Ketosis & Ketone Test Strips
Discuss this article! By Doreen EVERYTHING YOU'VE EVER WANTED TO KNOW ABOUT KETOSIS ... 1. What are ketones? 2. How will ketosis help me to lose weight? 3. But, isn't ketosis dangerous? 4. How do the ketone test strips work, and where do I get them? 5. I'm following Induction strictly; why won't my strips turn purple? 6. Will I lose weight faster if the strips show dark purple all the time? 7. Does caffeine affect ketosis? 8. Will drinking alcohol affect ketosis? What are ketones? Ketones are a normal and efficient source of fuel and energy for the human body. They are produced by the liver from fatty acids, which result from the breakdown of body fat in response to the absence of glucose/sugar. In a ketogenic diet, such as Atkins ... or diets used for treating epilepsy in children, the tiny amounts of glucose required for some select functions can be met by consuming a minimum amount of carbs - or can be manufactured in the liver from PROTEIN. When your body is producing ketones, and using them for fuel, this is called "ketosis". How will ketosis help me to lose weight? Most reducing diets restrict calorie intake, so you lose weight but some of that is fat and some of it is lean muscle tissue as well. Less muscle means slowed metabolism, which makes losing weight more difficult and gaining it back all too easy. Ketosis will help you to lose FAT. Being in ketosis means that your body's primary source of energy is fat (in the form of ketones). When you consume adequate protein as well, there's no need for the body to break down its muscle tissue. Ketosis also tends to accelerate fat loss --- once the liver converts fat to ketones, it can't be converted back to fat, and so is excreted. But, isn't ketosis dangerous? Being in ketosis by following a low carbohydrate diet is 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 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 >>
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 >>
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 >>
This article is about a dietary therapy for epilepsy. For information on ketogenic diets as a lifestyle choice or for weight loss, see Low-carbohydrate diet and No-carbohydrate diet. The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate diet that in medicine is used primarily to treat difficult-to-control (refractory) epilepsy in children. The diet forces the body to burn fats rather than carbohydrates. Normally, the carbohydrates contained in food are converted into glucose, which is then transported around the body and is particularly important in fueling brain-function. However, if there is very little carbohydrate in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. An elevated level of ketone bodies in the blood, a state known as ketosis, leads to a reduction in the frequency of epileptic seizures. Almost half of children, and young people, with epilepsy who have tried some form of this diet saw the number of seizures drop by at least half, and the effect persists even after discontinuing the diet. There is some evidence that adults with epilepsy may benefit from the diet, and that a less strict regimen, such as a modified Atkins diet, is similarly effective. The most common adverse effect is constipation, affecting about 30% of patients—this was due to fluid restriction, which was once a feature of the diet, but this led to increased risk of kidney stones, and is no longer considered beneficial. The original therapeutic diet for paediatric epilepsy provides just enough protein for body growth and repair, and sufficient calories[Note 1] to maintain the correct weight for age and height. The classic therapeutic ketogenic diet was develope Continue reading >>
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 >>
Ketones In Gestational Diabetes
As part of your gestational diabetes management, your doctor may ask you to test for ketones in your morning urine. If you have gestational diabetes, you should know about insulin, glucose, and ketones. When you eat, your body breaks down foods into usable sources of energy. Glucose is the sugar that results. Your body needs glucose for energy and your baby needs it to grow. In order to get glucose out of your blood and into your cells, insulin is required. Insulin is a hormone that you produce in your pancreas. "In gestational diabetes, hormones produced during pregnancy can interfere with insulin and make it hard to use glucose. If the pancreas cannot produce enough insulin to overcome the effects of the hormones, the blood sugar will rise," explains Louise McDonald, RN, clinical manager of maternity and pediatrics at Cleveland Clinic Home Care. "The body cannot use sugar without enough insulin. That causes the body to break down fats as a source of energy. Ketones are the waste products that are left over when the body burns some of its own fat for fuel. The ketones pass from the bloodstream into the urine," says McDonald. Why Are Ketones Important in Gestational Diabetes? The treatment of gestational diabetes is aimed at keeping your blood sugar under control. This is done with a combination of diet, exercise, and sometimes insulin treatment. Finding ketones in your urine is a warning sign that your blood sugar control is out of balance. High blood sugar. If you are taking in more sugar in your diet than your insulin can manage, your blood sugar goes up. This is dangerous for you and your baby. If your baby is exposed to more sugar then the baby needs, the baby will grow too fast. This condition, called macrosomia, can lead to problems during delivery. Low blood sug 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 >>
Serum Ketones Test: What Does It Mean?
What is a serum ketones test? A serum ketones test determines the levels of ketones in your blood. Ketones are a byproduct produced when your body uses only fat, instead of glucose, for energy. Ketones aren’t harmful in small amounts. When ketones accumulate in the blood, the body enters ketosis. For some people, ketosis is normal. Low-carbohydrate diets can induce this state. This is sometimes called nutritional ketosis. If you have type 1 diabetes, you may be at risk for diabetic ketoacidosis (DKA), which is a life-threatening complication in which your blood becomes too acidic. It can lead to a diabetic coma or death. Contact your doctor immediately if you have diabetes and have a moderate or high reading for ketones. Some newer blood glucose meters will test blood ketone levels. Otherwise, you can use urine ketone strips to measure your urine ketone level. DKA can develop within 24 hours and can lead to life-threatening conditions if left untreated. Although it’s rare, people with type 2 diabetes do develop DKA, according to Diabetes Forecast. Some people may also have alcoholic ketoacidosis from long-term alcohol abuse or starvation ketoacidosis from fasting too long. Call your doctor immediately if your blood sugar levels are high, your ketone levels are moderate or high, or if you’re feeling: pain in the abdomen nauseated or you’re vomiting for over 4 hours sick with a cold or the flu excessive thirst and symptoms of dehydration flushed, especially on your skin shortness of breath, or breathing rapidly You may also have a fruity or metallic scent on your breath, and a blood sugar level more than 240 milligrams per deciliter (mg/dL). All of these symptoms can be warning symptoms of DKA, especially if you have type 1 diabetes. The only complications that co 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 >>
How To Know If You’re In Ketosis: A Guide To Testing Ketone Levels
Ketosis can be a powerful way to use your metabolism for fat loss, mental output, physical performance as well as many other health benefits. But how do you know if you’re actually in ketosis? As the old adage goes “test, don’t guess” when it comes to your health. In this guide, we’ll show exactly how to test your ketone levels to know if you’re in ketosis so you can make sure you’re getting all of the benefits that ketosis has to offer. There are three primary forms of ketones in your body, acetone, acetoacetate, and beta-hydroxybutryate. Each of these compounds do different things in the metabolism of ketosis and can be tested individually with differing techniques. Not all measurement is created equally, however, and some can be better than others for different purposes or times. The three different ketone bodies can be measured when they spill over into three different areas of your body: your breath, urine or blood. The good news is that all of these ketone level measurements can be done at home, by yourself. You don’t have to go to any lab or use any fancy high tech equipment. Tracking diligently, at least when you’re getting used to ketosis based diets, is important so you know how much you react to different variables like exercise, type and amount of food, and amounts of exogenous ketone supplements. Also, the optimal level of ketones for specific goals can vary per person. Knowing the amount where you thrive in the goal you want to achieve (and consistently checking if you’re hitting that amount) is the fastest way to reach your goals. Testing levels of ketones with urine strips (acetoacetate) One of the ketone bodies, acetoacetate, can be measured directly in the urine if they are in excessive levels. The way metabolic substrates get into Continue reading >>
What Are Ketones And Their Tests?
A ketone test can warn you of a serious diabetes complication called diabetic ketoacidosis, or DKA. An elevated level of this substance in your blood can mean you have very high blood sugar. Too many ketones can trigger DKA, which is a medical emergency. Regular tests you take at home can spot when your ketone levels run too high. Then you can take insulin to lower your blood sugar level or get other treatments to prevent complications. What Exactly Are Ketones? Everyone has them, whether you have diabetes or not. Ketones are chemicals made in your liver. You produce them when you don't have enough of the hormone insulin in your body to turn sugar (or “glucose”) into energy. You need another source, so your body uses fat instead. Your liver turns this fat into ketones, a type of acid, and sends them into your bloodstream. Your muscles and other tissues can then use them for fuel. For a person without diabetes, this process doesn’t become an issue. But when you have diabetes, things can run out of control and you build up too many ketones in your blood. If the level goes too high, it can become life-threatening. Who Needs a Ketone Test? You might need one if you have type 1 diabetes. In this type, your immune system attacks and destroys cells in your pancreas that make insulin. Without it, your blood sugar rises. People with type 2 diabetes can also get high ketones, but it isn't as common as it is with type 1. Tests can show you when your level gets high so you can treat it before you get sick. When Should You Test? Your doctor will probably tell you to test your ketones when: Your blood sugar is higher than 250 milligrams/deciliter (mg/dl) for two days in a row You're sick or you've been injured You want to exercise and your blood sugar level is over 250 mg/dl Continue reading >>
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- Are ketones dangerous?