### Why Test for Ketones in Urine for People with Diabetes? When you have diabetes, your body may not use glucose (sugar) properly for energy. Instead, it might start burning fat, which produces ketones, a type of acid. High levels of ketones can make you very sick and lead to a serious condition called diabetic ketoacidosis (DKA). This is why doctors often test for ketones in the urine of people with diabetes, especially those with type 1 diabetes. #### Causes of High Ketone Levels High levels of ketones in urine can be caused by several factors, including: - Illness - Missing an insulin shot - Ineffective insulin pump - Not getting enough insulin - Missing a meal or not eating enough #### How to Test for Ketones You can test for ketones at home or in a lab. At home, you can use urine test strips. Simply urinate on the strip or dip it into a container of your urine, then compare the strip's color to a chart on the bottle. Make sure the test strips are not expired. You can buy a ketone test kit from your local pharmacy without a prescription. #### Understanding Test Results Ketone levels in urine can be measured as small, moderate, or large amounts. What is considered normal varies by age, gender, and health history. Always consult your doctor to understand your results better. #### When to Test for Ketones If you have diabetes, you should test for ketones every 4 to 6 hours when you are sick, have high blood sugar, or experience symptoms like nausea or vomiting. If your child with diabetes is sick, contact their diabetes team immediately. #### What Do Abnormal Results Mean? - **Small Amount**: Consult your doctor and retest every few hours. - **Moderate or Large Amount**: Contact your healthcare provider immediately and avoid exercise. #### Signs of Diabetic Ketoacidosis (DKA) High ketone levels can indicate DKA, a severe complication of diabetes. Symptoms include nausea, vomiting, and abdominal pain. Seek medical help immediately if you suspect DKA, as it can lead to a diabetic coma or even death.