From the Guidelines
The blood sugar level (BSL) of 10 mmol/L (180 mg/dL) with ketones at 0.1 mmol/L indicates hyperglycemia with minimal ketone production, requiring monitoring and possibly adjusting diabetes management, as per the latest guidelines from 2022 1. For immediate action, increase fluid intake with sugar-free beverages to help flush ketones and prevent dehydration.
- If you take insulin, consider a correction dose according to your personal sliding scale.
- Check your blood sugar again in 2-3 hours to ensure it's decreasing. The presence of ketones, even at low levels (0.1 mmol/L), suggests your body is beginning to break down fat for energy because it cannot use glucose properly, which typically occurs when insulin levels are insufficient, as noted in the 2020 guidelines 1. While this ketone level isn't alarming, continued elevation of blood sugar could lead to higher ketone production and risk of diabetic ketoacidosis. Review your medication adherence, recent food intake, and physical activity levels to identify potential causes for this hyperglycemia. If blood sugar remains elevated above 14 mmol/L (250 mg/dL) or ketones increase to moderate levels (>0.6 mmol/L), contact your healthcare provider for further guidance, following the recommendations for glucose control in hospitalized patients 1.
From the Research
BSL 10 Ketones 0.1
- The provided studies do not directly address the topic of BSL 10 Ketones 0.1, as they focus on comparisons of different insulin analogs in patients with type 1 diabetes.
- However, some studies mention the occurrence of diabetic ketoacidosis (DKA) or ketone levels in the context of insulin therapy 2, 3.
- In the study by 2, patients receiving glulisine had higher rates of non-severe DKA (3.11% vs. 0.57%; p = 0.002) compared to those receiving lispro/aspart.
- The study by 3 did not find significant differences in the rates of symptomatic ketoacidosis between patients treated with glulisine, aspart, or lispro.
- There is no direct information on the management or treatment of BSL 10 Ketones 0.1 in the provided studies.
- Further research or clinical guidelines would be necessary to provide guidance on this specific topic.