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What does DKA urine smell like?

inquirer.com - Q&A: What is causing sweet-smelling urine? - Philadelphia Inquirer

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Q: Why does my urine smell like maple syrup?

A: If you notice a very distinct sweet smell as you urinate, this could mean one of two things: maple syrup urine disease or diabetic ketoacidosis (DKA). Maple syrup urine disease is a metabolic disorder that causes certain amino acids to build up in the body. This disease is typically diagnosed in infancy and can be harmful. It must be closely monitored by a metabolic specialist. DKA is a potentially life-threatening complication of diabetes. It occurs when your body's blood sugar spikes from a safe level of 70 to 100 milligrams to a dangerous level of over 250 milligrams, and remains there, untreated. DKA is a result of an insulin shortage, which prevents the body from processing sugar properly. In response, the body instead burns fatty acids that produce acidic ketone bodies. A warning sign of DKA is a person's breath may develop a specific, sweet, fruity smell. Other symptoms may include vomiting, abdominal pain, shortness of breath, increased urination, generalized weakness, and confusion. Onset of symptoms is usually rapid. DKA happens most often in patients with type 1 diabetes, but can also occur in those with type 2 diabetes under certain circumstances. Triggers may include: Infection Not taking insulin correctly Stroke Certain medications that increase blood sugar, such as steroids It is typically diagnosed when testing finds high blood sugar, low blood pH, and the presence of ketoacids in either the blood or urine. DKA is treated primarily with intravenous fluids and insulin. Blood sugar and potassium levels are regularly monitored during treatment. Usually, potassium supplementation is needed to prevent the development of low blood potassium. Antibiotics may be required in those with an underlying infection. Although smelling your urine may not be the first thing on your to-do list, it could alert you to a larger issue. In some cases, diabetes can manifest with few visible symptoms. Therefore, DKA can serve as the first clue to a diabetes diagnosis. If you have been diagnosed with diabetes, it is important to follow your treatment plan closely to avoid DKA. Make healthy lifestyle choices such as eating a diet high in fiber and low in fat and calories, prioritizing physical activity, and monitoring your blood sugar levels. If believe you are experiencing symptoms of DKA, speak to your doctor right away as this condition requires immediate medical attention. Melissa Bertha, DO, is family medicine specialist at Mercy Primary Care at Roosevelt Boulevard.

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What does diabetic urine smell like?

What Does Diabetic Urine Smell Like? One warning sign of diabetes or high blood sugar is urine that smells sweet or fruity. The sweetness comes from sugar in your urine and is a sign your body is trying to get rid of extra sugar in your blood.

webmd.com - What to Know About Unusual Smell of Urine - WebMD

Urine normally has a slight smell, but some unusual and strong smells may also be noticed. Odd smells along with feeling sick, pain, or bloody urine are a sign you should see your doctor. Why Does My Pee Smell? Urine is mostly waste products and water and normally has a mild smell and a light yellow color. If you have more waste than water in your urine, it can smell more strongly. In most cases, a strong smell isn’t a sign of disease. It’s usually from your diet and medications, or it means you need to drink more water. Certain urine smells can be a sign of some conditions, but your doctor might not consider that to be the case unless you have other symptoms. What Causes a Bad Urine Smell? Your food, vitamins, and medications are the most common cause of a bad urine smell. Foods. Some foods have compounds that naturally have a strong odor and can make your urine smell. These include: Asparagus

Coffee

Dried fruit

Honey

Alcohol

Fennel

Brussel sprouts

Garlic

Onion

Vitamins. B vitamins are water soluble, which means your body doesn’t store them, and whatever you don’t need is removed in your urine. B vitamins in your multivitamin are often the culprit of smelly urine. Medications. Some medicines like antibiotics can make your urine stink. Some antibiotics are made from mold and can make your urine smell yeasty. Drinking lots of water throughout the day can help with these smells and keep your urine clear.

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