Every time you have a 250+ reading? When you think your insulin isn't working? When you're sick? What events make you test and how do you go about it? I've realized lately that I rarely do this and I wondered if other people only test for ketones under certain circumstances.

Tags: ketones

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You know what? I never test my keytones. I know that I should but I don't. I know that there are others that do but I am curious to know the percentage of people who do.
Me neither. Never :( Not that I advocate this...
Never. I'm not sure what the protocol is if ketones come up positive. I know that when you are high in sugar you are supposed to rest and hydrate, so is it any different if you have ketones? Is there a magic ketone-flush potion?

I will put this on my list of things to ask my doctor.
If you have high ketones it is a sign of DKA and could kill you. I test for ketones anytime my sugar is over 250 and I can't get it to drop with the first correction. Also if I correct with pump and it won't go down I do not correct a second time with pump, I manually inject.
My feeling is that if I test positive for ketones, then I should go to the hospital (unless it was only trace amounts??)...

I think that if my blood sugar was above 300 and showed no sign of going down for a day, I would go to the hospital anyway.

But I also heard that you can test positive when ketones when your blood sugar is not high... anyone know about that?
I went to my endocrinologist right after a 25 mile bike ride. He smelled the ketones on my breath and wasn't surprised to find ketones in my urine. He was surprised that my BG was 103. When I told him about the bike ride, he said that was it. If for some reason, I am not getting insulin (air in my pump tubing, or kinked canula) then I start spilling ketones even before 200 sometimes. Just seem to be good at making ketones I guess.
When I was taking injections it was not necessary to check for ketones because there is always basal insulin present. With the pump when I have an unexplained high BG, then I test. If there are no ketones then I probably miscalculated my carbs and my BG will come down easily with a correction bolus. If there are moderate to large amount of ketones, then there is a lack of insulin and I better find out the cause and fix it. As long as I am able to drink nonsweetened fluids, and take insulin be that by pump or injection, then I am okay. Once vomiting starts, the hospital is the only choice.
Once in a blue moon. It is a catch 22 situation or a really good way for someone to make money. I am old school and test for urine ketones. The last time I thought I might be spilling ketones I bought a vial of strips and used one. The vial expired before I need to test again. I had spent about $25 for one strip. My insurance co-payment is less than that, so for me it is not worth it.
The last time I tested for ketones was in the early 90s. My mom used to make me test for them whenever I was above 290ish, I think. Since elementary school though? Not at all.

Since joining TuD, I have learned that they now make foil-wrapped ketone strips that you can use on an as-needed basis so that the whole bottle doesn't go bad in between ketone tests! I have been telling myself for a month now that I need to ask my pharmacist about these. I just keep putting it off. I feel like I've been really bad for not testing.

But, as Kristin said, and as I've actually done in the past, I call my doctor any time I can't bring down a blood sugar with conventional means and a realistic timeframe. If I'm still high after a correction and enough time has past that I shouldn't be high, I immediately change my infusion set, take an injection, go back over what I've eaten, make sure my hands were cleaned, drink some water, etc. I feel like if my sugar is back under control in a few hours and I don't have any other problems, I managed to flush the ketones. I've certainly taken the risks for granted.

I vow to improve...soon?
The Precision Xtra has strips to test blood for ketones, but they are expensive for a vial of 10 and at least my insurance won't cover them.
These a good for me. I use them in the middle of the night when I can't get my daughter to get out of bed to pee!
I once found these foiled wrapped ketone strips and loved that I did not have to waste a ton of strips that expire... recently, I could not find them ANYWHERE.

Like Deidre, I don't want to spend $25 on 1 ketone strip. So I stopped buying them, which means stopping testing as well.

If I could find the foil wrapped ones, I would start testing again. Is anyone able to buy foil wrapped once. (I literally went to almost every pharmacy in the greater Detroit area. No luck.)

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