How to Test for Ketones

Summary

The video script discusses the importance of ketone testing for individuals with type 1 diabetes, where high blood glucose levels can lead to ketoacidosis. It advises testing when blood glucose exceeds 15 millimoles per liter. Two methods are presented: traditional urine ketone testing strips and modern blood glucose meters that test for ketones. Bayer keto sticks are used as an example, with instructions on how to use them. The script also provides guidance on managing ketone levels, emphasizing the need for immediate health team advice at higher readings.

Takeaways

• 🩺 Testing for ketones is crucial for people with type 1 diabetes.
• 🚨 High ketone levels in type 1 diabetes can lead to a dangerous condition called ketoacidosis.
• 📈 Diabetes UK advises testing for ketones when blood glucose levels exceed 15 millimoles per liter.
• 🔍 There are two methods to test for ketones: urine ketone testing strips and blood glucose meters with ketone testing capabilities.
• 📝 For urine testing, use Bayer keto sticks and follow the instructions carefully, including checking the expiry date.
• 💧 Apply urine to the test strip either by dipping or by passing urine over the test area.
• ⏱ Begin timing immediately after applying urine and compare the strip's color to the color chart within 15 seconds.
• 📉 A trace level of ketones (below 0.5 millivolts per liter) requires no action.
• 💦 Slightly elevated ketone levels (around 1.5 millimoles per liter) suggest drinking water and retesting after a few hours.
• ⚠️ High ketone readings (around or above 3.0 millimoles per liter) necessitate immediate contact with a health team.

Q & A

Why is testing for ketones important for people with type 1 diabetes?

Testing for ketones is important for people with type 1 diabetes because a lack of insulin can lead to higher levels of ketones, which can cause a dangerous state called ketoacidosis.

What is the recommended blood glucose level threshold for testing ketones according to Diabetes UK?

Diabetes UK recommends that people with type 1 diabetes test for ketones if blood glucose levels become too high, usually above 15 millimoles per liter.

What are the two different ways to test for ketones mentioned in the script?

The two different ways to test for ketones are using urine ketone testing strips and using blood glucose meters that can test for ketones in the blood.

How is a blood test for ketones performed?

A blood test for ketones is performed similarly to a blood glucose test, and for more information on this, one can refer to a 'how to do a blood test' video.

What is the first step to take before using Bayer keto sticks for ketone testing?

Before using Bayer keto sticks, one should check the expiry date on the tub to ensure the strips are still good for use.

How should you handle a urine ketone testing strip to avoid contamination?

To avoid contamination, you should remove a strip from the tub without touching the spongy end of the strip.

How long should you wait after applying urine to a ketone test strip before comparing the color?

You should begin timing immediately after applying urine to the strip and compare the color after 15 seconds.

What should you do if any color changes occur on the ketone test strip after 15 seconds?

You should disregard any color changes that happen after 15 seconds when interpreting the results of a ketone test strip.

What action is recommended if a ketone level is below 0.5 millimoles per liter?

If the ketone level is below 0.5 millimoles per liter, which is a trace level, no action is needed.

What should you do if your ketone level is around 1.5 millimoles per liter?

If the ketone level is around 1.5 millimoles per liter, indicating slightly higher than normal levels, it's recommended to drink a glass of water each hour and perform a follow-up test three to four hours later.

What is the recommended course of action if ketone levels are around or above 3.0 millimoles per liter?

If ketone levels are around or above 3.0 millimoles per liter, which is a higher reading, you should contact your health team immediately for advice.