What does a “+” (positive) result for ketones in a fasting urine test mean?

Dec 21, 2021 Source: Cainiu Health
Disease description:

I noticed a “+” sign on my urinalysis report, but I’m unsure of its meaning. What does a “+” for ketones in a fasting urine test indicate?

Doctor's answer (1)
Dr. Chen Xinyan
A urine ketone test showing “+” (one plus sign) on an empty stomach is often indicative of an underlying disease, such as diabetes. In individuals with diabetes, ketonuria may appear on routine urinalysis—most commonly due to elevated blood glucose levels. Some patients may also experience nausea and vomiting, while others may report generalized fatigue. Treatment may include insulin injection.