Urine can be tested for:
Testing of urine for glucose is by means of reagent strips which utilise the glucose oxidase reaction to produce a colour change which is interpreted manually. Measurement of urinary glucose is a crude measure of control for two main reasons:
There is no evidence that blood testing is more effective than urine testing at improving blood glucose control in people with type II diabetes (1).
However, self-monitoring via blood testing is likely to be most appropriate for patients with type I diabetes or type II diabetes who use insulin, who adjust their dose as a result of the test, or for all patients with diabetes when they have an intercurrent illness (1).
Urine tesing for ketones should be carried out by type I diabetics who are unwell or who are hyperglycaemic for a significant period of time. To this end some blood glucose metering devices automatically suggest measurement of urinary ketones when the blood glucose is above a certain threshold. The presence of ketones in the urine is indicative of serious metabolic abnormality.
Last reviewed 01/2018