Ketones

What To Think About

  • The blood test can check for one type of ketone that the urine test cannot detect. Therefore, a urine test that does not show any ketones may not be accurate (false-negative result).
  • Ketone levels will increase in your urine before they increase in your blood if you are fasting or on a very low carbohydrate diet.
  • The American Diabetes Association recommends that you test your urine for ketones if you have diabetes and you:
    • Are pregnant.
    • Are sick or feeling very stressed.
    • Have blood sugar levels of 300 mg/dL (16.7 mmol/L) or higher.
    • Have symptoms of high blood sugar (diabetic ketoacidosis), such as nausea, vomiting, or abdominal pain.
  • Ketones can be tested at home using urine ketone test strips. A more accurate reading can be obtained by some home glucose meters that test for blood ketones.

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Author: Caroline Rea, RN, BS, MSLast Updated: July 25, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Alan C. Dalkin, MD - Endocrinology

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Topic Contents
 Test Overview
 Why It Is Done
 How To Prepare
 How It Is Done
 How It Feels
 Risks
 Results
 What Affects the Test
Arrow PointerWhat To Think About
 References
 Credits