How To Test Your Urine For Ketones
2020 About, Inc. (Dotdash) All rights reserved Instructions for Using Home Urine Ketone Tests Laura Dolson is a health and food writer who develops low-carb and gluten-free recipes for home cooks. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. He is Verywell's Senior Medical Advisor. Urine ketone testing is an alternative to blood ketone testing for monitoring levels of ketonesa type of fuel that results when the liver breaks down fat for energy. For people who have diabetes, the production of ketones can speed up, leading to a build-up of these organic compounds in the blood and urine called diabetic ketoacidosis (DKA). This condition is more likely to develop in someone who has type 1 diabetes , but a person with type 2 diabetes can be at risk if they have uncontrolled blood sugar, are missing doses of medication, or have a severe illness or infection. DKA can lead to coma or even death if not treated right away. According to the American Diabetes Association (ADA), there are a number of conditions under which people with diabetes should test themselves for ketones (in addition to any specific instructions given by a doctor or healthcare provider): When blood glucoseis more than 240mg/dl In response to symptoms such as nausea, vomiting, and abdominal pain During periods of illness such as a cold or flu In response to extreme thirst or a very dry mouth In response to feeling confused or "in a fog" This method generally is considered less accurate than blood ketone testing, but when done carefully it can yield reliable results that can be used to determine if further steps should be taken. There are many brands of urine ketone test strips available over the counter at drugstores, supermarket Continue reading >>
Do You Really Need Ketostix?
If you’ve ever spent time browsing the #keto hashtag on Instagram (what? I like to get meal ideas!), you’ve likely seen pictures of ketostix, proudly displaying their pinkish purple results. It’s exciting! It’s an almost instant way to tell if you’re in ketosis…sort of. Either way, the concentration of keto strip pictures on social media would seem to indicate that they’re necessary. After all, don’t you want to know you’re in ketosis? So, what’s the deal with ketostix? Do we really need keto strips to know we’re in ketosis? What Are Ketostix? Basically, ketostix (or keto strips) are used to detect ketones in your urine or blood. If you’re in ketosis, your body will excrete a measurable amount of ketones. This is a fairly good indicator of whether or not you were recently in ketosis. I say recently because if you have literally just eaten a piece of chocolate cake, and then go to test to see if you got knocked out of ketosis (spoiler alert: you did), it might not register for a little while. There are typically two types of keto strips. One is the type that you pee on, and the other is a blood test. For the latter, you use the same type of testing kit that diabetics use to test blood sugar levels, only with a different type of strip. The strips for the blood meters are actually really expensive, so most people tend to go with the first type mentioned. Alternatively, you could use a ketone monitor that checks for ketone levels in your breath. This is the most accurate way to check ketone levels, as it’s a snapshot of your body’s current state. These are disposable, but still more costly than just peeing on a strip. So… Do I Need Ketostix to Know I’m in Ketosis? Maybe, this one’s kind of relative. When you’re just starting out on a keto Continue reading >>
Measuring Ketosis: What Are Keto Sticks And Keto Strips?
Ketosis is a metabolic state where the liver breaks down fat to produce ketones. Ketones, on a ketogenic diet, are the primary fuel source for the body. If you’re new to the ketogenic diet and you still have questions, consider reading our Comprehensive Beginner’s Guide to Keto > There are three main ways to measure the ketones in your body, all of which have their advantages and disadvantages. The most common ways to measure are: Blood Ketone Meter. Very accurate but the strips are extremely expensive. Breath Ketone Meters. More accurate than the urine strips, but can sometimes vary in accuracy. Cheaper than blood strips in the long-run. Urine Stricks. This will answer the question “Am I in ketosis?” but will not provide an accurate measure of blood ketones. Scroll down to read a more in-depth analysis of each, and what we recommend for you. Measuring Ketones with Urine Sticks Urine sticks will always be the cheapest and easiest way to measure ketosis. For beginners, this should cover everything you need – there is no point in getting more complex blood strips so early on when you are still trying to understand the nuances of a ketogenic diet. Ultimately, keto sticks are very easy to use – you hold the sticks in your urine stream for a few seconds, and within 10-15 seconds you should notice a color change in the strip (if you are in ketosis). The color of the stick typically is measured in red: light pink being low in ketone production and dark purple being high in ketone production. While keto sticks can be ideal for a general answer to the question “Am I in ketosis?”, they aren’t precise with their accuracy. They measure the acetoacetate in your urine, which is an unused ketone by the body. As you get deeper into ketosis and your body adapts, your b Continue reading >>
Why You Need To Stop Worrying About The Color Of Your Ketostix
Yeah, I know you like to use them, but there are so many misconceptions about what they are telling you, that I need to intervene and make sure you get it. But before I go there, let me urge you to just buy The Art and Science of Low Carbohydrate Living, and read pages 164-165. Phinney and Volek have the best description of this that has probably ever been written, and you should really just read it from them. If I could copy these pages verbatim and paste it here, I would. Seriously, it’s only a few bucks and it’s quite literally the book you want to own if you’re interested in low carb ketogenic diets. OK, while you wait for your book to arrive, let’s dig in… What ketostix measure First off, we need to understand what ketostix actually measure, and more importantly, what they don’t. Generally speaking, ketostix measure excess ketones in your urine. They are considered excess, because they are removed from your serum and shunted to your urine by your kidneys. Their caloric content is thereby wasted. Of the three types of ketones (acetate, acetoacetate, and beta-hydroxybutyrate) produced by your body, ketostix only measure acetoacetate. This is extremely important to understand, because it turns out that your body produces different quantities of these different types of ketones depending on how long you’ve been in ketosis. If you’ve been in ketosis for a while, you’re going to see a reduction in the “intensity” of what you register on your ketostix for two reasons: A change in the relative volume of the ketones produced/present in your body A reduction in the volume of ketones in your urine as your kidneys reduce the amount they secrete Both of these are covered below. Changes in the types of ketones you produce When you first start your ketogenic Continue reading >>
How To Use Ketone Strips To Stay In Ketosis
If you are new to the world of low carb, you may have come across people talking about ketone strips or “ketostix” to see if they are in ketosis. These are small strips to test your urine to see if you have ketones in it. It is a roundabout way to see if you are in ketosis. Here is a guide to your most common questions about how to use ketone strips and if they are right for you! Ketone Strips FAQ Testing Laboratory Microbiology - Air Quality - Mold Asbestos - Environmental - Lead emsl.com What Are Ketone Strips Used For? Ketostix are used to help track when someone is in ketosis. Sometimes people use them to see how many carbs they can consume and stay in ketosis. For most people this range is from 40-55 net carbs a day. For other, it can be as low as 20 carbs per day. Also, it can be used to help determine what foods may interfering with ketosis. For some people, dairy products, artificial sweeteners, or high fiber foods (giving a high carb content, but low net carb result) will take them out of ketosis. Using these strips can help one figure out what the problem is if they are not staying in ketosis or losing weight. How To Use Ketone Strips: You take a strip and dip it into your urine. Generally it is better to dip it into a cup with urine in it, rather than passing through your urine stream. This is because if your stream is too strong, you could potentially wash all the reagent off of the strip and get a false negative result. Either way, dip it, and remove immediately. Usually the bottle will tell you how long to wait, but as a general rule, you will see your results in seconds. After a minute, the results are no longer valid. How Accurate Are They? They are very accurate at showing if you are passing ketones in your urine, so the rate of a FALSE positive is Continue reading >>
Ketones In Urine: All You Need To Know
Authored by Robert Iafelice , Dr. Brianna Stubbs and Nate Martins For a biohacker practicing intermittent fasting, urine ketones are a useful metric to track a state of ketosis . It's a quick and cost-effective way to indicate elevated ketone levels, which provide numerous health benefits. But for someone with uncontrolled type 1 diabetes or type 2 diabetes? Extremely high ketone levels in urine may be a sign of ketoacidosis a serious complication of diabetes which, if left untreated, can lead to coma and death. More on this outlier below. Normally, elevated ketones in urine are a good thing. In this piece, well cover what ketones in urine mean, how they get there and ways to test for ketones. But lets start with a refresher: The two predominant ketone bodies in human metabolism acetoacetate (ACAC) and beta-hydroxybutyric acid (BHB) are made in the liver from fatty acids. When glucose is not available, theyre transported by blood to other body tissues to be used as an energy source. Acetone, the third and least abundant ketone, is spontaneously formed from the breakdown of acetoacetate. Its found mostly in breath, and its contribution as an energy source is insignificant. There are always some ketones present in the blood, but levels naturally increase in response to fasting, prolonged or strenuous exercise, and a low-carbohydrate ketogenic diet . 1 This is called ketosis . Like glucose, ketones are important metabolic fuels reabsorbed through the kidneys as the blood is filtered. When blood passes through the kidneys, small molecules like glucose and ketones end up in the urine, and so must be taken back up. Reabsorption of ketones prevents energy wastage and is especially important during extended fasts. The body doesnt want to flush good energy down the drain, so ke Continue reading >>
How To Detect Ketosis
How can you tell if your low-carbing efforts have been effective enough to induce ketosis? Learn how to check your ketones! The state of ketosis The state of ketosis means that the body has switched from depending on carbohydrates for energy to burning fats for fuel. This means not only dietary fats (olive oil, guacamole, deep-fried pig ears), but also all the jiggly bits around your waist — clearly a desirable state for anyone looking to shed extra weight. When the body metabolizes fat, it generates molecules called ketones (also known as ketone bodies). As you restrict carbohydrate intake and amp up the dietary fat, more fat is metabolized and a greater quantity of ketones are created. Most of the cells in your body — including those in your brain — are able to use ketones for energy, although many people experience a few days’ adjustment period, often called the low carb flu. One of the varieties of ketones generated — acetone — cannot be used by the body and is excreted as waste, mostly in the urine and the breath. Conveniently, this makes it very simple to measure whether or not you are in ketosis. Upon entering ketosis, some people report a distinct change in the smell of their breath as a result of the extra released acetone. It could be “fruity” — it’s been likened to overripe apples — or even “metallic.” If you notice this happening during your first few days of changing your diet, it could be a good sign you’re in ketosis. The unusual smell isn’t anything dangerous, but it could be annoying. Drinking plenty of water should help, or get yourself some sugar-free gum. Most people report “keto-breath” diminishing after the first few weeks. Detecting ketones in urine The more accurate way — and the one we recommend — to check f Continue reading >>
A Guide To Ketone Strips - Learn About Keto Strips Today - Kiss My Keto
The purpose of ketones is to provide the body with an alternative fuel source. On a standard high-carb diet, your body runs primarily on glucose (sugar). But when your body is starved of carbohydrates like when you are on a ketogenic diet it runs on fat and turns a portion of it into ketones. Most cells in your body can use fat for energy, but your brain cannot. The brain needs ketones in order to survive when glucose is running low, and this is one reason why ketones exist. Another reason is because long-chain fatty acids cannot cross the blood-brain barrier [ 1 ]. When ketone levels start to rise, a simple test can detect them in the blood, breath, and urine. Ketone strips detect ketones in the urine. These test strips are the most popular and convenient way to test for ketosis, especially for keto dieters. When on a ketogenic diet, your goal is to achieve ketosis an altered metabolic state where the body burns fat instead of glucose for fuel. While in ketosis, your body also makes an abundance of ketones. "But how can I tell that I'm in ketosis?" you might ask. That's where ketone strips come in handy. When talking about ketone strips, what most people are referring to are paper test strips that test for ketones in urine. These products are available over the counter, in drugstores, and online. At Kiss My Keto, we also sell Ketone Urine Test Strips 200 Count and at an affordable price at that. Ketone strips were originally developed for people with type I diabetes who tend to be at a higher risk of ketoacidosis a life-threatening condition where ketones reach dangerously high levels and make the blood acidic. In healthy people, however, the danger of ketoacidosis is extremely low, so there's no need to for you to worry if you're not diabetic. If you are diabetic, ho Continue reading >>
The Signs Of Ketosis On Atkins Diets
The Atkins diet, first published in 1972 and reinvented 20 years later, has helped countless people lose weight, but isn't without controversy. The diet severely limits your intake of carbohydrates -- found in sugar, bread, pasta, most fruits, starchy vegetables and many processed snacks -- to encourage your body to lose fat. Often, this pushes you into a state of ketosis, a process that occurs when you burn fat for fuel. Video of the Day Ketosis isn't inherently harmful, but in some cases can lead to a build up of the ketone bodies, causing dehydration and changes in your blood chemistry. Though a blood test is the most accurate way to determine if you're in ketosis, certain other physical changes provide clues that you're in this state. Ketosis and the Atkins Diet Your body usually uses glucose, derived from carbohydrates, for energy -- particularly to fuel the brain. Ketones are produced when you're short on carbohydrates and must burn fat for fuel. When you produce ketones for energy, you are in ketosis. Phase One, or the "Induction Phase," of Atkins will likely cause you to produce ketones. During these first two weeks, you consume no more than 20 grams of carbohydrates per day. This represents a significant restriction in carbohydrates -- the Institute of Medicine recommends you eat 45 to 65 percent of your daily calories from carbs, or 225 to 325 grams daily on a standard 2,000-calorie diet. To meet your low-carb limit, the Atkins diet has you subsist primarily on meats, fish, poultry, eggs, oils, some cheese and watery, fibrous vegetables with few carbohydrates, such as lettuce and cucumbers. Breath and Urine Signs of Ketosis Ketones are burned for energy, but also breathed out through the lungs and excreted in the urine. As a result, your breath takes on a frui Continue reading >>
Being Fat Adapted Versus "in Ketosis" (pt.1/3)
UPDATE!! (9/20/2017) I have a new post that explains how and why the body produces ketones, It will help you understand much better the difference between burning fat and having a fat-based metabolism, versus being "in ketosis." It's very long, but I think it's worth reading if you'd really like to understand this -- and if you want to stop freaking out about your ketone levels. (If you click over to that post and want to read only the section that explains the difference between ketosis and running on fat, scroll way down to where it says Ketogenesis: How and Why Do We Make Ketones? Also: Fat Adaptation versus Ketosis.) Happy reading! If I never hear or read those six words, in that order, ever again, I’ll be one happy individual. Based on what I come across on low-carb forums, blogs, and videos, there is a lot of confusion about the correct use of urine ketone test strips (which I’ll sometimes refer to as ketostix, since “ketone test strips” is a mouthful, even when you’re only reading). So allow me to ‘splain a little bit about how to interpret these things, and what role they should play—if any—in your low-carb life. First and foremost is the most important thing you will read in today’s post. (And it is so important that I will likely repeat it in all the posts to follow in this little series. Plus, you can tell it’s important because it’s red, bold, in italics, and all caps, hehheh.) You can be in ketosis and not lose body fat, and you can lose body fat without being in ketosis. Here is an exhaustive, comprehensive list of everything urine ketone test strips tell you: There is acetoacetate in your urine. That’s it. Nothing more. Nada más. Game over. Finito. The fat lady has sung, and Elvis has left the building. Your worth as a human being Continue reading >>
Ketone Strips: Are They Legit?
These days, everyone is a keto dieter, but very few actually know they’re in ketosis. Sure, you can follow the diet and take the supplements, but if it’s all predicated on reaching a certain metabolic condition, wouldn’t you want to know if you’ve achieved it? Ketone strips fall into two distinct categories that dictate the accuracy of the test you are taking. These two categories are urine and blood. The degree to which ketone strips help you to successfully monitor your blood ketone levels will be greatly affected by which of these you use. Think of a urinalysis as the book jacket version, and a blood test as the entire Moby Dick novel in regard to detail. Depending where you are on the commitment scale, you’ll want to make sure you’re using the right test for your needs. Below, we’ve listed the various types, brands, and benefits/detriments of each of the ketone strips. Check them out, and see which one suits your needs best, and most importantly, helps you remain in ketosis. Ketone Strips: Urine Analysis Using urinalysis to test for ketones is simply getting a “30,000 foot view” of the ketones in your system. The body regularly emits anywhere from 3 to 15 milligrams of ketones a day. Increased amounts of ketones in the urine (acetoacetate) can show you that there is in fact an excess of ketones your system, however ketone strips that evaluate the urine will not report the amount of ketones in the blood – ketonaemia – which is where the real work is done. The benefit of using the urinalysis ketone strips at the beginning of your ketogenic diet, is that you’ll save money of the bat in case you choose not to pursue the diet later on. And, as your body initially gets into ketosis, you’ll find value in the measurements. But once your body adapts Continue reading >>
How Do Ketone Testing Strips Work?
Ketones and ketosis are no mysteries thanks to ketone testing strips. They are called KetoStix (the first brand name), Urine Test Strips, Reagent Strips, Ketone Testing Strips, or Lipolysis Test Strips. Quick look at ketosis and ketones During ketogenic diet program, glucose is by design in short supply; in this state the liver switches to breaking down the ingested and stored fats as alternative energy source. This metabolic state is called “beta-oxidization.” Ketoacids are the product of beta-oxidization process in our liver. During beta-oxidization the stored or ingested fatty acids are broken down in our liver into our alternative energy source. Our fat stores accumulate fat as “long” fatty acids called triglycerides. While sugar (glucose) is in short supply, the triglycerides are broken down into “short” ketoacids. These short molecules are able to penetrate our cells as fuel. These ketoacids are utilized (burned) by many of our tissues, including the brain. The brain operates just as well on a diet of ketoacids as it does on glucose. What’s left (the incompletely burned fragments) are called ketones. They are what spill into the urine to be removed from the body. Being in ketosis simply means that we’re burning our fat stores and using them as our primary source of fuel. How do ketone test strips work? The test strips provide a quick, private and cost effective way to determine if we are in ketosis at any given time and at what rate. Most of us feel more secure with such a simple way to test, and get instant answer. All we need to do is to simply dip the reagent end of the strip into our urine specimen and remove immediately. Alternatively we can wet reagent area of the strip in our urine stream. We check the color of the reagent area within 10-15 Continue reading >>
How To Know If You Are In Ketosis Without Strips.
To know whether or not you’ve entered ketosis you can measure your blood ketone levels. But how to know if you are in ketosis without strips? Well, we’re already mildly ketogenic after an overnight fast. Once our liver glycogen stores have been depleted we begin to produce ketone bodies at an exponential rate. Despite that, it doesn’t mean that we’ll be utilizing them efficiently. If we’re not adapted, then our brain and muscles won’t be able to put those ketones into use. Nutritional ketosis begins if our blood ketone levels are over 0.5mMol. To indicate that, you can use either urine strips like Ketostix. There are also breath takers. The most optimal range for ketosis is between 0.5 and 3 mMol. Ketoacidosis occurs over 10mMol, which is quite hard to reach. It usually happens with people who are diabetic or after excessive alcohol consumption. But there are a few problems with measuring ketones. Having elevated levels of ketones doesn’t mean you’re in ketosis. These urine strips are expensive and taking several measurements a day is very costly. That’s why there’s another way how to know you’re in ketosis without strips. Like said, elevated ketone levels doesn’t necessarily mean ketosis. It might even be the opposite. If we’re not putting ketones into use, then we’re probably urinating it out. That’s why urine strips are not ideal. What we want to know as well is our blood sugar levels. Glucose and ketones are contradicting fuel sources. If one is elevated, then the other has to be decreased. If we have high blood sugar levels, then we won’t be able to use fat for fuel. We definitely won’t be in ketosis. Quantifying is great because it gives us an accurate interpretation of our condition. However, we shouldn’t get stuck with the dat Continue reading >>
Kicked Out Of Ketosis? The Dirty Little Secret About Ketone Testing Strips
[Some of the links in this post are affiliate links. I might receive a small commission if you purchase something by using one of those links.] Confused about how ketone testing strips actually work? Do you think you've been kicked out of ketosis because they suddenly turned tan? Many low-carb dieters have misconceptions about Ketostix and blood ketone levels, so in this post, we are going to clear out some of those myths and misunderstandings. You'll get the truth about testing strips and learn what really causes those high blood ketone levels. If you hang out at low-carb forums for any length of time, you're bound to hear again and again how someone recently got kicked out of the state of ketosis, and they are looking for a fast way to get back in. Out of all of the issues that you can have with a low-carb lifestyle, understanding ketone testing strips is one of the biggies. “I got kicked out of ketosis,” is one of the most common complaints I hear. And while that may or may not be true, depending on the situation, there are a lot of misconceptions about the role that ketones and ketone testing strips play in a low-carb diet. Even those who are using a blood meter often go by the rumors circulating around the web instead of listening to Dr. Phinney himself. For example: One of the misconceptions I've run into over the years is the idea that ketones are used to fuel the entire body. This is only true at the very beginning of your low-carb diet. When the body first runs out of glucose, the body runs on protein and ketones, but as carbohydrate restriction continues past those first few days, your body goes through a series of steps, or adaptions, that eventually result in muscle insulin resistance. This resistance to the presence of insulin allows the ketones buildin Continue reading >>
What Are The Optimal Ketone Levels For A Ketogenic Diet?
If you’ve just started a ketogenic diet, then you’ll know that it can be really tough to figure out if you’re doing keto right. Am I eating too many carbs? Too much protein? Should I still be feeling tired? When is the fat burning supposed to start? It’s confusing, and one of the most confusing aspects is what your optimal ketone levels are supposed to be. Unlike most other diets, the ketogenic diet is designed to put your body into a state of ketosis in order to get your body to start burning ketones instead of the glucose that it usually burns when you eat a high carb standard American diet (SAD). But to know whether you’re in ketosis and whether your body has enough ketones circulating for you to use as energy instead of glucose, you have to measure your actual ketone levels and then determine whether they’re high enough for you to be reaping the benefits of the ketogenic diet. If you’ve tried searching for this information already, then you’ll know that there’s some controversy depending on which expert you follow. So in this article, we’ll tell you exactly what the different experts are suggesting are the optimal ketone levels as well as give you recommendations for what ketone levels you should be aiming for depending on your goals with a ketogenic diet. A Few Quick Notes Before We Start… If you’re looking for signs other than testing your actual body ketone levels as to whether you’re in ketosis or not, then please check out this article instead that provides you with signs you’re in ketosis. If you’re a type 1 diabetic, then this article is not for you and the optimal ketone levels suggested below are not applicable to you. Please check out the tons of other ketone level articles on the web to ensure your ketone levels do not reach Continue reading >>
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