Diabetic Ketoacidosis

A newly diagnosed diabetic dog with vomiting and deep breathing

Foundational · students and early-careerCanineVomiting and lethargyCase DKA-01
Stage 1 of 2

An 8-year-old spayed female 9 kg Miniature Schnauzer has had polyuria and polydipsia for 3 weeks and vomiting for 3 days. She is dull, about 8% dehydrated, and breathing deeply. Blood glucose is 486 mg/dL, venous pH is 7.12, and bicarbonate is 9 mmol/L with a high anion gap. A urine dipstick shows only a trace of ketones.

Which of the following tests would best confirm whether she is ketotic?

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