What Does My Urine Test Result Indicate?

Posted on Fri, 29 Jan 2016

Fri, 29 Jan 2016 Answered on

Thu, 17 Mar 2016 Last reviewed on

Question : My urine test came back 4-10 rcb and +2 for blood in urine. I also registered 1.5 ketones.. and my fasting glucose was 5.8. I have no symptoms. I am a 53 yr old woman .. have had gestastional diatbetes three time however( 20 years ago last child ) Should I be concerned. Doctor has me going back for two more urine tests. this is my second one .. first was also same results. I am 165 cm and weigh 158 lbs.. however am on good exercise program and expect to lose more weight.

Answered by Dr. Noble Zachariah (18 minutes later)

Brief Answer:
Discussion follows

Detailed Answer:
Hello,
Welcome and thanks for your query.
Your urine shows small amounts of blood but no evidence of infection. This can occur if you have a stone in your urinary tract or have a condition called IgA nephropathy. You don't have diabetes and the ketones in the urine is due to the low carb high fat and high protein diet.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (11 minutes later)

I do not have a high fat diet.( in fat I have lost 4 pounds in last two weeks.. documented at doctors office ) . I have restricted it to less then 25 grams a day! I am balancing lean proteins with lots of fiber. I am watching my cholestral as that also came just out of range.. ( sorry do not have numbers available at this point.. but I recall it was just out of range )

Answered by Dr. Noble Zachariah (2 hours later)

Brief Answer:
Ketonuria may be due to dehydration

Detailed Answer:
Thanks for the update.
Please drink 3 litres of water (12 glasses )of water per day and repeat the urine ketones after 3 days. if the urine ketones remain you require to have further tests to check blood pH and bicarbonate.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar