The ketogenic diet is a very low-carb, high-fat, and adequate-protein diet that induces a metabolic condition called physiological ketosisurine strips to monitor their progress and watch their progression into ketosis. The best time to test for ketones in urine is in the morning, an hour or two after waking and before lunch or dinner (fasted at least two hours). Testing for ketones in urine is most accurate in the early morning or several hours after a meal.
Characteristics | Values |
---|---|
Best time to test for ketones in urine | Early morning, several hours after dinner late in the evening, or a few hours after a meal |
How often to test | When first starting a ketogenic diet, it is recommended to test often (e.g. twice a day) to monitor progress. |
How to test | Immerse the absorptive end of the strip into a urine sample for a few seconds, then wait for the amount of time outlined on the package for the strip to change colour. |
Interpreting results | Compare the colour of the strip to the colour chart on the packaging. The darker the colour, the higher the ketone levels. |
Accuracy of urine strips | Urine strips are a good tool to measure ketosis when first starting a keto diet. However, as the body adapts to using ketones for fuel, fewer unused ketones will be excreted in urine, so strips may indicate lower levels of ketones than are actually present in the body. |
What You'll Learn
How to use keto strips
Keto strips are a cheap and convenient way to test for ketosis. They are ideal if you're new to the keto diet and want to ensure you're on the right track.
How to Use Urine Strips
- Wash your hands, then take a urine sample in a small container.
- Immerse the absorptive end of the strip into the sample for a few seconds, then remove.
- Wait for the amount of time outlined on the package for the strip to change colour.
- Compare the strip with the colour chart on the packaging.
- Dispose of the urine and strip appropriately, then wash your hands.
How to Use Blood Strips
- Load the lancet with the needle, following the directions provided.
- Insert a blood ketone strip into the ketone meter.
- Prick your finger to draw a small drop of blood using the lancet.
- Let the strip come into contact with the drop of blood and check the results.
- Dispose of the strip and lancet as per the directions.
Tips for Using Urine Strips
- For the best comparison, test your urine at the same time each day, such as in the morning or several hours after your last meal.
- Always follow the directions on the kit for the most accurate results.
- Check the expiration date on the testing kit. An expired kit can give false results.
- Store test strips with the lid tightly closed. Moisture or long exposure to air will cause the strips to work improperly.
- If you have type 1 diabetes, always have a supply of urine ketone testing strips and know how to use them.
- If you have type 2 diabetes, ask your doctor or nurse if you need to test your urine for ketones.
When to Test Your Urine for Ketones
According to the American Diabetes Association, people with diabetes should test themselves for ketones if they are experiencing any of the following:
- Blood glucose is more than 240 mg/dL
- Nausea, vomiting, and abdominal pain
- Illnesses such as a cold or flu
- Constant fatigue
- Extreme thirst or a very dry mouth
- Skin appears flushed
- Difficulty breathing
- Breath smells fruity
- Feeling confused or "in a fog"
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When to test for ketones
If you are testing because you think you are likely to have higher than normal ketone levels, you can perform the test at any time. This may be the case if you are on a low-carbohydrate diet or if you are a diabetic.
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Accuracy of keto strips
Keto strips are a popular tool for people following a keto diet to check whether they are in ketosis. There are two types of keto strips: urine and blood. Urine strips are a cheap and convenient way to find out if you're in ketosis, while blood strips are more accurate but also more expensive.
Urine keto strips
Urine keto strips are ideal if you're new to the keto diet and want an easy and affordable way to ensure you're headed towards ketosis. They are relatively inexpensive and can be purchased over the counter at pharmacies and supermarkets, as well as online. The strips typically expire within three to six months after opening.
If you want to check your urine ketones day-to-day, stick with a specific time, like in the morning or several hours after your last meal of the day, for the best comparison. The process of using urine keto strips involves taking a urine sample, immersing the strip into the sample for a few seconds, waiting for the strip to change colour, and then comparing it to the colour chart on the packaging. The darker the colour, the higher your ketone levels.
However, it's important to note that urine keto strips are not always as accurate as most people believe. For example, ketones in urine don't give a true indication of what's happening in the body. Any ketones that go unused by the body are excreted via urine, so just because the level of ketones in urine is small doesn't mean that the levels in the blood are also small. Additionally, hydration levels can affect the accuracy of urine keto strips. If someone is drinking large amounts of water, it may dilute the urine and affect the reading. On the other hand, if someone is dehydrated, higher concentrations of ketones may be present.
Blood keto strips
Blood keto strips are a more accurate way to measure ketone levels in the body. They are more expensive than urine strips, but they provide a more reliable indicator of ketosis. The process of using blood keto strips involves inserting a blood ketone strip into a ketone meter, pricking your finger to draw a small drop of blood, and then putting the blood on the strip to check the results.
Overall accuracy of keto strips
Keto strips can be a reasonably accurate and cheap way to detect someone's (approximate) state of ketosis. However, they are not always 100% accurate, and the readings may fluctuate for a number of reasons. For example, as the body adapts to burning fat for fuel, it becomes more adept at burning ketones for energy, resulting in a lower volume of ketones excreted. This can be confusing since the body will be more in ketosis, yet the keto strip reading may be lower. Additionally, stress or lack of sleep can also affect ketone levels.
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Benefits of keto strips
Keto strips are a cheap and convenient way to find out if you're in ketosis. They are ideal if you're new to the keto diet and want an easy and affordable way to ensure you're headed towards ketosis.
Accuracy
Urine keto strips are a good tool to measure whether you're in ketosis during the first few weeks of starting a keto diet. This is because, during this time, your body can't use ketones efficiently for energy, so you urinate many of them out. However, as you get deeper into ketosis, your body adapts to using ketones for fuel and becomes more optimised in producing them, leaving less unused. This means that if you've been in a keto-adapted state for many months, a keto strip may indicate that your urine contains only trace amounts of ketones, if any. This can mislead people into thinking they're no longer in ketosis, which may not be the case.
Affordability and Accessibility
Urine strips are relatively inexpensive and can be purchased over the counter at your local pharmacy or supermarket, as well as online. They typically expire within three to six months of opening.
Ease of Use
Using keto strips is an easy process. First, wash your hands, then take a urine sample in a small container. Next, immerse the absorptive end of the strip into the sample for a few seconds, then remove. After this, wait for the amount of time outlined on the package for the strip to change colour. Finally, compare the strip with the colour chart on the packaging, then dispose of the urine and strip before washing your hands again.
Peace of Mind
If you're new to the keto diet and want to make sure your diet is on track, urine strips can be a useful tool. They can help you monitor and adjust your diet accordingly to get into and maintain a level of ketosis.
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How often to test for ketones
Ketone urine strips are a cheap and convenient way to find out if you are in ketosis. They are ideal if you are new to the keto diet and want to monitor your progress and watch your progression into ketosis.
When you first start a ketogenic diet, it is recommended to test often, perhaps twice a day. Testing strips are relatively inexpensive and can contain anywhere from 50 to several hundred strips. However, they typically expire within three to six months of opening.
If you want to check your urine ketones regularly, it is best to stick to a specific time of day, such as in the morning or several hours after your last meal, to ensure the best comparison.
- Wash your hands, then take a urine sample in a small container.
- Immerse the absorbent end of the strip into the sample for a few seconds, then remove it.
- Wait for the amount of time outlined on the package for the strip to change colour.
- Compare the strip with the colour chart on the packaging.
- Dispose of the urine and strip appropriately, then wash your hands.
The colour of the strip corresponds to the concentration of ketones in your urine, which can range from no ketones to high concentrations. The darker the colour, the higher your ketone levels.
It is important to follow the directions on the kit for the most accurate results. Additionally, ketone urine strips are most useful when you are just starting a keto diet. As your body adapts to the diet and becomes more efficient at using ketones for fuel, the strips may indicate lower levels of ketones, even if you are still in ketosis.
For a more accurate reading of your ketone levels over the long term, blood keto strips are a better option. However, they are more expensive and require pricking your finger each time you want to measure your ketone levels.
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Frequently asked questions
The best time of day to check keto on a urine strip is in the morning, or several hours after a meal.
When you first start a ketogenic diet, it is recommended to test your urine for ketones often (perhaps twice a day) to monitor your progress and watch your progression into ketosis.
Urine strips are most accurate when you are just entering ketosis, i.e. in the first week or two of a ketogenic diet. After your body has become keto-adapted, urine strips may not be the most accurate way to measure ketone levels.