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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.
For a person with diabetes, ketones are often the result of prolonged high blood sugar and insulin deficiency. Without the right amount of insulin, glucose starts to build up in the blood stream and doesn't enter the cells. The cells burn fat instead of glucose, and ketones form in the blood and spill into the urine. Some causes of high blood sugar are: 1  Missing an insulin dose or skipping some oral medications. 2  A disconnected or blocked insulin pump tube. 3  Being sick with the flu.  High levels of stress.