Hyperglycemia And Ketone Testing
Background Hyperglycemia means high blood sugar. For people with type 1 diabetes, hyperglycemia caused by insufficient insulin can lead to diabetic ketoacidosis, a very serious situation that requires emergency medical treatment. Hyperglycemia can also be caused by eating too much food, which requires treatment to lower blood sugar levels but which does not lead to DKA. The only way to determine between the two situations is through ketone testing. Causes of Hyperglycemia Eating too much food relative to the amount of insulin injected Missing an insulin injection Blockage in insulin pump tubing Disconnected insulin pump infusion set Illness or stress Symptoms of Hyperglycemia Frequent urination Frequent thirst Blurry vision Dry mouth Fatigue Testing for Ketones There are two ways to test for ketones: urine testing and blood testing. Just as blood glucose testing proved to be superior to urine glucose testing, so too is blood ketone testing proving to be better than urine ketone testing. Ketones appear first in the blood, then in the urine after being filtered by the kidneys. Thus the body has been producing ketones for a while before you can detect them in the urine. Children with Diabetes Highly Recommends blood ketone testing over urine ketone testing. Since ketones in the blood can be detected well before ketones in the urine, there is the possibility to treat sooner than you would if you waited for urine testing to show a positive result. Blood ketone testing can be easier for parents who have very young children with diabetes who do not always have the ability to urinate on command. Also, being able to test with a finger stick eliminates the need to find a bathroom to test if you're away from home or when kids are at school. Two recent studies (February 2006) demon Continue reading >>
Whether Your Ketostix Show Light Pink, Purple Or Beige, It Has No Bearing On Your Low-carb Diet
One of the most interesting tools we have at our disposal when we start livin’ la vida low-carb to let us know whether we are doing it right or not is a testing strip that measures ketone levels called Ketostix (there are other brand names for ketone sticks, but this one from Bayer is the most common). Basically, here’s how it works: you can check your urine on this testing strip to see how many ketone bodies you are excreting out of your body. Ketones are present when you are in ketosis which is instigated when you keep your carbohydrates at a ketogenic level (usually under 50g carbs daily). I recently asked a group of low-carb experts the following question–“Is Ketosis Necessary On A Low-Carb Diet?” That seems to be a “well duh” kind of question which is why we use things like Ketostix to see whether we are in ketosis or not. But where people seem to get most confused is with the color of the testing strip. If it’s light pink, then I must be doing something wrong. My Ketostix need to be dark purple if I am experiencing “deep” ketosis, right? I get these kind of questions every single week and they miss the point of the testing strips. In Episode 47 of “Livin’ La Vida Low-Carb On YouTube,” Christine and I seek to better explain the purpose of Ketostix by telling you what they are for, what the various colors actually mean, why showing no ketones on these strips may not be a bad thing, and how you can virtually guarantee your body is in ketosis. I’m astonished by how many people are still so concerned about the results of their Ketostix, but hopefully this video will clear up some of the miscommunication. Find out all you need to know about Ketostix in today’s video: Noted biochemistry professor Dr. Richard Feinman from SUNY Downstate in Br Continue reading >>
Smackfat Ketone Strips: Urine Ketone Testing Strips For Keto Dieters
Those who subscribe to a high fat and low carbohydrate diet have very good reasons for doing so—whether they are diabetic or need to change their diets for their own health and well being, gaining energy or to lose weight. The ideal state for many who subscribe to a low-carbohydrate diet is called ketosis where the body uses ketones as fuel rather than glucose. So, if you are here, you probably want to know if you are in ketosis or not. The Smackfat Ketone Strips are essential in reading your ketone levels easily and painlessly, so you can have time to do other things, eliminating stress and allowing you to focus on other needs and enjoying the delicious food that comes with your new ketogenic lifestyle. The last thing you’ll want to worry about is complications with reading your ketone levels: Smackfat’s Ketone Strips make the process easy and adjusting your diet a breeze. Features You can expect to find 100 easy-to-read testing strips in their own container, so there will be enough to last through frequent testing. Smackfat Ketone test strips are formulated for easy urinalysis—just insert a strip into a urine sample and wait a short time for the strip to change color. A handy chart on the side of the container will tell you if your ketone levels are too high, too low or where they should be, allowing you to adjust your diet accordingly. A color chart on the side of the container ranges from beige, indicating very low levels, to burgundy, indicating very high levels. With the Smackfat Ketone test strips, you’ll never be in the dark about your own ketone levels. Smackfat provides much more than just easy ketone testing—you can find educational videos both on how to use the strips and how to lead a healthy ketogenic lifestyle. For easy and supportive ketone t Continue reading >>
A Quick Primer On The Ketone Test Strips...
A Quick primer on the Ketone Test Strips... Questions about ketones, ketosis, KetoStix, and its implications and misconceptions have always been one of the most common querries at Low Carb Luxury. We'll try and clear up some of those mysteries here. So... what are they? You'll hear them referred to as KetoStix (the original brand name), Urine Test Strips, Reagent Strips, Ketone Testing Strips, and Lipolysis Test Strips. Depending on the plan you follow and whether you are new to this way of life, or an old timer from the 70's, you'll be referring to them as one name or another if your plan calls for being in Ketosis. Please note, we're not here to debate the merits of Ketogenic vs non-Ketogenic diets here, so don't send me mail of disagreement. For me personally, being in Ketosis is my ideal state and keeps my body's systems at their best. The Ketosis we're talking about here is what Dr. Atkins refers to as "Benign Dietary Ketosis" (or BDK), and should never be confused with Acidosis — a dangerous state for diabetics and those in advanced starvation where acetone builds in the blood and tissues. People will sometimes tell you that producing ketones is dangerous for the body. This is simply misinformation. They're confusing ketosis (the state from a Ketogenic diet) with ketoacidosis (or acidosis) which occurs in uncontrolled diabetes and/or starvation. Ketones? Ketones are incompletely burned carbon fragments. The very fact that they are less efficient as fuel is what makes them give you that 'metabolic advantage.' Some of the calories burned are not used to their full capacity... hence the person can eat more calories when in ketosis than when not, and still lose the same amount of weight. Ketoacids are short (four carbons long.) It's important because in that way the Continue reading >>
Get Your Ketone Strips Today!
Ketone strips provide a fast, convenient way of testing urine for the presence and concentration of ketones (acetoacetate). They are the most inexpensive and easiest way to measure if your body is in ketosis. When you expose a ketone strip to your urine, the pad on the stick will change color if ketones are present and the severity of the color change will indicate the approximate concentration of ketones in your blood. A diet low in carbohydrates promotes the use of ketones from fats rather than glucose as the primary source of energy for the body. When the body produces a steady state of ketones, you are in a metabolic state of ketosis. These test strips will help you identify whether you are in ketosis and in just 15 seconds! Each bottle contains 100 test strips, so you’ll never run out. For people with diabetes, a lack of sufficient insulin prevents the body from using glucose properly. When cells in the body are unable to get the glucose, the body begins to break down fat into ketones for energy. When this happens, ketones are produced and enter the bloodstream. If this persists for long enough, it can cause a chemical imbalance called diabetic ketoacidosis. These test strips can help you identify whether your ketone levels are safe. If ketone levels are high, contact your doctor immediately! Who should use ketone strips? Ketone strips are ideal for those on a low carb or ketogenic diet and people with diabetes. How many strips are in each box? Each box contains a bottle with 100 test strips. Where can I buy the ketone strips? How do I use the strips? Remove a test strip from the bottle. Close the bottle immediately. NOTE: If opening for the first time, write the date opened on the label. Hold end farthest away from test pad. Pass test pad through urine stream. N Continue reading >>
Why ketogenic diet? What is it? Dr. Mercola emphasizes a version of this diet for those with Protein nutritional type (P-type); especially for those who have gone astray with too many carbs so that they have insulin resistance (metabolic syndrome). People like me. The ketogenic diet is a low-carb diet that relies on fat and protein for energy, instead of carbs. If you have been a carb-eater for a long time, you need to retrain your body to burn fat for energy - fat in the form of ketones. This diet is NOT a high-protein diet, but rather moderate in protein and high in fat. I suspect that the type of fat is very important. Fats from pasture-raised livestock and dairy, wild fish, olives and coconuts are the best and together include a good mix of saturated, mono-unsaturated and omega-3 polyunsaturate. The Atkins diet is a type of ketogenic diet, but is designed for weight loss, rather than changing your metabolism. Not all people on a ketogenic diet will lose weight, but their health will improve. If you want to lose weight on a ketogenic diet, you must reduce your fat consumption enough that your body will burn stored fat. But remember that if you reduce dietary fat, you must also reduce dietary carbs and proteins to maintain the same dietary percentage: 5% carbs, 20% protein, 75% fat calories. Do not be tempted to eat Atkins-endorsed processed foods as this will likely make matters worse. Another important aspect of the Ketogenic diet has to do with when you eat what you eat. (from Dr. Loscalzo (4)). •There should be a 12-hour break (or ‘fast’) between dinner and breakfast; then your breakfast is truly a ‘breaking of the fast;” •Stop eating 3 or more hours before bed; e.g., if you go to bed at 11 PM, don’t eat/snack after 8 PM. •Avoid high-carb foods (su Continue reading >>
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 >>
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 >>
Urine Ketone Testing
Your body cells use sugar for energy. Insulin must be present for your body cells to use sugar for energy. When there is not enough insulin present your cells cannot use sugar to obtain the energy they need. If your body cannot get energy from sugar, fat is used instead. When fat is broken down, ketones are made. Ketones are strong acids and are harmful to your body. Ketones in your urine may be a sign that you are developing diabetic ketoacidosis. When should you test your urine for ketones? If your blood sugar tests are higher than 250 mg/dL for two or more tests in a row If you are feeling like your blood sugar is high If you think you have an infection If you are throwing up or feel sick to your stomach If you are ill or stressed If you have Type 1 diabetes, you should always have a supply of the strips used for urine ketone testing and know how to use them. If you have Type 2 diabetes, your doctor or nurse will tell you if you need to do urine ketone testing. If you are pregnant your doctor or nurse will tell you when to test your urine for ketones. How do you test your urine for ketones? There are several products that can be used to test the urine for ketones. The test strips can be purchased at a pharmacy and usually do not require a prescription. Ketostix® test strips are commonly used to test the urine for ketones. This is the way you test with a Ketostix®: Dip the test end of the strip into fresh urine. Remove the strip from the urine and wait 15 seconds. Compare the color on the strip with the color chart on the bottle. The urine ketone test will tell you whether you have no ketones present or if you have trace, small, moderate, or large ketones present. If your urine has moderate or large ketones present, call your doctor or nurse right away. Follow the d Continue reading >>
Ketone Sticks....what Colours Mean!
Ketone Sticks (Ketostix) - What the colours mean When I bought my Ketone Strips recently, I was provided with a leaflet explaining about Ketosis and the different colours. I thought I would share as I know there has been some confusion... Ketone Strips are used for Urinalysis of Ketones (Acetoacetic Acid). Ketostix provides a fast, convenient way of testing urine for the presence and concentration of Ketones. 1) A colour change means you are excreting ketones, burning fat and are in Ketosis but it is wise to remember that it is possible to be in Ketosis and NOT lose or even to gain weight. While a positive test means you are burning fat as your promary fuel it does not necessarily mean you are losing weight.. 2) The degree of colour chage is NOT important with respect to identifying ketosis - you are either in ketosis or not, the sticks do not accurately measure degree in all people. Different people get different colours and this is completely unrelated to either their degree of weightloss or their adherance to the plan. 3) No colour change does not necessarily mean you are not in ketosis. Some people never see a change. No change just means that the sticks are detecting none of the specific ketones for which it checks in the Urine. 4) A dark colour many indicate that you are dehydrated however, a dark colour may just be normal for you. If you are drinking enough water and it is still dark, do not overload on water as it is probably your normal colour and too much water can be harmful. So in Summary: You are either in Ketosis or not - it does not matter what the colours say.. Dark colours are not dangerous but could indicate you are dehydrated, but if you know ure taking enough water...do not overload. As long as the stick is showing any colour of pink, you are in Keto Continue reading >>
Ketosis & Measuring Ketones
Generally, ketone concentrations are lower in the morning and higher in the evening. Whatever time you pick to measure ketone levels, make sure to keep it consistent. Also, do not measure your ketone levels right after exercise. Ketone levels tend to be lower while your glucose levels higher so you won't get representative numbers. Keep in mind there are daily fluctuations caused by changes in hormone levels. Don't get discouraged! Another aspect that affects the level of ketones is the amount of fat in your diet. Some of you may show higher concentration of ketones after a high-fat meal. Coconut oil contains MCTs that will help you boost ketones. To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. Ketone levels tend to be higher after extensive aerobic exercise as your body depletes glycogen stores. Exercise may help you get into ketosis faster. ketogenic "fruity" breath is not pleasant for most people. To avoid this, drink a lot of water, mint tea and make sure you eat foods rich in electrolytes. Avoid too many chewing gums and mints, as it may put you out of ketosis; there may be hidden carbs affecting your blood sugar. Increase your electrolyte intake, especially potassium. You are likely going to lose some sodium and potassium when switching to the keto diet. Finally, if you find it hard to lose weight on a ketogenic diet, there may be plenty other reasons than the level of ketone bodies: Not Losing Weight on Low-Carb Ketogenic Diet? Don’t Give Up and Read Further. 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
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- Does the Ketogenic Diet Work for Type 2 Diabetes?
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 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 >>
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 >>