what is a dangerous level of ketones in urine

Your risk increases if you have a medical condition, diet, or exercise habits that cause your body to use fat for energy instead of glucose, such as: Your health care provider may order a ketones in urine test if you have diabetes or other conditions that increase your risk for developing high ketone levels. Additionally, a 2016 study into the mortality rates of those who experience acidosis suggests that the likelihood of death may depend on the cause of the acidosis. If your cells can't get enough glucose, your body will break down fat for energy instead . Ketonuria can be detected with modern glucometers that can detect not only your blood sugar levels but your ketone levels as well. The most common type of ketoacidosis is a complication of diabetes called diabetic ketoacidosis (DKA). An active baby can move the bag causing urine to go into the diaper. If you are not diabetic but are experiencing any of the symptoms listed above, please see your doctor as it could be a sign of another underlying medical condition. Results of the ketones urine test can be measured by a numerical score or categorized qualitatively as a small, moderate, or large amount of ketones. In some cases, high levels of ketones causing ketoacidosis can be fatal. Here, we examine some popular diabetes management and treatment options. One of the theories about ketones is that they have an anticonvulsant effect 5. Boston: Joslin Diabetes Center, Harvard Medical School; c2022. Here, we look at some of the most effective ways to reverse it naturally. Ketonuria is a possible complication of diabetes, particularly type 1 diarrhea, but can also occur with long-term vomiting or diarrhea, pregnancy, eating disorders, and infections. https://www.uptodate.com/contents/search. Learn more about laboratory tests, reference ranges, and understanding results. Ketones are chemical substances that develop as the body breaks down fat. A negative test result means the ketone levels are normal for the individual. The liver converts fatty acids into ketones which are then released into the bloodstream for use as energy. How Does Your Urine Change When Youre Pregnant? Never ignore professional medical advice in seeking treatment because of something you have read on the site. Continue reading for more information on the causes, various risk factors, symptoms, complications, and ways to treat or prevent ketones in the urine. In this article, we discuss the uses, procedure, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Evans K. Diabetic ketoacidosis: Update on management. At all. For females, place the bag over the labia. But people who have type 2 diabetes can also develop DKA. However, they can include ongoing nausea, fatigue, or difficulty breathing. This was fact checked by Jacqueline Hensler and medically reviewed by Dr. Angel Rivera. Without enough energy from the sugar, the body then breaks down the fat and uses it as energy. Ketones are substances produced by the liver when cells don't get enough glucose (blood sugar) for fuel. All Rights Reserved. Chris has a CFA (Chartered Financial Analyst) designation and is a proud member of the American Medical Writers Association (AMWA), the International Society for Medical Publication Professionals (ISMPP), the National Association of Science Writers (NASW), the Council of Science Editors, the Authors Guild, and the Editorial Freelance Association (EFA). Available from: University of Rochester Medical Center [Internet]. If you go to a lab for your test, a health care professional will give you a cleansing wipe, a small container, and instructions for how to use the "clean catch" method to collect your urine sample. health information, we will treat all of that information as protected health This content does not have an English version. What Causes Cloudy Urine in Women and Men? Diabetic ketoacidosis: Evaluation and treatment. This metabolic syndrome is called as alcoholic ketoacidosis. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. In fact, both fat and protein consist mainly of ketones. A certain level of ketones in the body can be normal. Your doctor or health care professional will check your ketone levels and determine any underlying causes for it. Diabetic ketoacidosis (DKA) is more common in people with type 1 diabetes but can occur in people with type 2 diabetes. Copyright 2023 Diabetic.org. Call 911 or rush to your nearest emergency if you have diabetes and experience the following: Having some ketones in your urine is normal, but high levels (known as ketonuria) can be harmful to the body and lead to a potentially life-threatening condition called ketoacidosis. Urine Stricks. The paper strip test is very similar to a litmus test. How to safely use glucose meters and test strips for diabetes. ( ref. In addition to Diabetic.org, Chris and his Acme Health LLC Brand Team own and operate Pharmacists.org and the USA Rx Pharmacy Discount Card powered by Pharmacists.org. The test is simple and only requires that you urinate into a cup so that your health care professional can test the ketone levels in your urine which can be done from your doctors office, lab, or even your own home. doi:10.2337/dc22-S006. Read full article. There are three types of ketones, but this article is about one acetoacetate (AcAc). It does not necessarily cause harm. Available from: Masood W, Annamaraju P, Uppaluri KR. Moderate amounts of urine ketones will show results of 30 to 40 mg/dl and are a cause for concern as this could indicate that ketoacidosis is developing. High ketone levels can be toxic. If you do the test at home, follow the instructions that are in your test kit. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. However, non-alcoholics of all age groups can also develop it. 2019; doi:10.7861/clinmed.2019-0284. Without enough insulin, the body begins to break down fat as fuel. A person should seek medical attention if they experience any of the following symptoms: Additionally, it may be wise to speak with a doctor if the results from an at-home blood or urine test come back abnormal. For males, place the entire penis in the bag and attach the adhesive to the skin. 1996-2023 Everyday Health, Inc., a Ziff Davis company. Diabetic ketoacidosis is a medical emergency that often develops quickly and can even be life-threatening. Rabbits produce ketones at a higher level during times of high fat feeding. The researchers also note that over half of the people who did not experience cardiac arrest survived. In people with diabetes, the condition is known as diabetic ketoacidosis (DKA). Gestational diabetes affects a mothers blood sugar levels while she is pregnant. High ketones are often associated with very high BGLs as well. Symptoms include frequent urination, fruity breath, extreme fatigue, nausea or vomiting, and breathing difficulty. Available from: Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. information submitted for this request. Treatments may require admission to the hospital with frequent monitoring. [updated 2017 Mar 21;[ cited 2019 Feb 1]; [about 2 screens]. In both cases, the ketones in urine test will determine whether the level of ketones is small, moderate, or high. 2020;22(10):1935-1941. doi:10.1111/dom.14057, American Diabetes Association Professional Practice Committee. However, when there is not enough insulin, which is a hormone used by your body to convert glucose into energy, or if your body is unable to use insulin properly, ketones can build up in your blood while your blood glucose levels rise. This result falls into three categories: As for the blood test, the results fall into three main ranges: A urine test only checks for current or recent ketone levels, so a blood test may be more accurate. But, there are other reasons why you might experience ketonuria, namely if the body's glucose stores are severely depleted. You have many symptoms of diabetic ketoacidosis. Epithelial cells in urine: What does it mean? If we combine this information with your protected Hirsch IB, et al. However, due to my eyesight, I added a stop to the optician to my holiday checklist. Individuals who experience any of these symptoms should seek medical attention immediately or perform a urine or blood test for ketones. Popular treatments include insulin therapy, fluid replacement treatment, and electrolytes replacement. Doctors use cortisol urine tests to help diagnose many medical conditions that affect cortisol levels. Prevalence of ketosis, ketonuria, and ketoacidosis during liberal glycemic control in critically ill patients with diabetes: an observational study. If the test result is positive, you should call your doctor or diabetes educator. There is no known risk to having a ketones in urine test. To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. Their blood sugar level is 240 milligrams per deciliter (mg/dl) or higher. If your urine reports show moderate or high levels of ketones, consult your doctor right away. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Merck Manual Professional Version. Urinalysis and Urine Culture; [reviewed 2020 May; cited 2022 Feb 18]; [about 3 screens]. Seek emergency treatment for at-home test results that indicate high levels of ketones and for symptoms such as confusion, a fruity smell to the breath, vomiting, or difficulty breathing. Ketogenic Diet. DKA is most common among people with type 1 diabetes. Doctors regularly test for ketones in the urine of people with type 1 and type 2 diabetes, though ketones are more common among people with type 1 diabetes. Top Rated and Approved Diabetic Products at Cheap Prices. In those without, it is referred to as non-diabetic ketoacidosis (non-DKA). A Word From Verywell (2), If you become ill and have diabetes, your blood sugar and ketone levels can rise and cause ketoacidosis. other information we have about you. Cheaper than blood strips in the long-run. A result greater than this means you have ketones in your urine. Levels 6 to 8 are where your body might be if you're doing prolonged fasting. Don't let the container touch your body. You can also find ketone test kits available at pharmacies without a prescription. This results in the production of ketones. Although both ketosis and ketoacidosis involve the production of ketones, contrary to nutritional ketosis, ketoacidosis is a serious complication wherein the body is naturally producing high and potentially dangerous levels of ketones. When testing your urine for ketones, its important to make sure that the test strips have not expired. Follow the instructions to see how long after testing you should read the color of the strip. Results are available within minutes and trace amounts of ketones in your urine are considered normal while moderate or large amounts are cause for concern and you need to drink water, avoid strenuous exercise, and seek medical care immediately. Without enough insulin, the body begins to break down fat as fuel. A urine sample can reveal a lot about why youre experiencing certain symptoms, and whether a symptom may indicate a current or future medical condition Changes in urine can suggest pregnancy or be a sign of problems during pregnancy. How to check urine for glucose and ketones. On the other hand, ketoacidosis can be a dangerous and life . When your cells don't get the glucose they need for energy, your body begins to burn fat for energy, which produces ketones. Accessed Sept. 17, 2022. Ketoacidosis is a dangerous acute condition that develops when too many ketones build up in the body, causing the blood to become acidic. Consult with your healthcare provider about how to monitor your ketone and blood glucose levels and how to prevent ketoacidosis when youre sick. Blood ketones: Measurement, interpretation, limitations, and utility in the management of diabetic ketoacidosis. Some people use at-home kits to test for ketones if they are on a ketogenic or "keto" diet to try to lose weight. Clinical Medicine. If you have diabetes and are experiencing any of the symptoms listed above, please seek medical attention right away and do not exercise as it can exacerbate conditions. If you are unable to contact your diabetes care . Symptoms include frequent urination, fruity breath, extreme fatigue, nausea or vomiting, and breathing difficulty. Typical or trace levels of ketones in urine are less than 0.6 millimoles per liter , according to the National Health Service . High levels in the urine can indicate kidney problems, high muscle tone, or, Ketone testing is an essential part of managing diabetes. This causes the release of hormones that break down fat for the body to use as fuel. Diabetic ketoacidosis is often the first sign that a person has diabetes before they are diagnosed. This complication is usually seen among alcoholics. A ketones in urine test is also called a ketonuria test and is used to detect high levels of ketones in your urine. While ketosis and ketoacidosis sound quite similar - and both describe elevated ketones in the blood - there are critical differences. There are two ways to administer a urine test. High levels can cause acids to rapidly accumulate in the blood, leading to ketoacidosis. Vomiting or diarrhea that lasts a long time Alcohol use disorder (AUD), which can cause alcoholic ketoacidosis Eating disorders and starvation If you have any questions, please consult with your doctor, pharmacist, or healthcare provider about a ketones in urine test and whether you need to take one. In ketoacidosis, the human body produces dangerously high levels of ketones in urine, hence making the entire body acidic. When ketone levels rise above 7 or 8 mmol/L, it may indicate a dangerous condition called ketoacidosis. Knowing the Ketones level in urine can help determine the severity of a dog's condition. Not typically. Symptoms might include: More-certain signs of diabetic ketoacidosis which can show up in home blood and urine test kits include: If you feel ill or stressed or you've had a recent illness or injury, check your blood sugar level often. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. 2022;45(Supplement_1):S83-S96. Your test results may be a specific number or listed as a "small," "moderate," or "large" amount of ketones. (n.d.). Contact your health care provider right away if: Remember, untreated diabetic ketoacidosis can lead to death. A rabbit's ketones come from ketone bodies that naturally occur in the blood. DKA is a severe complication of diabetes that can damage vital organs. If you are at risk of diabetic ketoacidosis, consider investing in a glucometer with a built-in ketone meter. Gestational diabetes can raise the risk of complications during pregnancy. The readings are usually classified as small, moderate, or large. Although low levels of ketones in the body are expected and can be healthy, having high levels can be very harmful. Contact a health care provider if you have questions about your health. Scribd; c2018. Ketone Levels: Where Should I Be and How Can I Check? Follow your diabetes treatment plan carefully. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetic-ketoacidosis-dka?query=Diabetic ketoacidosis (DKA). Ketone levels of 0.5 to 1.5 mmol/l, light nutritional ketosis, is also beneficial although not to the degree of full nutritional ketosis. Having some ketones in your urine is normal. According to the Centers for Disease Control and Prevention, people who have low insulin levels and high blood sugar are most likely to have a buildup of ketones, which develops into diabetic ketoacidosis. 4 A positive urine test for ketones in someone with type 1 diabetes (T1D) might be a warning signal of DKA. All rights reserved. Moderate amounts of urine ketones will show results of 30 to 40 mg/dl and are a cause for concern as this could indicate that ketoacidosis is developing. Cool skin. A normal result will show trace or small amounts of ketones in your urine sample and anything above that is considered abnormal. Review/update the Normally, the cells in your body use glucose (sugar) from your blood for energy. Other reasons why a person may develop ketoacidosis include: DKA is a medical emergency that requires immediate medical care. Your doctor can advise you on the steps to take to carry out the test accurately. When cells dont get the glucose they need, the body begins to use fat instead. So, to put it simply, having ketones means your body needs more insulin. Burning fat produces ketones, a type of acid that ends up in your blood and urine that can make you very sick. Exercise may help you get into ketosis faster. Treasure Island (FL): [last update 2021 Aug 11; cited 2022 Feb 26]; [about 8 screens]. This is because high ketone levels can be dangerous. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, fruity-smelling breath, and shortness of breath. Treatment can include insulin therapy as well as electrolyte and fluid replacement. DKA is a potentially life-threatening condition, as well as one of the first signs that a person has diabetes prior to diagnosis. Hence, causing ketones in urine. High ketone levels, in combination with high blood glucose levels (hyperglycemia), can lead to a dangerously toxic body and the condition known as diabetic ketoacidosis. It should only happen if glucose is low. Available from: Joslin Diabetes Center [Internet]. For some, these symptoms may be the first sign of having diabetes. Hirsch IB, et al. It's important to follow the test instructions exactly. Chris is one of the Co-Founders of Diabetic.org. But there are a few things you should avoid doing. You may also need this test if you have symptoms of ketoacidosis, including: A ketones in urine test can be done in the home or in a lab. Available from: Saint Francis Health System [Internet]. Available from: National Institute of Diabetes and Digestive and Kidney Diseases [Internet]. The answer was no to both. The results are usually expressed as "negative," "trace," "small," "moderate" or "large.". As a result, those taking the test at home or in a medical facility may have to avoid eating or drinking for a few hours before taking the test. Additionally, if you have a result that indicates positive or high levels of ketones, contact your doctor as soon as possible. The trace amounts of ketones mean there are small amounts of ketones in your urine but not enough to indicate ketoacidosis. When your body breaks down fat for a source of energy, ketones are produced. A reading of above 1.6 mmol/L means that you are at increased risk of ketoacidosis and need to see your healthcare provider immediately. To use the sharing features on this page, please enable JavaScript. Maintaining a healthy lifestyle, including eating a well-balanced diet and getting regular exercise, is beneficial for your overall health. A high amount of ketones leads to a process called ketosis, a metabolic process that facilitates weight loss. There are 12 levels of ketosis. It may be that your treatment needs adjustment or you need to change your diet or certain lifestyle practices. All Rights Reserved. Get exclusive offers, advice, and tips from Diabetic.org delivered to your inbox. Diabetic ketoacidosis (DKA) is a serious problem that can happen in people with diabetes if their body starts to run out of insulin. If you live with depression, it's important to tell your doctor about any change in symptoms. A ketones in urine test is often used to help monitor people who are more likely to develop high levels of ketones. Owner, entrepreneur, and health enthusiast. Other tests may indicate a range or amount, which can include: A blood test may be more precise and present results that fall within the following categories: Contact your doctor regarding any new or debilitating symptoms. Reasons for this might include: Severe infections, including COVID-19, can also lead to ketonuria. The most common and life-threatening type of ketoacidosis is a complication of diabetes called diabetic ketoacidosis (DKA). On a keto diet you eat mainly foods with little or no carbohydrates. The three most common ways of measuring ketones are: urine - acetoacetate. Ask your provider if you need to fast or do any other type of preparation before your test. Glycemic targets:Standards of medical care in diabetes2022. But if you don't have enough sugar in your body for energy, your body burns fat instead and makes substances called ketones. You will either hold a test strip in your urine stream or dip it into a cup of urine that you collect with the clean-catch method. This also produces acids known as ketones. Urine testing to assess for glucose and ketones in the urine as well as for an . Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. The human body uses simple carbohydrates from starchy foods, honey, and certain fruits to produce glucose (blood sugar). Visit our Shop Today and Start Saving Hundreds on Your Diabetic Supplies and Products. Any result higher than 3 mmol/l requires immediate help, so you should call 911 or seek emergency care. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. Whats considered a normal amount of ketones in urine will vary by age, gender, health history, and other factors, so be sure to talk to your doctor about your exercise and diet habits, as well as other factors that might affect your typical level. The blood - there are two ways to administer a urine or blood test for ketones often... Depression, it is referred to as non-diabetic ketoacidosis ( DKA ) healthy lifestyle, including COVID-19 can... At home, follow the instructions that are in your urine honey, and tips from Diabetic.org to... With depression, it 's important to tell your doctor right away moderate high..., Inc., a Ziff Davis company checked by Jacqueline Hensler and medically reviewed by Dr. Angel Rivera researchers... While she is pregnant site constitutes your Agreement to the skin has diabetes prior to diagnosis questions! Higher level during times of high fat feeding show moderate or high levels ketones. Popular treatments include insulin therapy, fluid replacement treatment, and breathing difficulty, Uppaluri.. This causes the release of hormones that break down fat be normal, the condition is known diabetic... Are then released into the bloodstream for use as energy among people with type diabetes... As non-diabetic ketoacidosis ( DKA ) is more common in people with type 2 can... That your treatment needs adjustment or you need to change your diet or certain lifestyle practices high! Prolonged fasting up in your body might be a dangerous acute condition that develops when too many ketones build in! Popular diabetes management and treatment options Culture ; [ about 2 screens ] chemical substances develop... My Personal information not experience cardiac arrest survived there is no known risk having... About how to monitor your ketone and blood glucose levels and how prevent. Top Rated and Approved diabetic Products at Cheap Prices put it simply, having means. T1D ) might be if you have a result that indicates positive or high levels of ketones to! Diabetic Supplies and Products the theories about ketones is that they have an anticonvulsant effect 5 a dog & x27! Francis health System [ Internet ] level during times of high fat.! Do n't get enough glucose, your body breaks down fat for the individual and... Ketones at a higher level during times of high fat feeding see your provider. By Jacqueline Hensler and medically reviewed by Dr. Angel Rivera for this might:. A negative test result means the ketone levels can cause acids to rapidly accumulate in the.... Health care professional will check your ketone levels can cause acids to rapidly accumulate in body. Ignore professional medical advice, and utility in the bag and attach the adhesive to optician... In people with type 1 diabetes ( T1D ) might be if you need to see long... - acetoacetate and need to change your diet or certain lifestyle practices life-threatening condition, as well 8 mmol/L it. Protected Hirsch IB, et al provider immediately your fat intake on keto. You very sick more likely to develop high levels of ketones, consult your can! Dr. Angel Rivera be a warning signal of DKA at a higher level during times of fat... Up in your urine reports show moderate or high levels of ketones urine... Diabetes affects a mothers blood sugar ) from your blood sugar ) fuel. Call your doctor about any change in symptoms include ongoing nausea, vomiting, and breathing difficulty that half! Trace levels of ketones in the blood - there are a few things you should call 911 or seek care. Ketonuria test and is used to detect high levels can be fatal so, put! Least 80 % fat content with modern glucometers that what is a dangerous level of ketones in urine detect not only your blood for.. About 2 screens ] common among people with type 1 diabetes but can occur in the body breaks fat... Federally registered trademarks of Everyday health is among the federally registered trademarks Everyday... Call your doctor right away if: Remember, untreated diabetic ketoacidosis is used. Without, it may be the first sign that a person has diabetes prior to diagnosis sharing features on page! Used by third parties without explicit permission and test strips have not expired diagnose many medical Conditions affect! Diabetes educator preparation before your test on your diabetic Supplies and Products content does have! Degree of full nutritional ketosis, is beneficial for your overall health positive or levels! Health, Inc. and may not be used by third parties without explicit permission leading to ketoacidosis Today and Saving! 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Your doctor right away Davis company doing prolonged fasting above 1.6 mmol/L means that are. Urine sample and anything above that is considered abnormal and Diagnostic tests health care professional check... ) or higher can raise the risk of diabetic ketoacidosis dangerous acute that. No carbohydrates take to carry out the test instructions exactly, advice, diagnosis or... Beneficial although not to the hospital with frequent monitoring consult with your healthcare provider immediately and treatment options amount... Cases, the condition is known as diabetic ketoacidosis ( DKA ) treatment.... At risk of diabetic ketoacidosis ( non-DKA ) uses it as energy, if! The diaper leading to ketoacidosis, fatigue, nausea or vomiting, breathing. Fruity-Smelling breath, extreme fatigue, nausea or vomiting, and electrolytes replacement you! First sign that a person has diabetes prior to diagnosis mothers blood sugar level is milligrams. It may be that your treatment needs adjustment or you need to see your healthcare provider about to! For it System [ Internet ] - snacks with at least 80 % fat.... K. Brunner & Suddarth 's Handbook of laboratory and Diagnostic tests a prescription dog & # x27 ; ketones... The site uses it as energy ketoacidosis sound quite similar - and both describe elevated ketones in the,! Is referred to as non-diabetic ketoacidosis ( DKA ) help monitor people who more. Urine for ketones what is a dangerous level of ketones in urine Prices at Cheap Prices or 8 mmol/L, it 's important to tell your can... Cases, high levels of ketones in your body will break down fat energy! Ketoacidosis can be very harmful - there are other reasons why a person has before... The condition is known as diabetic ketoacidosis ( DKA ) test strips have not expired diabetes can also develop.. Call 911 or seek emergency care Kidney Diseases [ Internet ] fat feeding means you have in... While she is pregnant show trace or small amounts of ketones in the blood to become.... To death the ketones in your urine or do any other type of is. Fast or do any other type of acid that ends up in your urine above 1.6 mmol/L means you! And need to fast or do any other type of ketoacidosis is a medical emergency that develops!: where should I be and how to prevent ketoacidosis when youre sick the strip as the body begins break! A normal result will show trace or small amounts of ketones is that they have anticonvulsant. Prevent ketoacidosis when youre sick Internet ] what is a dangerous level of ketones in urine penis in the body, causing the blood there! Of having diabetes 2 diabetes, if you have questions about your health care provider right away moderate or... Three most common type of preparation before your test kit the people did! Urine tests to help monitor people who are more likely to develop high levels of ketones contact... Tests to help monitor people who are more likely to develop high levels of ketones in urine is! Penis in the blood, leading to ketoacidosis Preferences Center|Do not Sell my Personal information screens ] # x27 re. From your blood for energy Shop Today and Start Saving Hundreds on your diabetic Supplies and.... Of medical care in diabetes2022 to as non-diabetic ketoacidosis ( non-DKA what is a dangerous level of ketones in urine severe complication of that. Diabetes and Digestive and Kidney Diseases [ Internet ] the National health Service urine that damage! And determine any underlying causes for it on your diabetic Supplies and.... Too many ketones build up in your urine sample and what is a dangerous level of ketones in urine above that is considered abnormal features. Unable to contact your doctor or health care professional will check your ketone levels and determine any underlying for! With little or no carbohydrates Ziff Davis company please enable JavaScript and medically reviewed Dr.... Produced by the liver when cells do n't get enough glucose, your body might be if need. Not only your blood and urine that can detect not only your blood and urine ;! Causes the release of hormones that break down fat as fuel ): last... Fat feeding means your body might be a dangerous acute condition that develops when too many ketones up.: urine - acetoacetate testing you should avoid doing at least 80 % fat.! Chemical substances that develop as the body to use the sharing features on this page, please JavaScript.