Ketones are specific acetone bodies that are produced in the general metabolic process, in the metabolism of proteins, fats, and carbohydrates. They are formed in the liver and excreted by peripheral tissues.
Ketones are also partially excreted in the urine, but in the urine of a healthy person, they are so small that they are simply not detected when tested. Ketones are often found in the urine during pregnancy.
The ketones in the urine when you’re pregnant are an alarm bell?
It does not necessarily signal a specific pathology, but may be related:
- the presence of gestational diabetes mellitus;
- gestational diabetes;
- extensive infectious processes and other abnormalities.
Therefore, if the analysis shows an increased concentration of ketones, a woman is traditionally prescribed a thorough medical examination.
Such test results should under no circumstances cause you to panic.
Please note that they do not always indicate diabetes mellitus or other serious disorders.
More information on exogenous ketones and pregnancy:
Exogenous Ketones are clinically proven to be the most important energy sources in our body. They nourish virtually all tissues except the liver, maintaining an energy balance inside the body. Liver tissue receptors are the least sensitive, so they cannot react adequately to and use the bodies.
During therapeutic starvation, it is ketones that provide active nutrition to the brain. Therefore they are often produced in a healthy woman’s body during diets and long discharge days.
They are also often found in those who practice intense physical activity.
Increased ketones during pregnancy
However, in this case, their urinary volume usually increases slightly.
So, what could the increased ketones in the urine during pregnancy be associated with?
Traces of ketones in the urine of a carrying woman do not always signal abnormalities occurring in her body. This factor can be purely physiological and is sometimes considered normal.
It’s no secret that the expectant mother’s body is under tremendous strain. If it does not have time to adapt to changes in the functioning of vital organs and systems, the urine may have ketones.
Why is this happening?
The fact is that the liver and kidneys are responsible for the utilization of metabolic products. Ketones, which are the product of decomposition in the breakdown of proteins, do not have time to remove these organs due to the additional load created by the fruit.
Therefore, if traces of ketones in the urine appear during pregnancy in its first trimester, this only indicates that the body is not yet coping with the changes occurring in its components.
However, if this phenomenon persists for the second trimester, it makes sense to assume the presence of gemstone – such a term is called late toxicosis, which, if ignored by the patient or doctor, can seriously harm both the mother’s body and the fetus’s intrauterine life.
Know that increased urinary acetone can have the most tragic consequences. And if your doctor ignores this phenomenon, it makes sense to see another specialist in obstetrics and gynecology.
What’s the norm, and what’s the rejection?
Acetone bodies can be found in a woman’s urine at around 17 weeks of carriage.
There are no ketone norms in the urine during pregnancy – ideally, they should not be present at all (to put it simply, they are present in the body of any healthy person in low concentrations, and they are not detected during fluid testing).
However, with their slight increase, it is too early to talk about the development of the pathology, especially at this time.
It is quite different when the number of acetone bodies in the urine increases sharply. Usually, this condition does not pass without a trace for the woman herself – she feels bad, lethargic, and tired. In addition, this phenomenon is almost always accompanied by nausea and vomiting.
Reasons for the increase in ketones
Ketones may appear in the urine of the expectant mother due to eating disorders. So if your diet is dominated by protein and fatty foods, and there is a persistent shortage of complex carbohydrates, you should not be surprised at the results.
Acetone bodies may also predominate in urine due to dehydration against prolonged vomiting. This is particularly true for women who suffer from severe toxicosis.
Other reasons for increased ketone concentration in urine:
- Prolonged consumption of food enriched with ketogenic substances;
- Compliance with a carbohydrate-free diet (or a minimum amount of carbohydrate-containing foods in a regular diet);
- Alcohol intoxication;
- The presence of weakly alkaline foods in a woman’s usual menu;
- Poisoning with chemicals (e.g. lead or mercury);
- Diabetes mellitus;
- Certain infectious diseases (tuberculosis, influenza, scarlet, etc.);
- Excessive psycho-emotional stress, nervous overload, hyperexcitability.
Among the more dangerous but less common causes of ketonuria in pregnancy, such factors should be highlighted:
- Oncological processes;
- Severe liver pathologies;
- Serious hormonal disorders, which can lead to a pregnancy not being carried or freezing at any time.
What can I do?
Almost all these conditions do not require specific medication. For infectious and