Ketones are a beneficial product of fat metabolism in the body. When carbohydrate intake is restricted, it lowers blood sugar and insulin levels. As insulin levels fall and energy is needed, fatty acids flow from the fat cells into the bloodstream and are taken up by various cells and metabolized in a process called beta-oxidation. The end result of beta-oxidation is a molecule called acetyl-coA, and as more fatty acids are released and metabolized, acetyl-coA levels in the cells rise. This causes a sort of metabolic “feedback loop” which triggers liver cells to shunt excess acetyl-Coa into ketogenesis, or the making of ketone bodies. Once created, the liver dumps the ketone bodies into the blood stream and they are taken up by skeletal and heart muscle cells at rates of availability. In addition, the brain begins to use ketones as an alternate fuel when blood levels are high enough to cross the blood brain barrier. Testing Laboratory Microbiology - Air Quality - Mold Asbestos - Environmental - Lead emsl.com There are three major types of ketone bodies present in the human blood stream when the metabolic process of ketosis is dominant: Acetoacetate (AcAc) is created first β-hydroxybutyrate (BHB) is created from acetoacetate Acetone is a spontaneously created side product of acetoacetate In times of starvation, or a low carbohydrate intake resulting in low insulin levels, ketone bodies supply up to 50% of the energy requirements for most body tissues, and up to 70% of the energy required by the brain. Glucose is the main source of fuel for neurons when the diet is high in carbohydrates. But when carbs are restricted, ketogenesis becomes the primary fuel process for most cells. During fasting or low carbohydrate intake, levels of ketone bodies in the blood stream can Continue reading >>
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 >>
Source Many low-carbohydrate dieters utilize ketosis strips as a way to determine whether their body is reacting to the low-carb or low glycemic diet appropriately. The small strips test urine and measure whether or not you have achieved ketosis. Ketosis and Low-Carbohydrate Diets The father of the low-carbohydrate diet, Dr. Robert Atkins, brought the concept of ketosis to the popular consciousness when he penned his first book, Dr. Atkins Diet Revolution, in 1972. At the time, Dr. Atkins suggested that in the process of a low-carbohydrate diet, the body achieves a process known as ketosis. When you are in ketosis, your body is burning stored fat as its primary source of fuel, causing ketones to enter your urine. Ketosis strips allow you to measure whether you are in ketosis. If you aren't in ketosis when low-carbohydrate or semi-low-carbohydrate dieting, then you may need to reduce carbohydrates further or look for hidden sugars in the foods you're eating. Signs of Ketosis Aside from using ketosis strips to test for ketosis, you may also notice other signs indicating you have entered this metabolic state, including: Bad breath Metallic taste in your mouth Increased energy, or even jitteriness Increased thirst and urine output Is Ketosis Dangerous? Many people fear ketosis is a dangerous physical state. It isn't. It merely means your body is utilizing its own fat as its primary source of fuel. The result is weight loss. Ketosis Strips Ketosis strips, also known as Ketostix, are small plastic strips that have a chemically-reactive indicator pad on the tip. You use the strips to test your urine to determine whether you are in ketosis. How to Use Using ketosis strips is relatively easy. You can either hold it in the flow of urine and take a reading after about 15 seconds, Continue reading >>
Ketostix: What Are Ketostix And How Do I Use Them?
If you’ve been reading up on keto dieting for a while, you’ve no doubt come across people talking about Ketostix (sometimes improperly spelled as ketosticks or keto sticks). What are ketostix? Why do you need them? We answer all that and more in our complete guide to Ketostix and ketone urinalysis testing. What are Ketostix? Simply put, Ketostix are small, thin plastic strips with a small reagent area on them. When Ketostix are dipped in urine (or passed through a stream of urine), the reagent area changes color to indicate the amount of ketones that are present in your urine. This is an important indicator for those on ketogenic diets because it lets us know that our body has adapted to ketosis and we are doing the diet right. Do I need to buy Ketostix? Yes and no. Ketostix serve two very important functions for ketogenic dieters: Troubleshooting: Beginners find Ketostix useful because it is an indicator that they are doing the ketogenic diet correctly and have indeed limited their carbohydrate consumption sufficiently to force the body into ketosis, thereby starting the process of burning fat for energy instead of carbohydrates. More advanced keto dieters use the strips to help figure out exactly how many carbohydrates they can eat before they are kicked out of ketosis. It can also help determine how different foods affect one’s ability to stay in ketosis. For example, some people’s bodies can handle sugar alcohols without having trouble staying in ketosis, and Ketostix can help diagnose this. Psychological Motivation: Quite simply, it feels great seeing Ketostix turn purple. It’s a little bit of positive reinforcement that those of us on keto diets sometimes require to keep us motivated. It might seem stupid to some, but committing to a ketogenic diet is no Continue reading >>
What Are Ketones, And Why Are They Important To Diabetes Self-management?
All blood tests are tools. Some are to diagnose diabetes, some are to help you manage your diabetes on a daily or long term basis and some are to keep you safe. People with diabetes are told about blood testing and how important testing is to manage their blood glucose. It is a critical part of diabetes management. Whether it is done in the physician’s office or the patient’s home it is an invaluable tool, Unfortunately a very important test, ketone testing is often not taught or taught only to people with type 1 diabetes. This test can be life saving and should be part of every person with diabetes knowledge and skills. It is simple and if you have diabetes you should know about it. What Are Ketones? When the body is unable to burn glucose it burns fat and this produces a chemical called ketones. This occurs when there is too little insulin for the amount of glucose in the body. Possible causes for this could be: Experiencing stress or illness such as fever, Having an infection. Omitting or taking too little insulin Eating more food than planned Improper storage of insulin If left untreated, ketones continue to rise and can result in a condition called Diabetic Ketoacidosis, or DKA. This condition is quite serious and requires immediate medical attention. DKA is the most common cause of hospitalization and death among children and young adults with diabetes, and the leading cause of adverse events for insulin pump users. Why Measure Blood Ketones? Studies suggest that most, if not all emergency department and hospital admissions beyond initial diabetes diagnosis could be prevented if people better managed their diabetes care and knew the warning signs when ketoacidosis was developing. Blood ketone testing provides a rapid, accurate, and early warning sign that keto Continue reading >>
Measuring Ketosis: What Are Keto Sticks And Keto Strips?
Ketosis is a metabolic state where the liver breaks down fat to produce ketones. Ketones, on a ketogenic diet, are the primary fuel source for the body. If you’re new to the ketogenic diet and you still have questions, consider reading our Comprehensive Beginner’s Guide to Keto > There are three main ways to measure the ketones in your body, all of which have their advantages and disadvantages. The most common ways to measure are: Blood Ketone Meter. Very accurate but the strips are extremely expensive. Breath Ketone Meters. More accurate than the urine strips, but can sometimes vary in accuracy. Cheaper than blood strips in the long-run. Urine Stricks. This will answer the question “Am I in ketosis?” but will not provide an accurate measure of blood ketones. Scroll down to read a more in-depth analysis of each, and what we recommend for you. Measuring Ketones with Urine Sticks Urine sticks will always be the cheapest and easiest way to measure ketosis. For beginners, this should cover everything you need – there is no point in getting more complex blood strips so early on when you are still trying to understand the nuances of a ketogenic diet. Ultimately, keto sticks are very easy to use – you hold the sticks in your urine stream for a few seconds, and within 10-15 seconds you should notice a color change in the strip (if you are in ketosis). The color of the stick typically is measured in red: light pink being low in ketone production and dark purple being high in ketone production. While keto sticks can be ideal for a general answer to the question “Am I in ketosis?”, they aren’t precise with their accuracy. They measure the acetoacetate in your urine, which is an unused ketone by the body. As you get deeper into ketosis and your body adapts, your b Continue reading >>
What Is Ketosis? Hint: It Can Help You Burn Fat & Suppress Your Appetite
We’ve longed been told that calorie restriction, increasing exercise and reducing dietary fat intake are the keys to weight loss. But, if you’ve ever attempted to control your weight by subsisting on fewer calories — especially from mostly bland “diet foods”— you’re already probably aware that this typically produces minimal results and is extremely hard to stick with long-term or consistently. Considering the high rates of obesity now facing most developed nations — along with an increased risk for health conditions like diabetes or heart problems as a result — researchers have been anxiously working on how to suppress appetite and achieve weight loss in a healthy, sustainable manner. The keto diet has emerged over the past several decades as one potential answer to this large-scale weight loss problem. (1) While there are some differences in opinion, depending on who you ask, regarding the best approach to very low-carb dieting, studies consistently show that the ketogenic diet (also called the keto diet) produces not only substantial weight loss for a high percentage of people who adhere to it, but also other important health benefits such as reductions in seizures, markers of diabetes and more. The keto diet revolves around eating foods that are high in natural fats, consuming only moderate protein and severely restricting the number of carbs eaten each day. Even if you don’t have much weight to lose, entering into a state of ketosis can be helpful for other reasons — such as for improved energy levels, mental capabilities and mood stabilization. What Is Ketosis? Ketosis is the result of following the ketogenic diet, which is why it’s also sometimes called “the ketosis diet.” Ketosis takes place when glucose from carbohydrate foods (like 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 >>
Importance Of Ketone Testing
Ketones appear in the blood when there is not enough insulin in the body to change sugar into energy. When the body cannot use sugar, it uses fat and muscle stores for energy. The breakdown of the fat and muscle produces ketones. Ketones are an acid waste product that build up in the blood. This can happen when there is too little insulin in the body due to not taking enough insulin or illness. It can also happen when there is not enough food due to weight loss or skipping meals. Because ketones are an acid, they can upset the way the body functions. This can lead to a serious condition. It is called diabetic ketoacidosis (DKA). It is a dangerous situation. Be aware it is more common in type 1 diabetes. How to check for ketones For many years checking urine for ketones was the common method. But now you can check your blood for ketones, instead. This is done the same way as checking your blood sugar. It is important to note, that not all meters check for blood ketones. Nova Max® Plus does check for both glucose and ketone levels with the same meter. You just need to use a different strip for ketones. Advantages of testing for blood ketones over urine ketones Testing your blood for ketones will give you an earlier warning because ketones show up in the blood earlier than in urine. This is helpful because sometimes you cannot give a urine sample because you are dehydrated. Dehydration is a common symptom of a high ketone level. By knowing the blood ketone level earlier, you can treat your symptoms. This may help you to stay out of the hospital. Keep some individually wrapped blood ketone strips in your meter case at all times. The ADA recommends that ketone testing should be performed on sick days and whenever glucose is consistently high. The ADA also states that blood Continue reading >>
Is There A Dark Side Of Ketosis?
I can’t remember what appetizer she pointed to, but the woman sitting to the left of me said this so casually, and several folks at the table knew exactly what she meant, confirming what I’d long suspected: Ketogenic diets have officially gone mainstream – or recognizable at a party mainstream at least – in 2017. Let’s back up and demystify ketosis, which simply means you’re utilizing ketone bodies – more commonly called ketones – rather than glucose as your body’s primary fuel. Just like your car uses gasoline, your body needs fuel. That usually means glucose. But let’s say you’re on a very-low carbohydrate, higher-fat diet. Your body doesn’t get a lot of glucose, which primarily comes from carbohydrate and to a lesser degree protein. That means your liver’s backup glucose (glycogen) also becomes in short supply. Unlike your car, your body doesn’t just shut down. Thankfully, you have an alternative fuel source called ketones. Ketones are organic compounds your liver always makes. You’re cranking out ketones right now as you read this. During starvation or (more likely) when you restrict carbohydrate and increase fat intake, your body uses ketones as its primary fuel. In other words, when your body doesn’t receive or can’t make enough glucose, it shifts to this alternative fuel. Almost every organ can utilize ketones except for your red blood cells (which don’t have ketone-metabolizing mitochondria) and liver. Your liver, in fact, does the heavy lifting. This hardworking organ metabolizes fat into three ketone bodies: acetoacetate (ACA), beta-hydroxybutyrate (BHB), and acetone.(1) BHB is the first substrate that kicks ketosis into action. Among its benefits, BHB reduces chronic inflammation and restores healthy inflammation levels. In 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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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 >>
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 >>
What Are Ketone Test Strips?
When your blood sugar runs high for an extended period of time, your body turns to fat reserves in order to get the energy it needs. The byproduct of this process is ketones, which show up in your blood and urine. Ketones can indicate hyperglycemia, which can be a serious situation if not treated properly. Ketone test strips can help determine the level of ketones in either urine or blood. Testing ketones with a blood-based test strip that you insert in a meter is just like testing your blood sugar. Testing with a urine strip means you either collect a small sample of urine or urinate directly onto the strip. Though testing with blood might be more accurate, it is also much more expensive. That's why so many of those with diabetes chose to go with urine ketone test strips. Understanding ketone test strip results Urine ketone test strips are looking for acetoacetic acid in the urine. This acid reacts with nitroprusside, a chemical in the strip, to produce a color. This color corresponds with a chart that comes packaged along with your test strips, usually on the outside of the vial. Typically, the results include negative, trace, moderate or large ketones. Negative ketones are a good sign. Trace ketones mean you should treat your high blood sugar as you normally would. Moderate or large ketones mean that your blood sugar has been too high for a while. Take the test a second time to confirm, then give your doctor a call. Options for ketone test strips When choosing urine ketone test strips, keep in mind how often you will use them. Test strips in a vial must be used before the expiration date, which is typically within six months after opening the package. Test strips that are individually packaged in foil cost a bit more, but will last much longer than those in a vial. I 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 >>