Ketones: What To Think About


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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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Last updated: July 25, 2007
Author: Caroline Rea, RN, BS, MS
Reviewed By: Caroline S. Rhoads, MD - Internal Medicine, Alan C. Dalkin, MD - Endocrinology
Editors: Susan Van Houten, RN, BSN, MBA, Tracy Landauer

This information is not intended to replace the advice of a doctor. By using AOL Body, you indicate that you have read, understood, and agreed to our Terms of Service, and AOL Body Advertising Policy. Read more about our content partners.

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