urine ketones trace a Ketones in urine (ketonuria)

Have you ever heard of ketones and diabetic ketoacidosis (DKA)? These are some important things to know about if you are managing diabetes or are on a low-carb or ketogenic diet.

Ketones

Ketones are chemicals that the body creates when it needs to use fat for energy instead of glucose. This can happen when you are eating a low-carbohydrate diet, fasting, or if your body is not producing enough insulin (such as in type 1 diabetes).

Testing for ketones can be done through urine or blood. Urine tests are more common, but they are not always accurate, especially if you are well-hydrated. Blood tests are more reliable but require a special meter and test strips.

Diabetic Ketoacidosis (DKA)

DKA is a serious complication that can occur in people with type 1 diabetes when there is not enough insulin in the body. This causes blood sugar to rise and ketones to build up, leading to a dangerous and potentially life-threatening condition. Symptoms of DKA include:

• High blood sugar levels
• High levels of ketones in the urine (or blood)
• Frequent urination
• Increased thirst and dry mouth
• Nausea and vomiting
• Abdominal pain
• Confusion or difficulty concentrating

If you experience any of these symptoms, seek medical attention immediately.

Don’t fall victim to ketone envy

Many people on a low-carb or ketogenic diet become obsessed with testing for ketones and achieving high levels. However, this is not always necessary or even healthy. High levels of ketones can be a sign of a problem, such as DKA, or can put stress on the kidneys.

Instead of focusing solely on ketone levels, pay attention to how you feel overall. Are you losing weight, feeling energetic, and seeing improvements in your blood sugar or other health markers? These are the true signs of a successful low-carb or ketogenic diet.

Testing for ketones can be valuable for people with type 1 diabetes or anyone on a low-carb or ketogenic diet. Just remember to not become obsessed with high levels and to pay attention to how you feel overall.

If you have any questions or concerns about ketones or DKA, talk to your healthcare provider. They can help you determine the best way to manage your diabetes or low-carb/ketogenic diet.

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