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Are Ketones always present in urine if you have diabetic ketoacidosis?

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Are Ketones always present in urine if you have diabetic ketoacidosis?

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Yes, but … your ketones may be much higher than what is showing in your urine. The ketones collect in the blood first before they spill into the urine. So you can have very high ketones and but your urine may show small. It takes a couple of hours to catch up.

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