Why Test For Ketones: Is Blood Or Urine More Accurate?
There are certain situations when ketone testing is needed to reduce the risk of critical complications of diabetes. Options are using plasma blood with a meter to check for ketones or using urine testing kits. We will review which is more beneficial. Let’s first look at the basics of ketones and when they can cause a possible life threatening situation. What are ketones? Ketones are formed when fat is used as an energy source instead of carbohydrates. There are dietary ketones which are formed on a low- or no-carbohydrate diet with a high fat/protein intake; when blood sugars are controlled these ketones are not dangerous. When blood sugars are uncontrolled the carbohydrate source may be available, but with no (Type 1 Diabetes) or little (Type 2 Diabetes) insulin present, the body relies on fat breakdown for energy source; ketones are a toxic by product of the fat breakdown. Ketones circulate in the system as acids and change the PH of the blood, resulting in DKA or Diabetic Keto-acidosis. This is a serious medical situation and must be treated. What is DKA and what are the symptoms? Diabetic Ketoacidosis (DKA) is a condition that can occur when people have diabetes type 1 and are suffering from illness, excessive stress, or lack of insulin delivery. It can be because of a displaced insulin pump or using expired insulin. Although less common, it can occur in those who have diabetes type 2 when they are ill, have an infection, are severely stressed or prone to ketone production. The ketones accumulate in the blood, eventually go to the kidneys and are released from the body through urine. Ketone production can also occur in pregnant women with diabetes or women who develop gestational diabetes when pregnant. Ketones can form in patients who are switched from exogenous Continue reading >>
5 Ways To Measure Your Ketones
5 Ways to Measure Your Ketones A ketogenic diet is a very low carbohydrate, moderate protein and high fat based nutrition plan. A ketogenic diet trains the individual’s metabolism to run off of fatty acids or ketone bodies. This is called fat adapted, when the body has adapted to run off of fatty acids/ketones at rest. Research has demonstrated that this nutrition plan improves insulin sensitivity and reduces inflammation throughout the body. This leads to greater fat metabolism and muscle development as well as a reduced risk of chronic disease. (1, 2). I get asked all the time how to measure the state of ketosis. There are several major ways and we will discuss those in this article. Measuring Your Ketones There are three types of ketone bodies: Acetone, Acetoacetate and Beta-Hydroxybutryate (BHB). Each of these three can be tested as acetone is a ketone released through the breath, acetoacetate is a ketone released through urine and BHB is (although not technically a ketone it acts like a ketone) in the blood stream and used by the cells for energy. 1. Blood Ketone Meter This measures BHB and is considered to be the most accurate way to measure ketone bodies. These have the ability to determine the ketone level in your blood precisely but they are also pricey and invasive. Personally, I freak out every time I have to prick my finger!! The Precision Xtra blood glucose and ketone meter is a good buy at $28-$30. The expensive part is the ketone test strips here which can cost $4 each. If you are looking at testing yourself every day it is going to cost you $120 a month and the $30 meter. Here is a starter kit you can get on Amazon Most people will enter into a light nutritional ketosis (between 0.5-1.0 mmol/L on the meter) within two or three days. It typically takes Continue reading >>
Ketone Strip Reviews Which Keto Urine Sticks Are The Best?
If this is your first-time hearing about keto strips as a weight loss product, then you’re probably wondering what in the world they are. Fortunately, we’re here not only to answer that question but to also give you the rundown on how to find the type and brand is the best keto strip today. But first, let’s rewind a bit. To understand what these products do, it’s important to first understand ketosis. This process is the metabolic state in which your liver breaks down body fat. Through this process it produces ketones. During a ketogenic diet, they are your body’s primary source of fuel. What this means is, if you want to lose weight through this process, then these particular bodies are essential to keep your body powering through the challenges of everyday life. As you can imagine, this would make measuring your bodies ketone levels very important during the process of this diet. There are three primary methods of doing so: For more information on choosing the right measurement tool for you and getting the most accurate results possible, you definitely need to keep reading this review. Continue reading >>
How To Tell If You Are In Ketosis Without Strips
A ketogenic diet is having a minor resurgence as of late, surpassing low carb diets for fat loss. The idea of keto dieting is to use all of your bodies glucose reserves and burn ketones for energy. The body eventually reaches a state of ketosis from the result of reducing your net carb intake. People who are new to a low carb high fat, ketogenic diet often ask what are the signs, symptoms and how to tell if you are in ketosis without strips. If you’ve never been in ketosis before then you may not even realize you are in it. The human body is quite remarkable being able to switch from burning glucose for energy to ketones. Your body experiences many physiological adaptions, including a decline in insulin and breakdown of fats. While Ketosis may be confirmed by urine ketone sticks and blood ketone tests, it is not always practical or convenient. You may be at work, out to eat with friends and don’t need the hassle of measuring your blood or urine levels of ketones. There are many small signs and symptoms of ketosis which can help your analysis. Sleep and Ketosis No matter what type of diet you follow, after a good nights sleep you are already in light ketosis. While you have fasted for over 8 hours you are on your way to burning ketones. 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. We will not be able to effectively use ketone bodies for our muscles, brain, digestive system if we are not keto-adapted. When following a ketogenic diet some people may experience all symptoms of ketosis, some may only feel a few signs or none at all. If you are brand new to low carb high fat dieting then achieving the optimal fat burning state takes ti 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 >>
- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus
- World's first diabetes app will be able to check glucose levels without drawing a drop of blood and will be able to reveal what a can of coke REALLY does to sugar levels
- Does the Ketogenic Diet Work for Type 2 Diabetes?
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 >>
3 Ways To Measures Ketones: Which Is Best?
Intro: the age of Do-It-Yourself at-home medical technology The medico-technological age we’re in goes by many names, such as biohacking, self-experimentation or the quantified self. A lot of it is about tracking biochemical markers and performance metrics that can tell you something about your past and present state, usually in an attempt to predict or change it in the future. Ketones are one such biochemical marker of metabolism that can be measured in blood, breath and urine (see our What’s a ketone? section for more details). Some people use a ketogenic diet to manage cancer, epilepsy, obesity or diabetes and may find it helpful to monitor their ketone levels. Alternatively, they may simply be curious and interested in physiology. Whatever the case may be, since ketones can be measured in blood, breath and urine, which method might you chose for your circumstance and why? Measuring blood ketones The ketone bodies measured in blood are acetoacetate and is β-hydroxybutyrate (BhB), the latter being the most commonly measured. A well-known at-home device for doing so is the Precision Xtra. It can also measure blood glucose using glucose-specific strips. The portable device can measure BhB concentrations ranging from 0.1 mmol/L (1.0 mg/dL) to 8 mmol/L (or 83.3 mg/dL). Measuring blood ketones is the most accurate method compared to breath and urinary ones but the ketone strips are still quite expensive. One case in which blood ketones are measured is when doctors ask their diabetic patients to monitor their blood BhB levels so as to stay below 0.6 or 1.5 mmol/L. These doctors are worried that a rise above these levels may lead to a pathological condition called diabetic ketoacidosis (DKA). DKA is distinct from the normal physiological state of ketosis, where insulin Continue reading >>
The Best Ketone Meters To Monitor Ketosis – Christmas 2017
The goal of a high-fat, low-carb diet is to get into a state called Ketosis where the body burns fat as fuel rather than using glucose as its source of energy. Types of Ketone Meters There are several types of ketone meters available that monitor ketosis in vastly different ways, some more accurate than others and some more convenient others. We’ll discuss 3 types of Ketone Meters available starting with the best on the market today in 2017. Ketonix Breath Ketone Analyzer The Ketonix breath analyser doesn’t use any blood glucose test or test strip, it works by analysing acetone on your breath that your body produces when you’re in a state of ketosis. The Ketonix is slightly less accurate as blood ketone and glucose meters are per test. But they are more convenient With the Ketonix, you can test yourself an unlimited amount of times, hourly if you like. Which is ideal if you want to see how various foods effect ketosis after you’ve eaten them or even the effects exercise has. The Ketonix is affordable when you take into account the price of test strips for blood monitors. (Many companies give away cheap versions of blood monitors but make their money on testing strips). The Ketonix has no test strips and requires no further outlay. Ketonix also comes with software that will keep a log and also calibrates the device to the optimal settings for your goals. If you’re trying to monitor ketones under conditions such as athletic performance, weight loss, diabetes, alzheimer’s or epilepsy. The Ketonix adjusts its settings to test whether you’re in the ideal range for that condition. The Ketonix Breath Ketone Analyzer is a one-off payment you can read more & check them out here. Blood Ketone Meter One of the best & most precise ways of monitoring ketosis is with a 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 >>
Ketone monitors recommended for dieters and diabetes patients The human body usually uses carbohydrates for producing energy for daily activities, however due to diabetic complications or starvation, the body may use the stored fat for generating energy and ketones are produced in the process. For a person who is not exercising or trying to lose weight, high levels of ketone in the blood and urine indicate that there is not enough insulin in the body, and he or she should immediately take corrective action to restore the insulin levels in the body to prevent further health problems. One of the most effective way to monitor the ketone levels accurately, is to use a ketone monitor like the keto mojo meter available online. The ketone monitor should ideally be approved by FDA, and should have a provision for monitoring both glucose and ketone levels in the body. Additionally the device will often have a provision for measuring hemaglobin and hematocrit. Dieting is one of the most effective way of losing weight, and many people are going on a ketogenic diet trying to lose weight. However while dieting, the body is likely to use the fat stored in the body for the energy requirement, resulting in an increase in the ketone levels in the blood and urine. The ketone monitor will accurately measure the increase in the ketone levels, so the dieter can ensure that his or her health is not adversely affected. Diabetes patients having type 1, type 2, gestational diabetes also have to accurately measure the ketone levels in their blood so that they can take suitable action immediately when the ketone and blood glucose levels exceed the prescribed safety levels as this will prevent further health problems. Using a ketone monitor periodically ensures that the diabetes patient can accura 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 >>
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 >>
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 >>
A New Toy Measuring Blood Ketones
I just got a new toy: a device for measuring blood ketones. This is a far more exact and reliable measurement than testing for urine ketones using cheap dipsticks. Ketosis is of course the state the body is in when eating very low carb. Ketones, made from fat, will then fuel the brain instead of glucose. So who needs one of these gadgets? Perhaps nobody. Obviously it’s easy to eat LCHF without it. This is for curious nerds (like me) and for those who want definite proof that they are eating so little carbs that insulin levels are low and fat burning is maximized. A ketone level somewhere between 1.5 – 3 is said to be an optimal level for maximizing weight loss. It means that insulin levels are very low. As you can see my first measurement was 0.2, after a caesar sallad dinner. I’m not surprised as I’ve probably eaten at least 50 grams of carbs a day lately. I will try it out fasting in the mornings during the coming days. Perhaps I’ll try being really strict with the carbs for a while to see what happens. Have you tried one of these or are you interested in doing it? 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 >>