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[IP] Microalbumin test vs.ketone strips

I plan to ask Summer's endo. to order this test.  She has never (maybe in 
hospital at time of dx?) had it done, and never even been asked for a urine 
sample.  However, they always ask if she's had ketones.  How is this test 
showing a problem that wouldn't have shown up with the test strips?  Thanks . 
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