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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 normally by the liver as part of fatty acid metabolism. In normal states these ketones will be completely metabolised so that very few, if any at all, will appear in the urine. If for any reason the body cannot get enough glucose for energy it will switch to using body fats, resulting in an increase in ketone production making them detectable in the blood and urine.