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Type 2 Strange urine readings - type 2

M

Marky1974

Newbie
Messages
4
Type of diabetes
Type 2
Hi, I am new to the diabetes forum so firstly hello

I have been type 2 for around 4 to 5 years now and I'll be honest, I'm not always good with my diet and control . I take metformin slow release (2 with lunch, 2 with evening meal). Sometimes I forget the lunch one and so take 3 on an evening to compensate.
I've never got a straight answer from my diabetic nurses as some have told me 4 on an evening is ok, and others say no it should be 2 & 2!

Anyway the reason I am asking a question, I've been for my review this morning and had to see a normal nurse as the diabetic nurse was off ill. I took my urine sample as normal and she found it to contain glucose, protein and keytones. She immediately called a doctor in who also confirmed to me this was abnormal. They took bloods, asked me to do another urine sample to send off for testing and then carried on with my review.

I got the usual telling off for being not good with my diet (incidentally I'm not completely out of control just a little naughty!! ) but was asked a load of questions like was I feeling ill or did I have any pain etc because of this urine test.

Has anyone ever experienced this and should I be worried?
I will be honest I've come away from the surgery this morning very anxious to know what's going on and what they are looking for.

Many thanks
 
My urine was a bit skewwiff last time I went - they also got me to do another test and took bloods for testing so that is probably standard procedure.

The results are often back in a week. Have you got a further appointment to see someone about it? There's nothing that anyone can do until they know the results and it may have just been a one off or some contamination.

If you have been 'naughty' it may have been the cause of it so perhaps try to stick to what has worked for you in the past?

How much do you know about your own blood glucose levels and how your diet affects you? What has your HbA1c results been like?

Many type 2s on here have invested in a meter and taken control over what they eat by testing to see what happens when they eat specific things, adapting their eating to help with their levels. Perhaps this is something you could do?

However (easy for me to say) don't fret too much and wait for the results :-)
 
Time to start to take your health seriously - you forget to take your medication and you don't eat properly - that isn't going to end well - is it?
The glucose testing in urine doesn't usually show anything until blood glucose is above 10 - I never got a positive when I was testing both blood and urine and was trying to stay under 10 on the meter all the time. To have blood glucose in the teens is not good - the complications of uncontrolled diabetes are unpleasant in the extreme so I can only advise that you take control and stick to eating low carb to take control.
 
I agree with @Ultramum in that there is nothing you can do until the results come through and no amount of worrying will change those results. All it will do is push your blood sugars up even more. I know it is easy to say, but try and be pragmatic. You can't alter them this time, but you can alter them next time, by taking control of your blood sugars, using a meter regularly, every day, and concentrating on eating reduced carb foods. A meter is essential for this. (testing before and after meals)

Good luck with the results. :)
 
Glucose in urine means your BG is high enough to damage your kidneys and protein in urine means they actually may be damaged already. High BG and ketones are a bad combination. Did they test your BG and tell you the result?

It's your diabetes and you choose how to handle it. The main thing is diet. What do you usually eat?
 
You really need to know you have not space to cheat anymore untill you have gotten your number down to like normal levels for a longer period
 
Hi - I do try to be as good as I can but I find that one doctor/nurse tells you one thing, one another, the Internet yet again something different! One thing I have noticed is that whenever I ask what is a safe blood reading they always tell me to aim for between 5-7. My readings are averaging 8-9.
I also was a bit frustrated because all my practice diabetic nurses have been off sick and they are being covered by an asma nurse who openly admits she doesn't really understand diabetes.
My main problem is both me and my wife run our own businesses, and also have a toddler. By the time it gets round to the evening meal it's sometimes going on for 7 and we just don't feel like cooking at that time of night so we revert to the dreaded freezer.
Plus, I've never really been taught properly and understood what I should and should not be eating. It's very frustrating
 
Are those 8-9's fasting, Mark? If so - they really are far too high.

The ideal - the absolute ideal - would be normal blood glucose readings - 4-6 fasting and before meals, never more than 7.8, so long as that can be achieved without risking hypos. But if metformin is your only diabetes med, hypos should not be an issue.

When you say you try to be as good as you can with diet - what is it that you are aiming at? I appreciate that it's confusing when different HCP's tell you different things. Many of us have come to the conclusion that the standard dietary advice for T2's is completely wrong-headed, and we will do much much better when we restrict carbs in our diet.

I've had T2D for 19 years and went very low carb 8 months ago. My HbA1C dropped like a stone and my BG is now in the normal range almost all the time, i.e. I spend most of the day in the 5's, with a brief excursion into the low 6's after eating. It's got so that I am shocked to see a 7. Yesterday, however, I found myself finishing off a packet of chipsticks, resulting in a 9.1 a couple of hours later.

Whatever your test results show, nothing will get your BG down quicker than slashing the sugar and starch from your diet. And there is evidence that early signs of complications can be reversed by bringing BG into the normal range - or at the very least, they won't get any worse.
 
Marky1974 said:
Hi - I do try to be as good as I can but I find that one doctor/nurse tells you one thing, one another, the Internet yet again something different! One thing I have noticed is that whenever I ask what is a safe blood reading they always tell me to aim for between 5-7. My readings are averaging 8-9.
I also was a bit frustrated because all my practice diabetic nurses have been off sick and they are being covered by an asma nurse who openly admits she doesn't really understand diabetes.
My main problem is both me and my wife run our own businesses, and also have a toddler. By the time it gets round to the evening meal it's sometimes going on for 7 and we just don't feel like cooking at that time of night so we revert to the dreaded freezer.
Plus, I've never really been taught properly and understood what I should and should not be eating. It's very frustrating
Click to expand...

Everyone that arrives here initially is confused, but it doesn't last. All you need to do is use your meter and eat to what it tells you. Keep a food diary including portion sizes, test immediately before you eat and again 90 minutes to 2 hours after your first bite. Record those levels alongside your food. Look at the rise from before to after and attempt to keep that as flat as possible. 2mmol/l higher and that meal (or the carbs in it) did you and your body no favours at all. Try to aim for under 1.5mmol/l higher. Keep doing this and soon you will see patterns emerging and be able to identify the carbs that are causing the problems so you can either reduce the portion size and try again, or eliminate completely. It is the best way to learn, and if you see high numbers (above 7.8 post meal) it may motivate you to change your pattern of eating.

Ready meals on the whole are not a good idea unless you first check the total carb content on the nutrition label. Under 10g per 100g can sometimes be tolerated by some people, but really you need to aim for less than that. Testing as I said will help you with this. I'm no cook. My husband does all that, but it rarely takes longer than half an hour from start to eating. Frozen vegetables take minutes to cook. Others may be better placed to help you out with this as I avoid kitchens.

As for your nurses, I really would not be concerned. They are tied to the NHS advice of eating carbs with all meals, jacket spuds with baked beans are a good choice, eat plenty of wholemeal bread, but keep to low fat. This is the opposite of what is good for diabetics, especially those not injecting insulin.

Have a look at this.
https://www.dietdoctor.com/low-carb/60-seconds

There are lists of foods that are good and lists of foods that are to be avoided as much as possible.
 
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