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job depends on ketone levels

torchwood

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hi my name is neil, im 37 and was diagnosed 2 yrs ago with type 2 diabetes.
My question is, when i took a medical at work recently i had to do a urine samle. The nurse said it was high, i assume she meant Ketones. Can the readings be wrong if i had drunk coffee before the test, and could my medication affect this. Also at the moment my nan is seriously ill in hospital and may not have long left, could the worry and stress also effect the reading.
Because of this reading i have been taken off the fork lift truck i drive and now may lose my job
 
Hi Neil, can you ask your nurse what she meant by High? if you have a high level of ketones then she should have referred you to your GP or local hospital for further analysis/assistance. Perhaps she was testing for glucose? I guess it depends on the test strips she was using (I test my blood for both glucose and ketones so I'm a bit vague on the urine test strips these days).

Sadly, if your BG levels are not good then it could be a good idea to take you off the fork lift truck as unstable BG levels could affect your concentration and your vision? Are you able to call your DN and see if he/she can offer some guidance with this?

Hope you manage to sort things :D

Deb
 
Hi torchwood
it may have been that you had high urine sugar, rather than ketones. For your own health, you should try to make sure you don't have either.
Your quickest way to eliminate them, if you need to do so in a hurry, is to go several days, or even a couple of weeks, on as little carbohydrate as you possibly can.
Hana
 
Worry and stress will increase your blood sugar. Some studies suggest coffee may raise it a bit. Unlikely coffee alone would raise it from normal to high enough to show significant sugar in urine though, more likely to be the stress.
 
I'm horrified that your firm is acting on a one-off medical without giving specific results.

What are the actual measurements?
Do YOU monitor your BG?
What & when was your last HbA1c?
What medication are you on?
What do you eat?
Have you suffered any 'episodes' that indicate your unfitness to do your job?


T2 diabetes can be controlled well & have no effect at all on your ability to do your job competently & safely.
 
Luckily, i think. i have to test my blood 4 times a day for next two weeks and show them that my levels are controlled.
i had a mild hypo in jan and one in Feb because i was rushing around all day before i went to work and forgot to have something to eat.
the only thing i am worried about is that my bs is always around the 9.0 and 10.0.
i'm trying now to eat low carbs but working shifts its hard to stabilize things
 
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