Is It Safe To Take Metformin When I Have Trace Of Ketones In My Urine?

Posted on Sun, 11 Jun 2023

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 11 Jun 2023 Answered on

Fri, 7 Jun 2024 Last reviewed on

Question : I did a urine test that showed I have a trace of ketones in my urine. Is it safe to take metformin when I have trace of ketones?

Answered by Dr. Diwashish Biswas (27 hours later)

Brief Answer:
Switch to insulin needed

Detailed Answer:

Hi,

No in case of ketosis, metformin should be stopped and insulin should be started till ketosis subsides. Because metformin itself causes lactic acidosis and may further complicate the situation.

I hope your query is clear now. Thank you.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Diwashish Biswas (9 days later)

when I did the urine strep it said trace like a small amount should i still not start the metformin?

Answered by Dr. Diwashish Biswas (43 minutes later)

Brief Answer:
Please see detailed answer

Detailed Answer:

Hi,

Even in the presence of slightest amount of ketosis, Metformin should be avoided.

I hope your query is clear now. Thank you.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng