Blood Ketone Testing More Effective for Gestational Diabetes Monitoring: Study
A new study published in the journal Hormones has revealed that blood ketone testing is more effective than urine tests for detecting ketosis in women with gestational diabetes.
Women with gestational diabetes mellitus (GDM) are frequently asked to check their ketone levels by measuring ketonuria before breakfast. However, ketosis could be present even before lunch and dinner. Furthermore, blood ketone measurement could be a more accurate test.
The aim was to evaluate the effect of a blood ketone intensive measurement in the detection of ketosis in women with gestational diabetes mellitus with a negative urinary ketone test. This was a single center, observational, prospective study involving consecutive women with gestational diabetes mellitus. Only women with negative fasting urinary ketone tests were included. During the same gestational weeks (weeks 30–32), all women were asked to perform a blood ketone test before their main meals. Ketosis was defined as the presence for at least 25% of the time of fasting blood ketone levels > 0.1 mmol/L and > 0.2 mmol/L before lunch and dinner.
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