Dog has ketones but no glucose in urine

So, I'm really freaking out right now—something weird just happened with Max, my golden retriever. I took him for a check-up because he's been acting kinda sluggish for a few days, especially in the mornings when he's usually bouncing off the walls. The vet did some tests, and they said he has ketones in his urine but no glucose. I've tried googling it, and I'm coming up with nothing that makes sense to me. Has anyone else dealt with this? He's still eating and drinking normally, but I'm so worried there's something serious going on here that I'm missing. What should I ask the vet, or is there anything I can do at home until I figure this all out?

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Answer

Appreciate the question — let's unpack this. Ketones in your dog's urine, without glucose, can indeed be a perplexing issue. In most cases, ketones tend to show up when a dog is breaking down fat for energy instead of using glucose, perhaps due to fasting, dietary reasons, or metabolic changes.



Several things could be happening here. Dogs who haven't eaten for a while sometimes develop ketones as a result of their body using fat reserves for energy. However, if your pup has been eating regularly, this could suggest a metabolic hurdle. For instance, conditions like ketosis associated with poor dietary intake or other metabolic disorders could be at play.



At home, ensure your dog is eating a balanced diet and staying hydrated. Offering small, frequent meals might help if your pet is refusing their usual food. Keep an eye on how they’re acting overall — lethargy, vomiting, or a fruity odor to the breath might indicate something more serious.



If you notice any unusual behavior or if your dog seems unwell, it's crucial to seek medical advice as soon as possible. Consider booking a video consult with Dial A Vet, where we can get a closer look at your pet's symptoms and guide you on the best next steps.

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