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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
Medscape. Type 2 Diabetes.
Medscape. Type 1 Diabetes.