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How Are Ketones Measured

3 Best Ways To Measure Ketones For Your Ketogenic Diet (review & Buyers Guide)

3 Best Ways To Measure Ketones For Your Ketogenic Diet (review & Buyers Guide)

How do you get accurate readings of ketones? Which methods actually work? These are common questions I going to help you with in this article. Anyone interested in using the latest nutritional research to improve their health has likely heard of a ketogenic diet. Ketogenic diets are a simple way to get your metabolism to prioritize the consumption of fatty acids, also known as ketones, when at rest or exercising. While there is a wide body of research that confirms the benefits of this type of nutritional plan, for the average user at home – one big question remains. How can you measure ketone levels to ensure your body is reaching a perfect state of ketosis? Without an accurate method of ketosis measurement, you will never achieve an optimized LCHF or ketogenic diet. However, it has not always been easy to measure your level of ketosis at home. At least this concern is now a thing of the past, because there are many ways to measure ketone levels easily and accurately in the comfort of your own home. Find out the very best method to test your level of nutritional ketosis that strikes the perfect balance of ease, price and quality. Before getting too deep into the different methods for measuring ketosis, it is important to first look at exactly why measuring them is so important and to clarify some of the more complex scientific terms. Ketone Testing Terminology If you have decided to try a ketogenic diet to achieve nutritional ketosis, then finding an accurate way to measure your ketone levels is important. You need to be able to maintain yourself in the optimal zone where fat is used as energy rather than glucose. Too little ketone and you will not see any positive effects. But higher levels give no real benefit and could indicate a serious problem with your diet. Li Continue reading >>

Why Ketone Measurements Are Important

Why Ketone Measurements Are Important

Nova Max Plus incorporates advanced technology for accurate and precise self-monitoring of blood glucose and ketones by people with diabetes. Nova Max Plus has the most comprehensive features for fast, easy, and error-free blood glucose and ketone monitoring. Glucose and Ketones on the Same Meter The Nova Max Plus Glucose Meter automatically converts itself to a Ketone meter by inserting the Nova Max Plus Ketone strip. Why Ketone Measurements Are Important Diabetic Ketoacidosis (DKA) is a life-threatening metabolic complication of diabetes with a mortality rate of 2%-10%1 DKA is the leading cause of hospitalization, morbidity, and death in children with type 1 diabetes 2 The use of a blood test for early detection of increased blood ketone levels can help to avert DKA3,4,5 According to the ADA, blood ketone testing should be performed on sick days and whenever glucose is greater than 250-300 mg/dL. Laffel L. Endocrinol Metab Clin North Am 2000;29:707-723. Casteels K et al. Rev Endoc Metab Disord 2003;4(2):159-166. Laffel LM et al. Diabet Med 2005;23(3):278-284. Umpierrex GE et al. Treat Endocrinol 2003;2(2):95-108. Guerci B et al. Diabetes Metab 2005;31:401-406. ADA. Diabetes Care 2004;27:S91-103. No Coding Needed Miscoded meters can lead to glucose errors as large as 50%.1 2 Boyd, J. et al. (2003). Quality specifications for glucose meters: Assessment by simulation modeling of errors in insulin dose. Clinical Chemistry, 47(2), 209-214. Raine, C. (2007). Significant insulin dose errors may occur if blood glucose results are obtained from miscoded meters. Journal of Diabetes Science & Technology, 1(2). No Maltose Error Nova Max Plus prevents falsely elevated glucose results due to non glucose sugars in the blood such as maltose. Test strips that use the glucose dehydroge Continue reading >>

Measuring Ketones

Measuring Ketones

An important aspect of the Ketogenic Diet is knowing how high your ketone levels are. There are three types of Ketones; beta-hydroxybutyrate (BOHB) which is measured in the blood, acetoacetate (AcAc) which is typically measured in the urine, and acetone which is typically measured in the breath. Measuring Acetone in the breath is becoming a good option, and I believe that this is probably the future of ketone measurement. It's an area of rapid development, and it was not available when I performed my Ketogenic Experiment, so I'm still gathering data. Measuring BOHB is the most accurate, and it's now practical at home using a similar technique to measuring blood glucose, but it's really expensive at several dollars per test. The easiest and cheapest technique is to measure AcAc in the urine using a test strip. However, this approach is too inaccurate to be useful. Acetone levels correlate well with body fat loss[1], but are also elevated by the Ketogenic Diet[2], MCT [3] intake, and exercise[4] even in the absence of weight loss. One study found that a one pound (0.5 Kg) per week fat loss correlated with 1.7 PPM of acetone (67 nmol/L). Each ~40% increase in breath acetone was an additional ∼0.5 Lb (250g) of weekly fat loss[5]. Breath acetone correlates well (though not linearly) with blood (BOHB) ketone levels[5]. This makes it useful for monitoring the progression of a ketogenic diet, as well as for measuring weight loss. The formula below was developed based on 12 adults consuming Ketogenic meals over a short period[6]: For Breath Acetone (BrAce) in mmol/L: BOHB = 0.11 * BrAce0.47 - 0.18 Note that the relationship is far from exact (r=0.5 or so.) Breath acetone levels can vary dramatically, with healthy individuals on a regular diet having less than 1 PPM (parts per Continue reading >>

The Best Ketone Meters To Monitor Ketosis – Christmas 2017

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 >>

Blood Ketone Meter

Blood Ketone Meter

Living a ketogenic lifestyle is one of the best decisions a person could make. This lifestyle allows the body to burn It's own stored fat which is stored in the body muscles as glycogen to produce energy as opposed to using glucose/sugar . It not only improves your health but also helps you lose the unwanted extra pounds. It can be very difficult to estimate the amount of ketones in the blood by keeping track of the low carbohydrates foods you take. Ketones can be measured using different methods. One can either use a urine test where you use urine sticks that turn a range of different colors once ketones are present. The other method is the use of blood strips and a blood ketone meter that is used to measure the ketone levels. A blood ketone meter is a device that is used to measure the amount of Ketones in the blood and it works the same way as a glucose meter.The latter is accurate and can help you to keep track of your ketone levels and also monitor the type food you take if you are leading a ketogenic lifestyle.That is why it is highly advisable to use a blood Ketone meter to be able to measure the ketone levels in your blood. A blood ketone meter is a small electronic device that simply tests the amount of Ketones in one's blood and the direct readings can be easily read on a digital display. It also gives accurate and quantitative assessments that are reliable to keep check of ones ketone levels. The blood ketone meter can be easily used at home since it is very simple to use. All you need to know is the acceptable ketone levels in a healthy person. There are various quantities that either indicate low or high presence of ketones in the blood. High ketone levels are indicated by a measurement above 3.0 mmol/L of ketones ,1-6 to 2.9 mmol/L for optimal ketone level Continue reading >>

Getting To Know Ketones

Getting To Know Ketones

People with diabetes, particularly those with Type 1 diabetes, have been at least vaguely aware of the word ketones for a long time. With the recent resurgence of popular interest in low-carbohydrate diets, however, just about everyone seems to be talking about ketones these days. But does anyone really know what ketones are? Are they a danger to your health (as in diabetic ketoacidosis), or a sign that you have lowered your carbohydrate intake enough to cause weight loss (as some people who follow low-carbohydrate diets believe)? What are ketones? Ketones are end-products of fat metabolism in the body. That is, they are formed when fat is burned for energy by the muscles. Chemically, they are acids known as ketone bodies, and there are three types: beta-hydroxybutyric acid, aceto-acetic acid, and acetone. But you don’t have to be a chemist to understand what role they play in the body. To get to know ketones, it’s helpful to understand how your body burns fuel. A simple analogy is that of an automobile. For a car engine to run, the engine must burn fuel (gasoline), and when the fuel is burned, exhaust (carbon monoxide) is created. The carbon monoxide is the end-product of gasoline combustion. Your body also has an engine that must burn fuel to operate. The engine is muscle, and the fuel is fat, carbohydrate (glucose), and, in certain conditions, protein. When fat is burned, the “exhaust” is ketones, and when glucose is burned, the “exhaust” is lactic acid. Fat is more desirable as a fuel than glucose because there are more calories in a gram of fat (9 calories per gram) than there are in a gram of glucose (4 calories per gram), so you get more energy per gram of fat burned. In a sense, you could call fat a high-test fuel. But there is one catch to burning f Continue reading >>

The Best Ketone Meters To Monitor Ketosis – Christmas 2017

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 Testing

Ketone Testing

Tweet Ketone testing is a key part of type 1 diabetes management as it helps to prevent a dangerous short term complication, ketoacidosis, from occurring. If you have type 1 diabetes, it is recommended that you have ketone testing supplies on your prescription. Ketone testing may also be useful in people with other types of diabetes that are dependent upon insulin. Why test for ketones? Ketones are produced by the body as an alternative source of energy to sugar. The body produces ketones by breaking down fats, this process is known as ketosis. Ketones may be produced as part of weight loss, however, it’s important for people with diabetes on insulin to note that ketones can be produced when the body has insufficient insulin. When the body has too little insulin, it means that cells of the body cannot take in enough sugar from the blood. To compensate for this, the body will start to break down fat to provide ketones. However, if a high level of ketones is produced, this can cause the blood to become acidic which can lead to illness and even potential danger to organs if not treated in time. This state is referred to as diabetic ketoacidosis. Where can I get ketone testing kits and sensors? The most accurate way of testing for ketones is to use a meter that measures blood ketone levels. The following blood glucose meters are able to test blood ketone levels in addition to blood glucose levels: Abbott - FreeStyle Optium Neo Menarini - GlucoMen LX Plus If you take insulin, you should be able to get these prescribed by your GP. You can also test urine for ketone levels, however, urine ketone testing is not as accurate as blood ketone testing as the levels of ketones in the urine will usually only reflect a level of up to a few hours previously. When to test for ketones? Continue reading >>

Why I Stopped Testing My Ketones On A Ketogenic Diet

Why I Stopped Testing My Ketones On A Ketogenic Diet

On measuring Ketones. Like many people, when I first started a Ketogenic diet in early 2014 I bought the Ketostix and just couldn’t wait to see the color change. And change it did! It was neat, and it provided motivation for me to continue. Eventually, I got a blood meter, a breath meter and spent lots of time (and money) testing ketones. Between a Ketonix Breath Ketone Analyzer, as well as dozens of blood ketone test strips, I’ve probably spent well over $500 testing ketones. The main thing I learned from my extensive ketone testing regimen is that the results vary widely and there’s little application to my goals. Eventually, I stopped testing and here are several reasons why: 1. Burning fatty acids from fat is the main benefit of a ketogenic diet On a ketogenic diet, some of the brain’s energetic demand is fueled by ketones, but the heart, muscles, etc. are fueled by fatty acids. Most of the energy we utilize both at rest and at sub-maximal exertion on a ketogenic diet is fatty acid, not ketones. Quoting Dr. Ron Rosedale on chasing ketones at the Keto Summit: “I don’t want people to have the mindset that it’s the ketones that are the benefit of the diet. They are a beneficial side effect, but the main benefit is that you are burning fatty acids from fat. The more fatty acids from fat you are burning, the less glucose you need to burn. And that’s really where you are getting the benefit…So ketones are great but the term ketogenic diet indicating that the diet is so good because you are generating all these ketones is a misinterpretation of the benefit. The main benefit is that you are burning fatty acids, and as a side effect of burning fatty acids you are producing ketones that your body can burn too!” 2. Urine Ketones aka “peetones” are ridic Continue reading >>

Urine Tests For Diabetes: Glucose Levels And Ketones

Urine Tests For Diabetes: Glucose Levels And Ketones

The human body primarily runs on glucose. When your body is low on glucose, or if you have diabetes and don’t have enough insulin to help your cells absorb the glucose, your body starts breaking down fats for energy. Ketones (chemically known as ketone bodies) are byproducts of the breakdown of fatty acids. The breakdown of fat for fuel and the creation of ketones is a normal process for everyone. In a person without diabetes, insulin, glucagon, and other hormones prevent ketone levels in the blood from getting too high. However, people with diabetes are at risk for ketone buildup in their blood. If left untreated, people with type 1 diabetes are at risk for developing a condition called diabetic ketoacidosis (DKA). While rare, it’s possible for people with type 2 diabetes to experience DKA in certain circumstances as well. If you have diabetes, you need to be especially aware of the symptoms that having too many ketones in your body can cause. These include: If you don’t get treatment, the symptoms can progress to: a fruity breath odor stomach pain trouble breathing You should always seek immediate medical attention if your ketone levels are high. Testing your blood or urine to measure your ketone levels can all be done at home. At-home testing kits are available for both types of tests, although urine testing continues to be more common. Urine tests are available without a prescription at most drugstores, or you can buy them online. You should test your urine or blood for ketones when any of the following occurs: Your blood sugar is higher than 240 mg/dL. You feel sick or nauseated, regardless of your blood sugar reading. To perform a urine test, you urinate into a clean container and dip the test strip into the urine. For a child who isn’t potty-trained, a pa Continue reading >>

Blood Ketones

Blood Ketones

On This Site Tests: Urine Ketones (see Urinalysis - The Chemical Exam); Blood Gases; Glucose Tests Elsewhere On The Web Ask a Laboratory Scientist Your questions will be answered by a laboratory scientist as part of a voluntary service provided by one of our partners, the American Society for Clinical Laboratory Science (ASCLS). Click on the Contact a Scientist button below to be re-directed to the ASCLS site to complete a request form. If your question relates to this web site and not to a specific lab test, please submit it via our Contact Us page instead. Thank you. Continue reading >>

Tracking Blood Ketones: Behind The Scenes Data On The Ketogenic Diet

Tracking Blood Ketones: Behind The Scenes Data On The Ketogenic Diet

Tracking Blood Ketones: Behind the Scenes Data on the Ketogenic Diet I’ve tried a lot of diets. I first went vegetarian, then slow carb, then gluten-free, then Paleo. I even did a 28-day Chipotle diet, which is exactly as awesome as it sounds. Eventually I found the Ketogenic diet. For me, like for many people in our communities, this all started with a health concern. I was born with a heart condition. It never impacted my life, but it was there, lingering. When I was a junior in college, a few classmates and I were out enjoying late night pizza. Out of nowhere, one classmate suddenly jolted upright and fell off his stool. He died. I found out the next morning it was from a lingering heart condition, not too unlike my own. I started to think about my health a lot more after that. I read about nutrition and started exploring the confusing world of diets. As I learned more and as I became more involved in Quantified Self, I found myself wanting to quantify these diets. That’s what drew me to Keto. It’s the most measurable diet. Quick Summary of the Ketogenic Diet Keto is a high-fat, very-low-carb diet, usually with 70% of calories coming from fat. The idea is to switch your body from using glucose as its primary energy to breaking down fats into ketones for energy. You can measure the macros that you eat and you can measure the ketones in your urine, breath, and blood. In 2013, I did my first experiment with the ketogenic diet. In that experiment, I tracked everything I ate in MyFitnessPal and compared it to other data I was collecting. I found my energy increased, my sleep quality went up (according to my Zeo data), my cholesterol levels improved, and my food cravings went away. However, I also found that measuring everything I ate was a pain, I didn’t really kn Continue reading >>

Ketone Testing: What You Need To Know

Ketone Testing: What You Need To Know

What are ketones? Ketones are produced when the body burns fat for energy or fuel. They are also produced when you lose weight or if there is not enough insulin to help your body use sugar for energy. Without enough insulin, glucose builds up in the blood. Since the body is unable to use glucose for energy, it breaks down fat instead. When this occurs, ketones form in the blood and spill into the urine. These ketones can make you very sick. How can I test for ketones? You can test to see if your body is making any ketones by doing a simple urine test. There are several products available for ketone testing and they can be purchased, without a prescription, at your pharmacy. The test result can be negative, or show small, moderate, or large quantities of ketones. When should I test for ketones? Anytime your blood glucose is over 250 mg/dl for two tests in a row. When you are ill. Often illness, infections, or injuries will cause sudden high blood glucose and this is an especially important time to check for ketones. When you are planning to exercise and the blood glucose is over 250 mg/dl. If you are pregnant, you should test for ketones each morning before breakfast and any time the blood glucose is over 250 mg/dl. If ketones are positive, what does this mean? There are situations when you might have ketones without the blood glucose being too high. Positive ketones are not a problem when blood glucose levels are within range and you are trying to lose weight. It is a problem if blood glucose levels are high and left untreated. Untreated high blood glucose with positive ketones can lead to a life-threatening condition called diabetic ketoacidosis (DKA). What should I do if the ketone test is positive? Call your diabetes educator or physician, as you may need additional Continue reading >>

Type 1 Diabetes In Adults: Diagnosis And Management.

Type 1 Diabetes In Adults: Diagnosis And Management.

Go to: 12.1. Ketone monitoring [2015] 12.1.1. Introduction Ketosis and ketonuria reflect a greater degree of insulin deficiency than hyperglycaemia alone. The presence of ketones indicates that insulin concentrations are too low not only to control blood glucose concentrations but also to prevent the breakdown of fat (lipolysis). Because ketones are acid substances, high ketone concentrations in the blood may create acidosis. Diabetic ketoacidosis (DKA) is a medical emergency and in its established state carries a 0.7–5% mortality in adults.459,476,784 High ketones in the blood are associated with high levels of fatty acids and together create insulin resistance. The patient with significant ketonaemia will require more insulin than usual to control the blood glucose. Traditionally, ketonaemia has been assessed by urine testing. This has been applied in three main settings: it is recommended as part of guidance for patient self-management of acute illness at home, when patients are advised to increase their usual corrective insulin doses in the presence of significant ketonuria; in the assessment of patients presenting to emergency services with hyperglycaemia, where presence of ketonuria may influence management decisions, including need for admission and in the management of established DKA, where resolution of ketonuria is an important indication of recovery. However, not all ketone bodies are detected by urine testing. For example, beta-hydroxybutyrate (β-OHB) is not detected with current strip tests and if there is a high β-OHB:acetoacetate ratio, urine testing may give a falsely low estimate of ketosis. Furthermore, after an episode of ketoacidosis, where measurement of blood ketones may provide a more accurate assessment of re-insulinisation than blood glucos Continue reading >>

Lose Weight By Achieving Optimal Ketosis

Lose Weight By Achieving Optimal Ketosis

Do you want to lose weight? Here’s number 16 of my 18 best tips. All of the published tips can be found on the How to Lose Weight page. Before we get started, here’s a short recap of the tips so far: The first and most crucial piece of advice was to choose a low-carb diet. The next were eating when hungry, eating real food, eating only when hungry, measuring progress wisely, being persistent, avoiding fruit, beer and artificial sweeteners, review your medications, stressing less and sleeping more, eating less dairy and nut products, stocking up on vitamins and minerals, using intermittent fasting and finally, exercising smart. This is number sixteen: 16. Get into optimal ketosis Warning: Not recommended for type 1 diabetics, see below. We’ve now arrived at tip number 16. If you’re still having trouble losing weight, despite following the 15 pieces of advice listed above, it might be a good idea to bring out the heavy artillery: optimal ketosis. Many people stalling at weight plateaus while on a low carb diet have found optimal ketosis helpful. It’s what can melt the fat off once again. So how does this work? A quick run-through: The first tip was to eat low carb. This is because a low-carb diet lowers your levels of the fat-storing hormone insulin, allowing your fat deposits to shrink and release their stored energy. This tends to cause you to want to consume less calories than you expend – without hunger – and lose weight. Several of the tips mentioned above are about fine-tuning your diet to better this effect. Video course Do you know exactly how to eat a low-carb and high fat diet (LCHF)? This is required for ketosis. If not the easiest way is watching this high quality 11-minute video course on how to eat LCHF, and the most important things to think a Continue reading >>

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