are quite rapidly absorbed into the blood, normalizing the concentration of sugar. Instead of sweets, expectant mothers should eat dried fruits and berries. Chocolate and industrially cooked sweets should be limited. For the normalization of metabolic processes in the body of the future mother is very important that she ate enough protein. To do this in the daily diet any bird, fish, beef, and turkey should be included. Dairy products will also be excellent complements to the daily diet.

To improve the metabolism in the body of a pregnant woman is very important to observe the drinking regimen. To do this, the future mom should drink at least 1.5 liters of water per day. Individual drinking mode is prescribed only for pregnant women who have a tendency to develop edema. In this case, doctors can limit the use of water to one liter.