<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, My father currently has increased bilirubin 1.3, microalbuminuria 143 and trace ketones as of July 2013 -- should I be worried about these numbers and what should be done about it? He has been on Atorvastation 10mg since June 2012. For the last 10 years his bilirubin was around 0.7-0.9. He was negative for ketones the year before, and I dont have results for his microalbumin for previous years. His cholesterol levels has improved since taking the Atorvastation from LDL 125 mgdl to LDL 71 mgdl as of July 2013. His a1c has also improved from 6.7 to 6.4 as of July 2013. He is not taking any anti-diabetic medications at this time.Medication list:Atorvastation 10mgMultivitaminFish Oil  <response>: Hi, Thank you for your query. You mentioned that your father is not having anti-diabetic medications. Is he a diabetic? Ketone in urine in a diabetic should be taken seriously. I recommend that he be admitted in a hospital for correction of the ketosis and glucose status. I shall worry about the other parameters after his ketosis is corrected. I hope I have answered your query to your satisfaction. Wishing you father all the best. Rajiv K Khandelwal 