I have a pretty serious UTI and I went back to urgent care yesterday. I still have blood in my urine and several other things are abnormal. What caught my eye is that I have ketones and protein in my urine. Isn't that indicative of diabetes? I have T2. Is this something that will clear up with my antibiotics? Am I headed for kidney problems?
A urinary tract infection causes a significant amount of irritation in the bladder and can cause the urine dipstick to show protein, red blood cells and white blood cells. These abnormal results are usually transient, meaning they will go away once the infection is treated. Ketones are not commonly associated with a urinary tract infection, but can be present in the urine during times of illness if you don’t eat enough. It might be that you were not eating as much as usual and for this reason you had ketones in your urine. There is no need to worry currently about these abnormalities, but it is a good idea to get your urine rechecked once the infection is gone. The two tests we recommend to make sure your kidneys are in good health are a microalbumin test (urine) and a blood creatinine test. The microalbumin test checks for microscopic amounts of protein in the urine and is the most sensitive test we have to detect early kidney damage. A result above 30 is considered abnormal and should be rechecked. For those who have type 2 diabetes, their urine should be checked for microalbumin yearly to rule out early kidney disease. The blood creatinine test also should be done yearly and is used to calculate your “glomerular filtration rate,” which tells how well your kidneys are filtering your blood. It’s important to know the results of both your microalbumin and your blood creatinine tests. Talk to your doctor to see if you have had either of these tests and, if so, what the results showed.