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Advice needed about a test...

Sharlieboo

Active Member
Messages
35
Hi

I was diagnosed with Type 2 diabetes back in December and have just had my first diabetic check since that time.

In case it helps, my details are that I'm 35, BMI 23.5, original blood glucose level was 18.5, dropped to 16.5 over 2 weeks, then prescribed 2 x 500mg metformin per day with advice to lose 2 or 3 lbs if poss but not essential (I was then BMI about 24.5). I've been suffering with diarroeah intermittently for last couple of years and when initially prescribed Metforim in was a side affect for a couple of weeks and, again, intermittently since.

At check a few days ago blood glucose had dropped to 9.7, my bp was up for me (126/86), there was sugar in my urine and also something which I thought the nurse said were 'acetates' in my urine too.

I think I must have misheard the word the nurse practioner used when she said 'acetates'. She thought there was a possibility I might have an infection which could be causing the levels but on the basis there might not, I am to drop in another urine specimin in a months time so she can check again (spec bottle says 'dir & micro'. I noticed that she split the existing sample in two and labelled both up to go off to the lab. She said a GP would call me in a couple of days if it was due to infection and I'd have to go and pick up some antibiotics. It's not an infection, nobody has called so my questions are:-

1. What are acetates? or what could she have meant that sounded like that? What do diabetics get checked for on that little stick they put into the samples?

2. She said that the levels could mean problems with heart and kidneys. Is this more likely to be that I already have complications with my heart and kidneys and that the levels are an indicator, or does it mean that unless the levels come down it could mean that I go on to develop complications with my heart and kidneys?

3. If the levels are still too high in a month, do you think this may mean my medications gets changed again? (at the appt I was switched over to slow-release metformin and double-dosed up to 4 x 500mg per day)

I know I should have asked in the appointment but to be honest I intended typing 'acetates' into google/search here and finding out more but, of course, I must have misheard because I can't find anything. My head was spinning in the appt from all the appts I was being booked in for (podiatry/diabetic course/repeat bloods and check etc etc).

Can anyone shed any light?

Any help appreciated.

Sharlie
 

 
Hi Sharlie,
It is all very confusing when there is so much going on.

Have a read through this and see if it rings any bells,

http://www.webmd.com/a-to-z-guides/urine-test

It may be that you have an infection and that is what she was talking about?


Hope this helps,

Catherine.
 
Thank you for taking the time to reply.

I did some more 'googling' and came up with this

http://www.patient.co.uk/doctor/Urine-Ketones-What-They-Mean-and-False-Positives.htm and

and, in particular,

"Most urine testing kits detect aceto-acetate, not the predominant ketone beta-hydroxybutyrate. It is possible for the test to be negative with high levels of beta-hydroxybutyrate and then, as ketoacidosis improves and ketone levels fall, the urine test becomes positive (to aceto-acetate)."

So I think this test is to do with my ketone levels? I had been limiting my carb intake so that might make sense. The nurse practitioner also told me 'don't lose any more weight' and that my diet was good and to eat carbs regularly throughout the day (I do, but have been limiting to a portion about the size of a handful at each meal).

Ummm all a bit confusing and wish that things could have been explained a little better at the last appointment :roll: .

Thanks again.

Sharlie
 
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