Measuring Ketosis With Ketone Strips: Are They Accurate?
Many people following keto diets want to be in ketosis, a natural state in which the body burns fat for fuel. For this reason, people are curious about whether they are doing enough (via carb restriction) to achieve this state. As a result, ketone strips are a popular tool that numerous people use as a way of measuring ketosis. However, just how accurate are they? And how do they compare to alternate methods of measuring ketones? What is Ketosis? Anyone following a standard high-carbohydrate diet will be burning glucose for energy. However, the body can use both carbohydrate and fat for fuel (1). When carbohydrate intake is very low, the body switches to burning fat for energy. As this happens, our body enters a state of ketosis. Ketosis is a natural biological state during which our body burns fat for fuel. While we are “in ketosis,” our blood levels of ketones—a by-product from the breakdown of fats—rise. Measuring these ketones (also known as ‘ketone bodies’) can, therefore, provide a hint as to how deeply our body is (or isn’t) in ketosis. For this reason, ketone strips—which measure the level of ketones—have become increasingly popular in recent times. Key Point: Ketosis is a biological state where the human body burns fat rather than carbs. What are Ketone Test Strips? For people who want to know if they’re in ketosis, ketone test strips are a cheap and simple way of detecting ketone levels. They are otherwise known as ‘ketone sticks’ and work by urinalysis to tell us the volume of acetoacetate in our urine. If you don’t know what acetoacetate is, then let’s start at the beginning. First of all, there are three types of ketone body; Acetoacetate Acetoacetate is one of the two main ketone bodies, and it is present in urine. We can test f Continue reading >>
Nutritional Ketosis – Quantitative
New Rapid Breath Test for Ketosis – Results on your Mobile Device in < 3 minutes! The KetoChek™ Breath Ketone Test is a rapid and convenient way to accurately measure ketones to determine if you are in a state of nutritional ketosis, or “fat-burning”. KetoChek™ does not require blood draws or inconvenient urine samples, just your breath! Accurate results correlate directly with blood ketone levels and are a more reliable indicator of ketosis than urine ketone tests. Health & Wellness Professionals: Support ketogenic diet programs within your practice, while enhancing your practice revenue by testing with KetoChek™ as part of every ketogenic diet program! Quantitative results read, interpreted, and delivered via the innovative BreathScan Lync™ reader*, and sent directly to your mobile device via the free BreathScan™ mobile app! Takes less than 3 minutes! Highly accurate: results closely correlated to the benchmark blood-based ketone testing Facilitates frequent testing and data tracking to monitor if you are currently in a fat-burning ketogenic state Uses patented MPC™ Biosensor technology Small, hand-held disposable cartridge design – test anywhere! (only 5 1/4" long) * KetoChek™ cartridges require the use of the BreathScan Lync™ reader. Click for more information on the BreathScan Lync™ Note: KetoChek™ is not intended to diagnose, treat, cure or prevent any disease. KetoChek™ is a general wellness product intended to measure (quantitatively) indicators of nutritional ketosis in the exhaled breath of humans. It can be used to promote, track, and/or encourage choice, such as the use of nutritional supplements, diet and exercise as part of a healthy lifestyle. General wellness products do not require FDA clearance. The intended use statements Continue reading >>
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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 >>
How To Test For Ketosis
There are a few different ways I’ve learned on How to Test for Ketosis. This becomes extremely important when you are doing the Ketogenic Diet. The Ketogenic diet (Keto diet) has switched your body from using glucose as fuel to burning fat. When you restrict carbohydrates, your body generates ketones and metabolizes fat. You basically become a fat burning machine! I’m not so good at explaining the science behind how this diet works so that’s a very top level way of thinking about it. I can tell you that it works and it makes you feel great! When you start this Keto diet, you are learning which foods you can have and which foods you need to limit or restrict altogether. I remember back when I first started this way of life, I relied heavily on testing for Ketosis so I could tell which foods kicked me out of Ketosis. There are a few different ways you can test Ketones in your body. Ketones are detectable in your breath, urine, and blood. There are a few different devices you can use to test your Ketone levels. Test Ketones in Urine When I started the Keto diet, I started testing my ketone levels with Ketone urine strips. They are fairly inexpensive and you can get them almost anywhere. I have found I can order Ketone Urine test strips on Amazon for way cheaper than getting them local in a store. (thank you, Amazon Prime!) This is what I used in the first 3 months of this diet to aid me in the learning process. After you become fat-adapted, these strips may not be useful to you as they may not be able to give you a positive reading. This was the reason I stopped using them after 3 months. One thing to note, if you are dehydrated (which I was often in the beginning) it will show a deep level of ketones in your urine. I found this to be a false reading for me once I re Continue reading >>
10 Signs And Symptoms That You're In Ketosis
The ketogenic diet is a popular, effective way to lose weight and improve health. When followed correctly, this low-carb, high-fat diet will raise blood ketone levels. These provide a new fuel source for your cells, and cause most of the unique health benefits of this diet (1, 2, 3). On a ketogenic diet, your body undergoes many biological adaptions, including a reduction in insulin and increased fat breakdown. When this happens, your liver starts producing large amounts of ketones to supply energy for your brain. However, it can often be hard to know whether you're "in ketosis" or not. Here are 10 common signs and symptoms of ketosis, both positive and negative. People often report bad breath once they reach full ketosis. It's actually a common side effect. Many people on ketogenic diets and similar diets, such as the Atkins diet, report that their breath takes on a fruity smell. This is caused by elevated ketone levels. The specific culprit is acetone, a ketone that exits the body in your urine and breath (4). While this breath may be less than ideal for your social life, it can be a positive sign for your diet. Many ketogenic dieters brush their teeth several times per day, or use sugar-free gum to solve the issue. If you're using gum or other alternatives like sugar-free drinks, check the label for carbs. These may raise your blood sugar levels and reduce ketone levels. The bad breath usually goes away after some time on the diet. It is not a permanent thing. The ketone acetone is partly expelled via your breath, which can cause bad or fruity-smelling breath on a ketogenic diet. Ketogenic diets, along with normal low-carb diets, are highly effective for losing weight (5, 6). As dozens of weight loss studies have shown, you will likely experience both short- and long Continue reading >>
Monitoring For Compliance With A Ketogenic Diet: What Is The Best Time Of Day To Test For Urinary Ketosis?
Go to: Methods The KetoPerformance study with its before-and-after comparison design was registered at germanctr.de as DRKS00009605 and took place from February to June 2016. Exclusion criteria included underweight, obesity, kidney stones, pregnancy, diabetes mellitus and any fatty acid-metabolism disorders. The study protocol was approved by the Ethics Commission of the Albert-Ludwig University Freiburg (494/14) and all subjects signed a written consent form. Twelve of the 42 subjects from the KetoPerformance study could be recruited for the present substudy. Experimental design and dietary intervention The experimental intervention consisted of a KD without caloric restriction lasting 6 weeks with a previous preparation period including detailed instructions during teaching classes and individual counselling by a dietitian. The subjects were free to follow a KD according to their personal preferences but were advised to reach a ratio by weight of approximately 1.8:1 fat to carbohydrate and protein combined, yielding a diet with 80, 15, and 5 % of total energy intake from fat, protein and carbohydrate, respectively. During the KD intervention's sixth week, our substudy subjects were instructed to measure urine and blood ketone concentrations at regular intervals in as close proximity as possible during a 24-h period from 07:00 to 07:00 in the morning. During the day (07:00 till 22:00) blood and urinary ketones were measured every full hour and every three hours, respectively. During the night, blood and urinary ketones were measured once at 03:00. In total blood and urine and ketones were measured 18 and 8 times, respectively, and were recorded in a table sheet. Subjects were asked to drink 400 ml of water every 3 h during the day to ensure sufficient urination and to Continue reading >>
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How To Measure Ketones And Optimize Ketogenic Diets
The problem with diets is that we think that one diet should be good for everyone. But research and N=1 experiments show that’s not the case. Learn about measuring ketones and ketosis to understand how your low carb or high fat diet is really affecting you. If there is one area of our bodies that is debated to extremes, with literally hundreds of differing strong opinions on it, it’s nutrition. For many, beliefs about nutrition and diet are tribal. We put ourselves in different camps and we war agains the other camps. Whether it be paleo, low fat, low carb, Atkins, high fat, low protein, vegan, raw vegan and so on. It’s exactly this sort of area where I see data as essential. Without data we have no hope of cutting through the maze of opinions to get to what really works. Part of the problem with nutrition and diets is that we tend to think that one diet should be good for everyone. But increasingly, research and N=1 experiments, are showing that that isn’t the case. And this is exactly why you should pay attention to today’s show. Today, we’re looking at what has relatively recently become the fastest growing nutrition or diet trend. The high fat diet. Also known in different guises as the ketogenic diet, or the low carb diet. And specifically how this can affect our different individual biochemistries, how we can measure “Ketosis” and other biomarkers to understand how our specific biology is reacting to it… and allowing us to troubleshoot and course correct when it isn’t getting the desired results we’re looking for from it. Today’s guest is Jimmy Moore. In 2004, Jimmy, at 32 years, weighed 410 pounds. Since then he has transformed his own biology, shedding all that additional weight with low carb and ketogenic diets. He has also interviewed n 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 >>
Testing For Ketones
Testing for Ketones 3 Types of Ketones How to go about testing for Ketones? There are 3 types of ketone bodies. Acetone, Acetoacetate and Beta-Hydroxybutryate (BHB, though technically not really a ketone body) The body (the liver) converts long and medium chain fatty acids into BHB and Acetoacetate. BHB and Acetoacetate live in reversible equilibrium (they can transform back and forth). Acetoacetate can also be turned into acetone. After converted to acetone, it can not be converted back. Acetone is typically excreted through the urine or breath. If your body has been in ketosis for a while, you will see a reduction in acetoacetate. Muscles begin to use acetoacetate and turn it into Beta-Hydroxybutryate for fuel, so less is present in urine as you get more keto-adapted. This is the flaw of the urine test. It only tests for acetoacetate so it will go down as your body gets more efficient at using ketones for fuel. 3 Methods for Testing Ketones Urine strips only test acetoacetate. Ketonix only tests acetone in breath. Blood Strips test for Beta-Hydroxybutryate (BHB), what your body uses for fuel. 1. Urine Test Strips Pros: Cheap. Cons: Very inaccurate in testing level of ketosis. Our bodies excrete excess ketones in two ways. Through the urine or through the breath. When you are testing for ketones in urine you will typically see higher levels in early stages of a ketogenic diet because your body isn’t using ketones for fuel yet. After you are fully Keto-Adapted (2-4 weeks or so), you will see less and less ketones in your urine because your body in now using more ketones for fuel instead of excreting them through the urine or breath. The urine test strip is also very susceptible to changes based on your state of hydration. The more hydrated you are (and we should all b 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 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 >>
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 >>
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How To Test Your Blood With A Home Ketone Meter
testing is used by people with diabetes and by people on a ketogenic diet. You can test your urine or your blood for ketones. But because urine testing is not as accurate, the American Diabetes Association recommends blood ketone testing with a ketone meter as the preferable method. If you have diabetes, you should discuss home blood ketone testing with your doctor to learn whether it is recommended in your case and when you should perform the testing. Ketone testing is particularly important during periods of illness. Blood Ketone Meters for Testing at Home You will need a blood ketone meter and a kit that include the lancet pen and ketone test strips. These meters also will read blood glucose test strips, and both will download their results to your computer. Other brands and models may be available, including: Precision Xtra: This meter from Abbott Diabetes Care can store up to 450 measurements and will display your blood glucose averages over different time periods. You need to enter a code to switch from glucose testing to ketone testing. Users seem happier with the Precision brand, and researchers find it to be the more accurate. The strips require 1.5 microliters of blood. It also features a backlit display. Nova Max Plus: This meter from Nova Biomedical is often provided free with the purchase of two boxes of test strips. You don't have to enter a code to switch it from blood glucose to ketone testing; it does that automatically when you insert a ketone test strip. If you are using it primarily for blood glucose, it will remind you to test for ketones if your blood sugar level is 250 mg/dL or higher. The test strips for the Nova Max are less expensive but also flimsier and give more error messages, requiring retesting. The strips require less blood than the Prec Continue reading >>
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 >>