What does it mean when your urine smells fruity?

Fruity-smelling urine can indicate the presence of ketones, which are produced when the body breaks down fat for energy instead of carbohydrates. This is commonly associated with uncontrolled Diabetes or diabetic ketoacidosis, where high blood sugar levels lead to a buildup of ketones. It may also occur during fasting or low-carb diets. If you notice this symptom, especially with other signs of diabetes, it's important to consult a healthcare professional.