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Causes of Ketones in the urine. This section discusses 17 medical conditions causing Ketones in the urine. A simple discussion of these causes with additional information is below. Causes of Ketones in the urine: The following medical conditions are some of the possible causes of Ketones in the urine. There are likely to be other possible causes, so ask your doctor about your symptoms. Uncontrolled diabetes. Glycogen storage disease.
Ketones are produced as a byproduct of fat metabolism, not protein metabolism. Elevated urine keytone levels can be either a sign of diet-induced ketosis or possible kidney disease. In either case, a high protein diet alone should not elevate keytone levels in urine. However, if a person is on a high-protein, high-fat and low-carbohydrate diet (for example Atkins or one of the other ketogenic diets out there), it would not be unusual to see elevated keytone levels in a urinanalysis.