During hyperglycemia assessment, which home measure may indicate poor control?

• A. Presence of urine ketones
• B. Time spent playing video games
• C. Number of naps per day
• D. Hair color changes

Answer: (A)

When glucose remains high, the body may not have enough insulin to use that glucose for energy. As a result, it starts breaking down fats for fuel, producing ketone bodies. Those ketones can appear in the urine, and their presence is a direct signal that blood sugar management is not adequate. This is why urine ketones are considered a important home measure of poor glycemic control—they reflect ongoing metabolic stress from hyperglycemia and can warn of progressing diabetic ketoacidosis if not addressed.

The other options don’t directly reflect how well blood glucose is being controlled. Time spent playing video games or the number of naps per day are influenced by many factors and aren’t specific indicators of glycemic status. Hair color changes aren’t related to glucose metabolism or control in the typical management context.