The ketones suggest that insulin is lacking and that adipose tissue is being metabolized with utilization of fatty acids to produce ketone bodies, typical of type I diabetes mellitus. In the absence of glucosuria, ketone bodies suggest starvation. Diabetics do not use urine dipsticks to monitor their urine, but use fingerstick measurements of blood glucose obtained with a portable meter. The ADA recommends home blood glucose monitoring supplemented by measurements of urine ketones when appropriate. Measuring hemoglobin A1c would give an indication of glucose control over a longer time frame.
Diabetics are prone to get infections, both of the lower and upper urinary tract.
Long term complications could consist of renal vascular disease from atherosclerosis and glomerular disease from glomerulosclerosis. In the lower urinary tract, diabetic cystopathy, with impaired voiding and increased residual urine volume, may occur.