Do ketones in urine mean kidney damage?

Hello doctor,

I am 5 feet and 5 inches, 112 lbs and eat a normal diet. I recently had a urine test with trace ketones, although negative for glucose. My test showed cloudy clarity and presence of crystals. All the other values on the urine test were normal. I also had normal blood tests. My doctor is referring me to a nephrologist. Do you think my doctor suspects a kidney disease? I researched ketones and what it means for kidney function. The more I read, the more confusing all this becomes. Thank you for any information as I wait to see a nephrologist.

Hello doctor,

Thanks for your reply. I am not on any drugs, nor am I having any burning or pain when urinating. My doctor has ruled out diabetes because of no glucose in the urine and normal blood glucose numbers. So, what could be the reason for ketones in urine? I had fasted for my blood test, but my doctor did not seem to think that was the reason for the presence of the ketones. My main question is, is it necessary to see a nephrologist based on my urine reports?

Thank you doctor,

Do ketones in urine mean kidney damage? Do you have any major concerns as a nephrologist based on my urine analysis?

Hello doctor,

Thank you so much.