A New Toy Measuring Blood Ketones

I just got a new toy: a device for measuring blood ketones. This is a far more exact and reliable measurement than testing for urine ketones using cheap dipsticks. Ketosis is of course the state the body is in when eating very low carb. Ketones, made from fat, will then fuel the brain instead of glucose.

So who needs one of these gadgets? Perhaps nobody. Obviously it’s easy to eat LCHF without it. This is for curious nerds (like me) and for those who want definite proof that they are eating so little carbs that insulin levels are low and fat burning is maximized.

A ketone level somewhere between 1.5 – 3 is said to be an optimal level for maximizing weight loss. It means that insulin levels are very low. As you can see my first measurement was 0.2, after a caesar sallad dinner. I’m not surprised as I’ve probably eaten at least 50 grams of carbs a day lately.

I will try it out fasting in the mornings during the coming days. Perhaps I’ll try being really strict with the carbs for a while to see what happens.

Have you tried one of these or are you interested in doing it?

More

left
The Men Who Made Us Fat – Part 2 62
Will More Sugar Make Chocolate Healthier? 44
The Swedish Diet Revolution and the Resulting Hysteria 65
Stunning: Saturated Fat and the European Paradox 143
How to Lose Weight, Part 2 of 17 20
How to Lose Weight, Part 5 of 17 37
Sugar Free: Alec Baldwin Interviews Dr Robert Lustig 68
You’re Seven Feet Tall Because You Eat Too Much 50
The Doctor Asked: “What Have You Done?” 53
The Science of Low Carb 48
Lose Weight by Supplementing Vitamins and Minerals 11
More Interviews Coming Up 15
right

120 Comments

Top Comment

  1. Willis Morse
    After a huge weight loss and health improvement five years ago with very low carb, I've been backsliding in weight gain and health for the last few years, despite rigorous very low carb diet. I got this meter and lo and behold, I wasn't anywhere near ketosis. As soon as I cut WAY back on protein, a la Volek/Phinney/Moore, I start going into ketosis again. I've played with this up and down a couple of times now, and it's totally repeatable even over a single day. I had to drop from an average of 150g protein/day down to around 70g protein/day. That's pretty close to the "0.5g protein/lb lean body weight" amount suggested by Volek and Phinney.

    Also, my fasting glucose dropped when I dropped the protein. It bounces around a lot, but the trend seems to be upper 90s before, low 80s afterwards.

    It doesn't seem to matter how many calories I eat, or how much fat I eat. Ketosis seems to be directly tied to the ABSOLUTE amount of protein and carbs I eat. Once I've hit my protein and carb limit for the day, I can stop eating or I can guzzle pure fat; it doesn't matter. This holds true whether I eat 800 or 1600 calories in a day. It basically means I have a meat and eggs budget for the day (my two largest sources of protein).

    I don't think it's really about the macronutrient ratio in your diet. I think it's about absolute amounts that you can tolerate. I think focusing on percentages of macronutrients just confuses the issue; if you eat 70g of protein each day, the daily percentage of protein will change if you eat 800 calories one day and 2000 the next. Percentages only make sense in the context of a constant number of calories. It's not mathematically incorrect to talk about percentages, it's just a more indirect way to calculate things. Just like expressing your carb limit as 20g/day; it's much simpler to track.

    I bought the ketone strips from the Canadian pharmacy that Jimmy mentioned in his original post. Much cheaper, but they did take almost a month to arrive. But even at high US $ rates, I think a pack or two of strips is a worthwhile investment if you aren't already dialed into steady weight loss.

    Replies: #105, #108
    Read more →
1 2 3

All Comments

  1. DoragonMama
    @Tracy I have two monitors, one that is for BGL and on that does both. The one that does both needs to be re-calibrated when you switch from one type to the other, which is a pita.

    Much easier to have both and use them each for it's one purpose.

    I also got both of mine free from manufacturer giveaways, just google for free ones and I am sure something will come up. They are happy to give the monitors away since they make their money on the strips.

  2. Free Nova Max Blood Glucose/Ketone Testing Monitors at this site.

    http://www.novacares.com/dmom.php

    You can also find the cheapest Ketone Blood Strips at a price of $18.74/box of 10 from CVS online.

  3. Jonathan Swaringen
    They don't have it at Walgreens :( . How annoying...I work there would be nice.

    I just noticed CVS is out of stock....was that people on this thread :) lol

  4. Fabs
    Hi guys, I need some help here, I been on diet for like a month, I haven't taste any sugar at all, and I have carbs once a week, I just eat, chicken , eggs and bacon ,pork, beef, tuna, and salad,with avocado, sour cream, mayonnaise, butter, thickened cream, everything fried on macadamia oil. I bought a freestyle machine in special for 5 dollars, and I been doing measuring, but is so frustrating when my level of ketosis is 0.1, the maximum I reach once was, 0.3. Am I doing something wrong, ? Maybe Im drinking tooo much water?, could be the coffee I drink? or maybe too much protein?
    Reply: #106
  5. Hey Now
    Thanks very much for this comment; I am in a similar situation at the moment.
  6. Butch
    The Art and Science of Low Carbohydrate
    The Art and Science of Low Carbohydrate Performance
    both by Volek and Phinney

    good start to get some answers

  7. Butch
    FREE - Precision Xtra Blood Glucose and Ketone Monitoring System

    https://www.myfreestyle.com/upgrade-your-meter-today/select-your-mete...

  8. This is very interesting to me as I have been on LCHF for over a month and have seen very little weight loss/fat loss. Little as in.... drop 4 lbs, gain 2, drop 3, gain 1. I'm so frustrated. I'm now wondering if it's the amount of protein I'm eating. I have been pretty much sticking to under 20g carbs per day. I'm wondering if I should drop the amount of protein and increase green vegetables. Thanks for our post.
    Reply: #109
  9. nostents4me!
    Yes indeed, reduce proteins, or also get a ketone meter! Check #85 above and her good results here: http://lowcarbbetterhealth.blogspot.ie/search/label/Ketone%20Testing
    Good Luck!
  10. Zepp
    I think this is special to Sweden, that we point out that this is a High Fat diet, (Ketogenic)!

    Not that Atkins and other gurus sayd it should be a High meat diet.. but this is the missconception for a ketogenic diet.

    And the name comes from that.. so you eating a low carb high meat diet.. no im eating a low carb high fat diet.. LCHF!

    And that did make people to be more worried.. you know everybody knows that fat is a poison!!

    And to that.. one shouldnt eat to much protein, thats unnesecery, protein is mostly a boulding stone for our bodys, and we need about 1 gram/kg a day.

  11. Rebecca, thank you for your post! I have been on LC/HF for about 3 months, and after reading a lot of these posts and your post, I definitely think it's the protein. Thanks also for the references as to where to buy the meter and the strips. I also found out today that avacado is anywhere from 12 grams of carbs to 23, and I've been eating a lot of avacadoes. I thought it was pure fat!

    I am using the meter. If you want to see my results, go here for weekly reports: http://lowcarbbetterhealth.blogspot.com/search/label/Ketone%20TestingThe short story is that now that I am in nutritional ketosis, verified by my ketone meter, I am losing weight for the first time in over a year. There is no doubt in my mind that I was eating too much protein up until now.Did I need the meter? I guess I could have just reduced the protein and waited to see if I got results, but that would not have been as much fun!I bought the Precision Xtra from Amazon.com and I got the strips from the Canadian pharmacy for around $2 each from universaldrugstore.com

  12. Long read but get through it, I think this is VERY interesting! I'd love to start a convo about this and see you guys' thoughts.

    After much waiting from a Canadian drugstore, I finally got 30 test strips in for the Precision Xtra ($2 a pop). I plan on using them pretty sparingly obviously. I am no diabetic and was a bit overweight before starting a strict ketogenic diet a year ago. My only method of making sure what I ate was was using a blood glucose monitor (again even though I am not diabetic... I just like data).

    I've already done three tests today and the numbers were all over the place. But I think my situation is different than most LCHF'ers and what it would have been if I didn't recently tweak my diet. Here's what happened:

    In 2012 I did LCHF and within 3 months lost about 25-30 lbs (mostly fat as measured by hydrostatic weighing). Then I didn't change my diet but my fast weight lost just stopped. I figured it's just a plateau and if I just keep doing what I'm doing, my fat will start to melt away like it has again. Well, 9 months later, my weight and fat (still making me look just slightly overweight and pair shaped with a good band of fat around the naval, back, and buttocks). So I used the power of logic to think of how to tweak this diet... So here is my thought process:

    I've been eating a very high amount of dietary fat (80% fat), as I was trying to aim for Phinneys ratios. I ate no more than 20-25 grams on a higher carbohydrate day. My protein was fairly low (or so I thought). And I probably ate about 150 grams of fat a day. I've definitely keto adapted, as the MINIMUM amount of time I ever stay in ketosis without breaking the diet was 6-7 weeks (and around 7 weeks I'd usually have ONE free day because the thought of never having Auntie Annie's Pretzels ever again is too much for me to handle, so 7 weeks at a time helps me stay disciplined and very strict, and allows plenty of time to re-keto adapt). Oddly enough, I've never NOT shown purple on the ketone urinalysis sticks (except after those free days).

    So a few weeks ago, I thought: what if I eat the same # grams of protein and carbs as I have been but just reduce the fat. This would surely make my body rely on body fat instead of the dietary fat I've been giving my body plenty of. So now I'm eating about 15-20 grams carbs a day, 70-100 grams protein, and as little fat as possible (usually between 20-40 grams). If my weight hasn't changed while I was eating 150 grams, that must mean all 150 grams of fat were being used in gluconeogenesis. So cutting down to 40 grams of fat a day means 110 grams of that fat used in gluconeogenesis must come from body fat. Obviously eating less will slow metabolism but even still, if 60 grams a day of fat came from fat, thats about 3,700 cals of fat from body stores a week!

    Then I found out this is basically Lyle McDonalds Rapid Fat Loss. And that Phinney has said on multiple occasions that in order to lose weight, one must eat less fat and keep carbs/protein constant and low so that their body turns to burning from fat stores.

    The body should still see it as a low carb high fat diet, the only different is the fat that your body is "eating" comes from you not that ribeye steak (that I miss oh so much right now). During my high fat days, I always had to remind myself to eat like many ketogenic dieters report. I still managed to eat 1800+ cals a day (I am 5'6 and weight about 139-141). For the past 2.5 weeks I've been eating about 500 cals a day almost exclusively from protein and a tiiiiny bit of fat. And I still don't feel hungry, which implies that my body is eating away at the fat stores still I hope! Although 500 cals seems extreme, I believe my body is still "eating" 1800 cals a day from the inside. And the urine ketone strips are still in the darkish purple range which means it's burning fat from somewhere! And don't worry, this is just for change and not a type of diet I'd stay on. After I am done losing the fat I want, I'll add the dietary fat back. In theory, the composition of my diet never changed.

    Back to my original reason for posting (sorry this is getting long). So I got my ketone strips today 2 hours after waking up. So I tested (before my first meal) and my blood ketones were at 1.2 mmol/L and glucose at 95 (which is very odd for me since usually my fasting glucose is around 75.. I don't have an explanation for this yet.). I didn't eat for another hour but had a double espresso and tested an hour after that. My ketones were then at 1.6mmol. My blood glucose at that point was 73 (back to my typical fasting levels). Then a bunch of very stressful things happened in my day that kept me from eating my brunch! Dog sitting and the dog uprooted my carpet and now I have to get it professionally repaired. And then she soiled the carpet in another area! My cortisol must have been through the roof, I was fuming. But finally I ate and by now it was 4PM. I made chicken breast, a tiny bit of cheese (5grams of fat worth) and asparagus baked with no oil. I know, it is so bland without all that fat I'm used to. And I almost never eat chicken breasts, I usually opt for greasier meat like steak or fatty fish. Before that I had a small bite of beef jerky while the chicken was baking (probably only 2-3 grams of carbs if I round up, and 5 grams protein). The chicken was about 40 grams of protein worth. Anyways, an hour after that meal, which I would call moderate (on the side of higher) protein at about 45 grams protein in one sitting, almost no fat, and almost no carbs, my blood ketones were tested again. I was actually expecting HIGHER ketones since everyone testing their blood ketones reported higher ketones throughout the day. But my blood ketones were 0.4mmol/L! Completely caught me off guard.

    Again, throughout the day, thats:
    1.2
    1.6
    0.4

    It got me thinking, what's the reason for this? Was it all that stress I just endured through this day? Was my 45 grams of protein in one sitting way too much and caused a big insulin spike? Has my body been quickly using up all the ketones in my body faster than my body could produce more? Surely, the fat in my body isn't just stuck there in adipose tissue because this is no different than I have been dieting for the last 2.5 weeks and I have stayed in ketosis (based on urinalysis and the tests earlier today). And the fact that I've already lost 3lbs of weight while putting on noticeable muscle with resistance training that I started Jan 1.

    Perhaps the fact that I am eating a lot less fat than everyone else checking their blood ketones, the effect of more ketones towards the night doesn't apply. Maybe the reason everyone else's ketone levels read higher at night is because they've been eating a lot of fat throughout the day? What do you think?

    Another thing that I might consider of why my ketone levels were only at 0.4 is because when I tested, my hands were pretty sweaty, which my have diluted the blood to ketone ratio. But I doubt it would have cut it to 30%! It's been a couple hours and I'll test again soon to see if my ketone levels went back up, but I figured I'd post all of this for those of you who are interested and want some food for though :D

    Reply: #115
  13. Martin
    Hi all,
    Googling for this device (where to buy, how to use it) I found the producer's site ( https://www.abbottdiabetescare.com/products/patient/pxtra-ketone-test... ). The striking thing here was Abbotts information'about ketones, suggesting that high ketone levels are life-threatening:
    "What are ketones?
    In diabetes, there is not enough insulin to help your muscles absorb glucose from the blood. And when your muscles are starved for energy they start to "burn" fat. This produces breakdown products called ketones. These are toxic acids. The accumulation of these acids in the body may lead to elevated levels of ketones (called ketosis).

    Diabetic ketoacidosis (DKA):
    - Seriously elevated ketone levels
    - Occurs when excessive levels of ketone accumulate and the body becomes acidotic
    - It is a potentially life-threatening condition
    - β-Hydroxybutyrate is the predominant ketone associated with DKA "
    Scrolling down, it becomes clear that these high ketone levels are dangerous only if the blood sugar level is high too
    "- If your blood ketone result is between 0.6 and 1.5 mmol/L and your blood glucose result is higher than 300 mg/dL, this may indicate development of a problem that could require medical assistance. Follow your healthcare professional’s instructions.
    - If your blood ketone result is higher than 1.5 mmol/L and your blood glucose result is higher than 300 mg/dL, contact your healthcare professional immediately for advice and assistance. You may be at risk of developing diabetic ketoacidosis (DKA)."
    I think that if you're on LCHF, the blood sugar level is close to zero, so no danger here. Right?

  14. Zepp
    No.. your blood sugar are not going to zero.. becuse then you are dead!

    There advice is for type 1 diabetics.. they have to manage both blood sugar and keton bodys.

    And on a type 1 diabetic state, one cant produce insulin.. how regulate both blood sugar and keton body production.

    With a normal insulin excretion.. one get normal blood sugar levels and more keton body produktion on a low carb diet.

    If the keton bodys in the blood rise to high.. insulin is excreted to lower the lipolysis.

    Normal carb eaters have about 0-0,6 of keton bodys in there blood.. about 1-3 says to be an diet induced state as an outcome of a ketogenic diet, over 3 is often an starving or exercise induced state.

    Ketoacidos is more then that.. and typical its only type 1 or alcoholics that get in this situations.

    http://en.wikipedia.org/wiki/Ketoacidosis

  15. nostents4me!
    Blood ketones 0.4....
    You measured that just one hour after meal, i.e. postprandrial BS and ketones.
    If you test BS at same time after same meal tomorrow you may see BS over 110 and same poor Ketones after the meal. Seeing the high BS at same time would confirm it for me. I understand ketones are produced only when BS is at or near a low, usually due to low carb intake and lack of liver glucogenesis.

    I find that my BS now rises on a high protein meal much more than I expected. (I did not measure first time on LC diet!)
    And ketones drop off to below 1 within hours when BS goes up much over 100.

    Protein has two side effects. 1/ It drives insulin almost 50% of what carbs do. 2/ Liver can make BS out of it.
    The 2nd effect is the one that the liver seemingly gets better and better on over time, and the key reason success in weight loss often lasts well only first 3-6 months...

    After that time , or on a plateau, proteins must be reduced, simplest by using a blood ketone meter as a tuning(!) yard stick. It cuts out the guess!
    But if the body is going to burn the body fat, also the fat intake must be reduced....!

    I have had keto readings over 2 for weeks with a constant weight now, which mean I need to cut out some butter and coconut oil, or take a few extra walks... When I did cut out evening cheese bits (with butter...) 6 weeks ago after I re-started using keto-meter to tune, I lost 2 kgs in 3 weeks immediately.
    Moving down from the new plateau, I feel confident I know how to do again and weight has started to drop again... I also think that belly fat that is over 10 years in place may become harder to shift over time? Next to test again is to add proteins when ketones go up over 3 and BS down at 4, to confirm consistency.

    The insulin promoting effect of proteins is another reason to moderate these, if from meat or not! After all, excess fasting insulin or IR usually come out as a strong common denominator in DB2, CVD and cancer.
    And high insulin common denominator is primarily excess carbs, but also just excess protein.

    Fats alone on the other hand has near zero influence on insulin, but PUFAS have their own problems, like unwanted peroxidation which the guys on HYPERLIPID know lots about!
    A good reason to stay miles away from Benecol and cheap veggie oils.

  16. Bonnie
    My first ketone reading was 2.1 after 9 days on a high fat low carb diet. I've been averaging around 75% calories from fat and keeping my carbs below 30g most days (the highest has been 32g). I'm now 12 days into the diet. My reading this morning (fasting state) was 1.1. I'm pretty happy with that. I started out with 10lbs to lose, and have lost 5. Most of it was in the first couple days (water weight I'm sure). I feel really good on this diet, and am excited to see what changes the next few weeks bring!

    What does everyone use for tracking calories and macronutrients? I started using the DailyBurn Tracker iPhone app and that seems good, but am wondering what else is out there that is easy to use

  17. lyn thiessen
    Where can one find this meter.......checked amazon.....not finding......also......what do you think about Julian Bakery's Paleo breads......coconut and almond.......are they hype too????Dare we trust.....the coconut bread tastes like a sour sponge and smells like one .....waiting for the almond bread.......at this point.....almost easier to just give it up. Your input will be appreciated. lyn
    Reply: #120
  18. nostents4me!
    I used this Canadian company: http://www.universaldrugstore.com/medications/Precision+Xtra/

    Also here: http://www.kostdoktorn.se/keton-och-blodsockermatare/

    Try the coconut in coffee instead of these breads. But if they only contain coconut oil and almond it could be ok.

    But bullet coffee is hard to beat, maybe with coconut tea.

    Good luck.

  19. Galina L.
    Guys, if you determined to have a bread-like food, make an Atkins muffin, it takes 1 minute of a microwave "baking" in a coffee mug. Mix 1/4 cup of almond flour, you can add a TBs of coconut flour or add a little bit more almond one, add one egg , pinch of salt, 1/2 tsp of baking powder mix all. I would gain weight on that one, but it works for some people
  20. Jonathan
1 2 3
up

Leave a Reply

Reply to comment #112 by Derek

Pictures of participants through Gravatar