Endocrinology• Updated 21 October 2026

Ketone Test

A urine or blood test for ketones, which build up when the body burns fat instead of sugar, as in diabetic ketoacidosis.

Results: Minutes Specimen: Urine or finger-prick blood

Quick Summary

Primary Purpose

To check for ketoacidosis in diabetes, especially when unwell or with high sugar.

What It Measures

Ketone level.

Preparation

No preparation; follow your diabetes plan.

Overview

People with type 1 diabetes should check ketones when blood sugar is high or they're unwell.

Ketones can also appear with fasting or vomiting.

What It Measures

Ketones

Fat breakdown products.

How It's Performed

  1. 01

    Sample

    Urine strip or finger-prick meter.

  2. 02

    Read

    Compare colour or read the meter.

  3. 03

    Act

    Follow your sick-day plan.

Interpreting Results & Next Steps

Discuss with Doctor

Your doctor will explain what your result means and what happens next.

If values are High:

Moderate or high ketones with high sugar need urgent medical advice.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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