Diabetes Urine Tests

  • Medical Author:
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

  • Medical Editor: Jerry R. Balentine, DO, FACEP
    Jerry R. Balentine, DO, FACEP

    Jerry R. Balentine, DO, FACEP

    Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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When are urine tests used in people with diabetes?

The ketone test is generally recommended for people with type 1 diabetes. Those with type 1 diabetes should test their urine for ketones when they are ill, especially if they have vomiting and nausea. Pregnant women with type 1 diabetes may also be advised to test their urine for ketones. Ketone testing is also done when the blood sugar is noted to be very high (over about 240 mg/dL). Your doctor can advise you specifically about recommended testing practices for your individual situation. Sometimes, people with type 2 diabetes may be advised to check their urine for ketones. Those with type 2 diabetes should discuss with their doctor whether ketone testing is necessary and under what circumstances.

The microalbumin test is done once per year starting at the time of diagnosis in people with type 2 diabetes. Even though protein in the urine is a sign of long-term damage to the kidneys, many people have type 2 diabetes without knowing it, so it is unclear how long they have had the condition. In people with type 1 diabetes, the micoalbumin test may not be performed until the condition has been present for up to 5 years.

Medically reviewed by John A. Seibel, MD; Board Certified Internal Medicine with a subspecialty in Endocrinology & Metabolism

REFERENCES:

Medscape. Type 2 Diabetes.

Medscape. Type 1 Diabetes.

Medically Reviewed by a Doctor on 3/15/2016

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