Want this question answered?
Ketonemia is high blood ketone levels. When associated with diabetes, it's called diabetic ketoacidosis (DKA).
Diabetes
diabetes
Ketone production in diabetes causes a condition called diabetic ketoacidosis, which is a form of elevated anion gap metabolic acidosis.
both have fatty acid breakdown, triaclyglycerol mobilisation, beta oxidation, high acetyl co-A production and high ketone body formation.
The formation of Ketone Bodies.
in a regular diet, carbs are converted to glucose that the body uses for fuel when the supply of carbs is limited (about 30g-50g per day) the body requires an alternative form of fuel. After 24-48 hours of low carb, the liver starts producing ketones, which is the alternative fuel.
The liver lacks the 3-ketoacyl CoA transferase enzyme. This enzyme is required to convert acetoacetate to acetoacetyl-CoA . This is an essential step in using ketone bodies as fuel.
proteins
Yes. It's one of three ketone bodies: Acetone, Acetoacetate & Beta-hydroxybutyrate.
The normal value of excretion of ketone bodies in urine is typically less than 0.5 mmol/L. Elevated levels of ketones in urine, known as ketonuria, can indicate a metabolic condition such as diabetes or starvation. Ketoacidosis, a potentially life-threatening condition, can also cause increased levels of ketones in urine.
Rothera's test is useful for qualitative detection of ketone bodies in urine.Ketone bodies are acetone,acetoacetic acid and Beta-hydroxy butyric acid.Among the three,Rothera's test detects only first two.For detection of Beta-hydroxy butyric acid the urine sample is heated to drive out any acetone or acetoacetic acid.Then,hydrogen peroxide is added to oxidise Beta-hydroxy butyric acid to acetoacetic acid which is then detected by the conventional Rothera's test.However,as the three ketone bodies tend to occur together such detection of Beta-hydroxy butyric acid is unnecessary in routine practice.Ketone bodies are found in a variety of condition- two most important are Diabetes Mellitus and starvation.Ketone bodies are formed when there is excessive breakdown of fat.Acetyl CoA an intermediate of fat breakdown as well as Kreb's Cycle is formed in excess of what can be utilised in Kreb's Cycle.Hence molecules of ACetyl CoA join with each other to form Ketone bodies in the liver(liver itself is unable to utilise Ketone bodies due to lack of necessary breakdown enzyme for ketone bodies although it contains the synthesising enzymes).Ketone bodies tend to oppose glucose utilisation in brain in diabetics.When ketone bodies accumulate too much it causes Diabetic Ketoacidosis-requires emergency management.Insulin-dependent diabetics are more prone to develop such complications. Rothera's test is performed in a small test tube.A small amount of urine is taken and it is fully saturated with ammonium salt.Then a drop of sodium nitroprusside is added to it.Finally as in all ring tests-ammonium hydroxide is slowly added by side of test tube.After few seconds a purple ring develops at junction of two liquids-Urine and ammonium hydroxide.The purple ring is due to a complex formed between ketone body and nitroprusside in presence of ammonia.