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When Should I Test For Ketones?

Diabetes Urine Tests

Diabetes Urine Tests

Urine tests may be done in people with diabetes to evaluate severe hyperglycemia (severe high blood sugar) by looking for ketones in the urine. Ketones are a metabolic product produced when fat is metabolized. Ketones increase when there is insufficient insulin to use glucose for energy. Urine tests are also done to look for the presence of protein in the urine, which is a sign of kidney damage. Urine glucose measurements are less reliable than blood glucose measurements and are not used to diagnose diabetes or evaluate treatment for diabetes. They may be used for screening purposes. Testing for ketones is most common in people with type 1 diabetes. Type 1 Diabetes: What Are The Symptoms? This test detects the presence of ketones, which are byproducts of metabolism that form in the presence of severe hyperglycemia (elevated blood sugar). Ketones are formed from fat that is burned by the body when there is insufficient insulin to allow glucose to be used for fuel. When ketones build up to high levels, ketoacidosis (a serious and life-threatening condition) may occur. Ketone testing can be performed both at home and in the clinical laboratory. Ketones can be detected by dipping a test strip into a sample of urine. A color change on the test strip signals the presence of ketones in the urine. Ketones occur most commonly in people with type 1 diabetes, but uncommonly, people with type 2 diabetes may test positive for ketones. The microalbumin test detects microalbumin, a type of protein, in the urine. Protein is present in the urine when there is damage to the kidneys. Since the damage to blood vessels that occurs as a complication of diabetes can lead to kidney problems, the microalbumin test is done to check for damage to the kidneys over time. Can urine tests be used to Continue reading >>

A Detailed Guide On How To Test Your Ketone Levels

A Detailed Guide On How To Test Your Ketone Levels

I have to be honest with you. I’ve been making some critical mistakes. I was assuming that I was in ketosis for months but I’m now finding out that isn’t the case. Not even close. I’ve finally hunkered down and have been measuring my ketones the right way and the results have been pretty surprising. I was eating too much protein, and too little fat. I was eating too frequently. I was eating too few calories. I never would have known this without testing. Time for you to learn from the mistakes I made and test the right way. Ketosis can be a powerful nutrition approach to use switch your metabolism to prioritize for fat loss, mental output, physical performance, and much more. The main problem? Many people just assume that if they are “low carb” they are in ketosis, but think again. How do you know if you’re actually in ketosis? As I love to say, “test, don’t guess” when it comes to your health. (Still trying to get “track, don’t slack” to catch on…) I’ll outline in this article the three ways to test your ketone levels and which you should be doing when. HOW TO TEST YOUR KETONE LEVELS: THREE DIFFERENT WAYS There are three testing methods because there are three forms of ketones in your body: acetate, acetoacetate, and beta-hydroxybutryate. Each of these ketone bodies do slightly different things and are in different forms, so they can be tested individually with different methods. The three different area these ketones exist in your body are 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 need to go to a lab or use any fancy high-tech gadgetry. Tracking consistently, at least when you’re getting used to a ketogenic diet, is important so you know how mu Continue reading >>

Should I Test My Urine For Glucose And Ketones?

Should I Test My Urine For Glucose And Ketones?

Finding glucose in the urine of someone who has not yet been diagnosed will sometimes be a tip-off that they have developed diabetes, but glucose doesn’t appear in the urine unless the blood sugar is around 240 or even higher for many people, so there is no real reason to test the urine for sugar because it isn’t helpful in managing your diabetes if all you know is that you are roughly under 240. On the other hand, ketones in the urine is a sign that you may be getting seriously ill. Routine monitoring of ketones isn’t necessary, but it should be done if you feel sick, especially if you have type 1 diabetes. If you have diabetes and there are ketones in your urine, it’s time to contact your healthcare provider. Diabetes experts don't recommend testing your urine for glucose because this method is not as accurate as checking your blood. But testing your urine for ketones can be very important in managing your diabetes. Check with your doctor to see if you need to monitor your ketone levels. You may need to do ketone urine checks if your blood glucose is more than 300 milligrams per deciliter (mg/dL) or if you're sick with the flu, a cold or a stomach bug. If you are having symptoms of high ketones -- feeling tired all the time, thirst or dry mouth, flushed skin, mental confusion, difficulty breathing or a fruity smell on your breath -- it can be a good idea to check your ketone levels. Urine testing is not an accurate way to measure blood glucose. It is the way to check for ketones when you cannot eat or are ill. A buildup of ketones tells you that you are developing ketoacidosis. Ketones are breakdown products of fat that produce acid in the body. Too much acid can result in you being hospitalized. Therefore, when you are sick with a cold or the flu, you should Continue reading >>

Ketone Testing

Ketone Testing

What are ketones? Ketones are chemicals that appear in the blood and urine when body fat is used for energy. Ketones are a sign that the cells are not getting sugar for energy, so the body starts breaking down fat. Why is this test done? When your child has type 1 diabetes, ketone testing is very important because ketones can build up in the body when your child doesn’t have enough insulin to move sugar out of the blood and into the cells. The buildup can cause an emergency condition called ketoacidosis. Ketoacidosis is a serious, life-threatening problem that must be treated right away. When should I test for ketones? Your healthcare provider will tell you when you should check for ketones. For example, your provider may recommend that you check for ketones if: Your child has high blood sugar. Your child feels sick or nauseated (especially if he or she vomits even once). If a child is sick, ketones can be present even when blood sugar is not high. Make sure you have a ketone test kit available to use at all times in case your child gets sick or has had recent changes in medicines. How is the test done? You can do the tests at home with kits bought at the drugstore. You can test the urine or blood for ketones. The blood ketone measurement tells you what the ketone level is at the moment you do the test. The urine ketones test may show what the ketone levels were a few hours earlier. Record test results in a notebook. Urine Tests You can use urine test strips to check for ketones in urine. Ask your pharmacist about the types of urine ketone strips that are available. Carefully follow the package directions for testing. Urine ketone tests must be timed exactly using a watch or clock with a secondhand. After you dip the strip in the urine sample, compare the color of the Continue reading >>

5 Ways To Measure Your Ketones

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 >>

When To Worry About Ketones

When To Worry About Ketones

“Your blood sugar is over 250. We’ll have to test for ketones, just to make sure you’re not spilling any.” The nurse stuck a label featuring my name and date of birth onto a plastic cup. “The bathroom is down the hall and to the right,” she said. By now, I was familiar with the drill, having experienced it a handful of times in the past: Provide urine sample to endocrinologist and keep my fingers crossed that it’s negative. Fortunately, it was—no ketones spilled. Though we often toss the word ketones around when we talk about diabetes, there tends to be confusion about what ketones are and when they’re dangerous. What are ketones? Ketone bodies are produced by the liver and are byproducts of fat metabolism. They occur when muscles in the body (which normally uses glucose as fuel) begin to use fat instead. This can happen when a person restricts carbohydrates (i.e., following a ketogenic diet—see below), eats too little, or feels ill. Simply put, ketones are markers of fat burning in the body. People with diabetes need to be concerned about ketones, though, because they can be a sign of a life-threatening condition. The presence of ketones makes the blood acidic and can result in an illness known as diabetic ketoacidosis (DKA), which occurs when blood sugar levels are very high. DKA can be caused by not getting enough insulin, and it may occur prior to a diagnosis of type one diabetes. DKA symptoms of concern include a dry mouth, blood sugar levels greater than 240 mg/dL, strong thirst, and frequent urination. Without treatment, these symptoms can worsen into confusion, extreme fatigue, flushed skin, fruity-smelling breath, nausea, vomiting, stomach pain, and difficulty breathing. The most serious effects include swelling in the brain, loss of conscio Continue reading >>

Patients With Type 1 Diabetes May Need To Check Ketones More Often

Patients With Type 1 Diabetes May Need To Check Ketones More Often

(Reuters Health) - Many people with type 1 diabetes don’t check frequently enough for buildup of ketones, acids that can cause serious damage to the kidneys and other organs, according to a U.S. study. Ketone monitoring is particularly important when patients with type 1 diabetes are sick or have consistently high glucose levels, the authors write in Diabetes Care. “Ketones occur when the body burns fat instead of using carbohydrates for fuel,” lead author Anastasia Albanese-O’Neill told Reuters Health by email. “If high glucose levels and ketones remain untreated, there is an increased risk for a life-threatening condition called diabetic ketoacidosis, which requires hospitalization,” said Albanese-O’Neill, a pediatrics researcher at the University of Florida in Gainesville. Dangerously high ketone levels can happen to anyone with diabetes, though the problem is rare in people with type 2, according to the American Diabetes Association. People with type 1 diabetes have lost the ability to produce any insulin, so ketones can occur when insulin doses are missed, or when the body’s insulin requirements rise due to stress or illness, she said. “Monitoring for ketones as recommended allows for early detection and treatment. Ketone testing supplies are available over the counter without a prescription at a local pharmacy and online,” Albanese-O’Neill said. About 5 percent of people with diabetes have type 1, according to the American Diabetes Association. Type 1 diabetes is most commonly diagnosed in young kids, and for that reason it used to be called juvenile diabetes. But the disease does not go away, and it can also be first diagnosed in adulthood. While children usually have caregivers to help them manage the disease, adults typically need to manag Continue reading >>

Ketone Testing

Ketone Testing

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

Blood Ketones

Blood Ketones

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

Getting To Know Ketones

Getting To Know Ketones

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

How To Detect Ketosis

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 Your Urine For Ketones

How To Test Your Urine For Ketones

Are you on a diet where part of the goal is to be "in ketosis"? Some diets, such as the Atkins Diet, recommend testing to find out whether your body is generating ketones. The easiest and least expensive way to do this is to test your urine using Ketostix or a similar testing strip. Although it is not the most accurate method, it can be helpful for home testing, especially when you're new to a ketogenic diet. Testing can be a useful way to tell if you are eating something that is higher in carbohydrate than you realized. Since different people will be in nutritional ketosis with different amounts of carbohydrate (and sometimes protein), it can provide information to help you individualize your diet. It also provides motivation to stay in ketosis. Two Notes About Testing for Ketones Diabetics testing ketone levels to check for ketoacidosis will interpret the reading much differently than someone on a ketogenic diet who desires higher levels of ketones. A reduced-carb diet does not have to be ketogenic to be helpful. Many studies of non-ketogenic low-carb diets have been found to have many benefits. How to Use Ketone Testing Strips In order to test your urine, you will need ketone urine testing strips. There are many brands available, such as Ketostix and Chemstrip. The name "Ketostix" is often used to refer to any ketone testing strip, no matter the manufacturer. When you're ready to test, follow these steps: You can either pass the test end of the strip through your urine as you urinate (be sure to wet it entirely), or collect urine in a clean, dry container and dip the test strip in. Shake off excess drops of urine. Wait for 15 seconds or whatever time is stated on the brand of test strips you are using. Compare the color on your strip to the color array on the side of Continue reading >>

Ketone Testing: What You Need To Know

Ketone Testing: What You Need To Know

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

Ketones In Urine – How To Test And What Levels Are Optimal

Ketones In Urine – How To Test And What Levels Are Optimal

There are likely two reasons you want to test the ketone levels in your urine: REASON 1 – you’ve got type one diabetes (or type two diabetes, in some cases) and you need to test the ketones levels in your urine to help you avoid ketoacidosis. If that’s the case, skip down to the sections on… Then, skip straight to the section on… REASON 2 – you’re on the Keto diet and you want to use urine strips to check if you’re in ketosis. If that’s the case, then don’t worry we’ll also cover: But skip the section on ketoacidosis – it doesn’t apply to you unless you’re diabetic! Note that information contained in this article (and website) is not intended to and shall not convey or recommend any medical or nutritional advice or course of action. Any diet, health, or nutritional program you undertake should be discussed with your doctor or other licensed medical professionals. All opinions expressed in this article are based solely on personal experiences and research. We are NOT licensed doctors, dietitians, or nutritionists. Testing Laboratory Microbiology - Air Quality - Mold Asbestos - Environmental - Lead emsl.com What are ketones? First things first – a quick 101 intro on what ketones actually are: Ketone bodies (or ketones) are produced by your liver during the break down of fatty acids when your body is low on glucose. Your body then uses these ketone bodies as fuel. You see, your cells can’t directly use the fatty acids in your fat stores to produce energy. And that’s because those fatty acids are unable to pass through the membrane which surrounds your cells. And if they can’t get inside? They can’t be used as fuel. So there’s an extra step to the process: First, the fatty acids travel to your liver where they’re broken down into ke Continue reading >>

Importance Of Ketone Testing

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 >>

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