Ketone test strips are used to test for ketones in the blood, which are chemicals produced by the liver when the body needs to burn fat as fuel. They are particularly important for people with diabetes to prevent a dangerous short-term complication called ketoacidosis, which occurs when the body has too little insulin and the blood becomes acidic. To test for ketones, a blood ketone meter and a lancet pen are required, in addition to the ketone test strips. While it is possible to test for ketones in the urine, blood ketone testing is more accurate. Keto-Mojo is a popular brand that offers a range of blood glucose and ketone meters, as well as test strips that are compatible with their meters.
Characteristics | Values |
---|---|
Purpose | Testing ketone levels to monitor health and weight loss |
Who should use | People with diabetes, especially type 1; people following a ketogenic diet |
When to use | When blood sugar is over 17 mmol/l (300 mg/dl); if sugar levels have been over 13 mmol/l (230 mg/dl); if unwell with ketoacidosis symptoms |
Testing methods | Blood ketone meter; urine ketone testing |
Blood ketone meter brands | Precision Xtra; Nova Max Plus; Abbott FreeStyle Optium Neo; Menarini GlucoMen LX Plus; Keto-Mojo GK+; BEST KETONE TEST TD-4279 |
Urine ketone testing | Less accurate than blood testing; reflects levels from a few hours ago |
Blood ketone test procedure | Insert strip into meter; prick finger with lancing device; allow blood onto strip; discard strip and lancet |
Urine ketone test procedure | Remove strip without touching spongy end; pass urine over test area or dip strip into urine; compare colour to chart |
Ketone test results interpretation | Under 0.6 mmol/L – normal; 0.6 to 1.5 mmol/L – retest later; 1.6 to 3.0 mmol/L – contact healthcare team; above 3.0 mmol/L – medical emergency |
Keto test strip brands | Keto-Mojo; BEST KETONE TEST |
What You'll Learn
Ketone testing for weight loss
Ketone testing can be a useful way to check if your body is breaking down fat. Ketones are chemicals produced by the liver when the body needs to burn fat as fuel. Ketone testing can be done in three ways: blood testing, breath testing, and urine testing.
Blood Testing
Blood ketone meters are devices that allow you to test for ketones circulating in your body. To test the ketones in your blood, you will need a blood ketone meter and a kit that includes a lancet pen and ketone test strips. These meters also read blood glucose test strips. Results can be downloaded to your computer.
Blood testing is the most accurate method of measuring ketone levels, but the cost of the test strips is relatively expensive if you intend to test your ketones regularly.
Breath Testing
Breath testing devices measure the ketone acetone. They require you to exhale into the device, and some need to be paired with a smartphone app. Breath testing is not as accurate as blood testing but is better than urine testing.
Breath testing devices are easy to use and allow you to test your ketone levels as often as you wish without incurring additional costs for each test. However, alcohol and certain other substances can interfere with the readings.
Urine Testing
Urine testing strips are a cheap and low-tech way to test for ketones. They measure the ketone acetoacetate in your urine. This method is not as accurate as blood testing because ketone levels in the urine reflect levels from a few hours ago rather than at the time of testing.
Urine testing is a good option if you just want a rough idea of your ketosis level. The strips are very inexpensive, but they lack precision and may not work for everyone.
When to Test for Ketones
The best time to test for ketones depends on what you want to find out. If you want to compare your ketosis levels from day to day or week to week, it's best to test at the same time(s) of day to ensure consistent results.
Since ketone levels vary throughout the day and are affected by meals and exercise, testing at different times can show how your level of ketosis varies. The ketone breathalyser is useful for this because it doesn't incur additional costs for each test, unlike blood testing strips.
Ketone Levels for Weight Loss
The "sweet spot" for weight loss is a ketone level of 1.5 to 3.0 mmol/l, known as nutritional ketosis. This level is recommended by researchers Stephen Phinney and Jeff Volek.
A lower level of 0.5 to 1.5 mmol/l is considered light nutritional ketosis, which is still beneficial but not as effective as full nutritional ketosis.
It can take a few weeks for your body to switch to using ketones as its main fuel source when starting a ketogenic diet, so it's important to be patient and consistent.
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Ketone testing for diabetes
Ketone testing is a crucial aspect of managing type 1 diabetes and preventing a dangerous short-term complication called ketoacidosis. People with type 1 diabetes should have ketone testing supplies readily available, and testing may also be beneficial for other types of diabetes that require insulin.
Ketones are produced by the body when it breaks down fats as an alternative energy source to sugar. This process is known as ketosis. While ketone production is a normal part of weight loss, it is important for diabetics on insulin therapy to understand that ketones can be produced when the body lacks sufficient insulin. Insulin deficiency leads to cells being unable to absorb sugar from the blood, prompting the body to break down fat and produce ketones as an alternative energy source.
High levels of ketones can cause the blood to become acidic, leading to illness and potentially threatening organ damage if left untreated. This condition is known as diabetic ketoacidosis. To prevent this, people with insulin-dependent diabetes should test for ketones:
- Any time their blood sugar exceeds 17 mmol/L (300 mg/dL)
- If blood sugar levels have been repeatedly above 13 mmol/L (230 mg/dL)
- If they are unwell and exhibiting symptoms of ketoacidosis, such as nausea, vomiting, or diarrhoea
The most accurate method for testing ketones is using a blood glucose meter that can measure both blood glucose and ketone levels. Examples of such meters include the Abbott Freestyle Optium Neo and the Menarini GlucoMen LX Plus. These devices can usually be prescribed by a doctor. While urine can also be tested for ketones, this method is less accurate as it only reflects ketone levels from a few hours prior.
To perform a blood ketone test, follow these steps:
- Insert a blood ketone strip into the meter.
- Prick your finger with the lancing device.
- Allow the blood to reach the ketone strip.
- Dispose of the test strip and lancet safely.
The process for a urine ketone test involves:
- Removing a test strip without touching the spongy end.
- Passing urine over the test area or dipping the strip into a container with urine.
- Timing the test and comparing the colour change to the chart on the strip's tub after a set number of seconds.
Interpreting Ketone Test Results:
- Under 0.6 mmol/L: Normal blood ketone value.
- 0.6 to 1.5 mmol/L: Higher ketone production, indicating the need for retesting later.
- 1.6 to 3.0 mmol/L: High ketone levels, suggesting a risk of ketoacidosis. Contact your healthcare provider.
- Above 3.0 mmol/L: Dangerously high ketone levels requiring immediate medical attention.
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Ketone testing for ketogenic diets
Ketone testing is a key part of managing type 1 diabetes 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 for people with other types of diabetes that are dependent on insulin.
Ketones are produced by the body as an alternative source of energy to sugar. The body produces ketones by breaking down fats, a process known as ketosis. Ketones may be produced as part of weight loss, but for people with diabetes on insulin, it's important to note that ketones can be produced when the body has insufficient insulin. When the body has too little insulin, it means that the 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.
The most accurate way of testing for ketones is to use a meter that measures blood ketone levels. Blood ketone meters are devices that allow you to test for ketones circulating in your body. These are chemicals produced by the liver when the body needs to burn fat as fuel. While everyone has ketones, and they're normally not a health concern, if you have diabetes, high ketone levels can cause diabetic ketoacidosis (DKA), a potentially life-threatening complication.
Monitoring your ketone levels with a blood ketone meter may be recommended, especially if you have type 1 diabetes. Ketone testing is particularly important during periods of illness. You might also use a blood ketone meter if you're following a ketogenic diet and want to ensure you're in ketosis.
There are a few different methods of measuring ketones: urine testing strips, blood ketone tests, and breath ketone tests. Urine testing strips are cheap but tend to be less accurate as they measure ketones in the urine rather than the breath or blood. Results from urine testing strips also reflect ketone levels over the past few hours rather than at the time of testing. Testing ketones in the urine is good if you just want a rough idea of the level of ketosis you're hitting.
Blood ketone tests are the most accurate method of measuring ketone levels, but the cost of the test strips is relatively expensive if you intend to test your ketones regularly. Blood ketone meters require a battery and a test strip for each test, as well as disposable lancets.
It is possible to measure ketones on the breath. This method is not as accurate as blood ketone tests but is better than urine test strips. Another advantage of using a breathalyser is that it involves a single upfront cost, which means that once you have the device, you can test your ketone levels as often as you wish. This can be useful for people looking to seriously understand how well they're achieving ketosis throughout the day.
When to measure ketones depends on what you're looking to find out. If you're looking to compare whether you're keeping in ketosis from day to day or week to week, then it makes sense to test at the same time (or times) of day. This will ensure you get consistent results. As ketones vary throughout the day and are affected by different types of meals and exercise, you may want to test at different times throughout the day to see how your level of ketosis varies.
The sweet spot for weight loss is 1.5 to 3.0 mmol/l. This level of nutritional ketosis is recommended by researchers Stephen Phinney and Jeff Volek. Ketone levels of 0.5 to 1.5 mmol/l, light nutritional ketosis, is also beneficial, although not to the degree of full nutritional ketosis. The longer you stay within these levels, particularly within the sweet spot of nutritional ketosis, the more fat you will burn and the more effective your weight loss efforts will be.
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Accuracy of keto test strips
Keto test strips are a popular tool for people following a keto diet to check whether they are in ketosis. There are two types of keto test strips: urine and blood. Both types of strips are used to measure ketone levels, but they differ in accuracy and convenience.
Urine Test Strips
Urine test strips are a cheap and simple way to detect ketone levels. They work by measuring the volume of acetoacetate, one of the three types of ketone bodies, in the urine. To use a urine test strip, you collect a urine sample in a clean container and hold the strip in the urine for a few seconds. After shaking off the excess liquid and waiting for the strip to change colour, you compare the colour of the strip to a colour chart to determine your ketone level.
While urine test strips are widely available and easy to use, they have some limitations in terms of accuracy. Firstly, they only show the number of excess ketones that the body couldn't use, which doesn't necessarily reflect the ketone levels in the blood. Secondly, hydration levels can impact the results, as dehydration can lead to higher concentrations of ketones in the urine. Additionally, the readings can be subjective when comparing the strip colour to the colour chart. Urine test strips are most accurate when used by people new to the keto diet, as the body tends to excrete more ketones in the initial stages of ketosis.
Blood Test Strips
Blood test strips, also known as blood ketone meters, are considered the gold standard for testing ketone levels. They measure beta-hydroxybutyrate, the most prevalent and stable ketone body in the blood. To use a blood test strip, you insert it into a blood ketone meter, prick your finger to draw blood, and then apply the blood to the strip. The meter will quickly provide an accurate reading of your ketone level.
Blood test strips are more expensive than urine test strips, and they require a meter to read the results. However, they provide a more accurate measurement of ketone levels in the blood, which is the predominant ketone body used as fuel by the body. Blood test strips are recommended for people who have been following a ketogenic diet for several months and want a more precise indication of their ketone levels.
In summary, both urine and blood keto test strips have their advantages and limitations. Urine test strips are a convenient and affordable option for beginners, while blood test strips offer a more precise measurement for those with more experience on a ketogenic diet.
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Buying keto test strips
When buying keto test strips, it is important to consider the following factors:
- Accuracy and Reliability: Look for test strips that are known for their accuracy and reliability. Some brands may be more accurate than others, so it is worth checking reviews and comparing different options.
- Ease of Use: Choose test strips that are easy to use and provide quick results. Avoid strips that are too thin or slippery, as they can be difficult to handle.
- Bulk Purchasing: Consider purchasing test strips in bulk, especially if you plan to test regularly. Buying in larger quantities can often result in cost savings.
- Storage and Expiry: Keto test strips typically expire within three to six months after opening. Store them in a cool, dry place, as humidity can affect their accuracy.
- Compatibility: Ensure that the test strips are compatible with your ketone meter, if you are using one. Different meters may require specific types of test strips, so check the instructions or manufacturer's recommendations.
- Cost: Compare prices between different brands and retailers. The cost of test strips can vary, and they may be covered by insurance in some cases, especially if you have a medical condition that requires regular testing.
- User Reviews: Reading reviews from other users can provide valuable insights into the quality and effectiveness of the test strips. Look for reviews that mention accuracy, ease of use, and overall satisfaction.
- Always check the expiration dates on the test strips, both when you receive them and before each use. Expired strips can give inaccurate results.
- Avoid buying previously owned test strips, as they may not have been properly stored and could be expired.
- Only purchase test strips that have been approved by the relevant regulatory agencies, such as the Food and Drug Administration (FDA) in the United States.
- Be cautious of extremely low-priced test strips, as they may be knockoffs or counterfeit products.
- Consider trying different brands to find the ones that work best for you in terms of accuracy, ease of use, and value for money.
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Frequently asked questions
A keto test strip is a tool used to measure the level of ketones in your body. Ketones are chemicals produced by the liver when the body needs to burn fat as fuel.
No, keto test strips are not compatible with glucose meters. You will need to purchase a blood ketone meter that is specifically designed to read keto test strips.
You can purchase keto test strips that are compatible with specific glucose meters from online retailers such as Amazon or directly from the manufacturer's website, such as Keto-Mojo.