I took my 5 year old to the pediatrician yesterday because I suspected a bladder infection. When they tested her urine, there was no sugar in her urine but her ketones were 160. I don't have a clue what this mens other than that the pediatrician said we needed to test it again after she gets over this illness, which turned out to be strep throat. I am just trying to find out what this could mean. The pediatrician said that her strep didn't have anything to do with it and that we would test it again in the morning next week. Is it better to do this with a blood test? I am concerned and want to be sure I am doing the right thing. Thank you for any info you can give me.