Comparing the Accuracy of Three Different Keto Test Strips I Bought Online (May 12, 2019)
I dipped three totally different ketone take a look at sticks in my morning urine to match their relative accuracy. One undoubtedly didn’t work, one was “okay”, and one appeared to be good. There are issues inherent in measuring ketosis with urinalysis strips. Knowing how they work helps you discover one of the best keto strips at an excellent worth.
What is “Keto”?
It often means the “keto weight-reduction plan” or ketogenic weight-reduction plan, a low-carb, high-fat weight-reduction plan that causes the physique to get into ketosis, and keep in ketosis. Ketosis is a state when the physique is consuming fats and utilizing it as an power supply.
The physique usually prefers to make use of glucose as its power supply. Glucose is simple to eat, and a few meals, like juices, are instantly absorbed and lift the blood glucose degree. When blood glucose rises, the pancreas releases insulin, a hormone which assists in “opening up” the cells to make use of the glucose as an power supply.
When somebody eats a low-carbohydrate weight-reduction plan, the scarcity of glucose causes the physique to make use of saved fats as an power supply. The liver goes right into a state referred to as ketogenesis, which suggests “creating ketones”. Ketogenesis produces two forms of “ketone our bodies”, or molecules, that are absorbed by cells, with out requiring insulin, and used as an power supply.
The two our bodies are: Acetoacetate (AcAc), Beta-Hydroxybutyrate (β-hydroxybutyrate or BHB). The breakdown of AcAc produces Acetone, which is expelled in your breath, and has a flowery odor.
How Do You Test For Ketosis?
There are three applied sciences to check for ketosis, so as by declining accuracy: measuring acetone within the breath with a breathalyzer, measuring BHB within the blood with a blood take a look at meter (much like a blood glucose take a look at), and measuring AcAc within the urine with a urinalysis take a look at “stick”.
The purpose why folks use the AcAc urine take a look at is as a result of it’s the most cost effective possibility, and in addition out there over-the-counter at drug shops.
Unfortunately, urinalysis take a look at strips are the least correct.
How Do AcAc Test Strips Work?
A take a look at stick has a small pad impregnated with sodium nitroprusside. When soaked with urine, it reacts and darkens right into a purple coloration if AcAc is current within the urine.
The take a look at strip tube has a ketone ranges chart exhibiting the colours. The worth is named “UA Ketones”, or urinalysis ketones. You may even see that time period “ua” as a result of the very fact it was measured from urine is necessary to medical doctors and nurses.
Always use the chart on the bottle – they aren’t the identical throughout manufacturers. Also, attempt to use an excellent, white coloured gentle to view the outcomes — any purple or blue colours within the gentle will affect the way in which you see the outcomes. (My lights are a bit purple, and most of the people have that at dwelling. Eventually, I’ll have to exchange the lavatory lights with one thing that appears extra chilly, like a hospital’s lights.)
In ketosis the physique consumes AcAc for power (and expels acetone). Therefore, the AcAc in urine is extra AcAc that’s not been exhaled.
What this implies is you could be in ketosis, and expel solely small quantities of AcAc in urine. So, the urine take a look at is inherently much less correct than the acetone breath take a look at.
You are presupposed to measure your morning urine, as a result of it’s essentially the most concentrated, and in addition most probably to comprise ketones, since you’ve been fasting (which means you’re extra prone to run out of glucose).
That factors to one other inherent inaccuracy of urine checks: ingesting water dilutes the urine, and can trigger a decrease studying.
What in regards to the BHB blood take a look at? The BHB blood take a look at, additionally referred to as a finger stick take a look at, since you poke your finger to attract blood, additionally suffers from this limitation, as a result of BHB can also be consumed as power throughout ketosis. However, BHB blood testing is extra correct as a result of it’s measured earlier than the physique decides to dump the surplus as waste. You’re measuring the liver’s output.
(Additionally, for diabetics, the BHB degree rises greater than the AcAc degree when the physique is entering into diabetic ketoacidosis (DKA), so Type 1 diabetics ought to use the blood take a look at along with the urine take a look at.)
Where Can I Buy Ketone Test Strips?
The most easy place to purchase them is the pharmacy, subsequent to the pharmacy, within the cabinets of things for diabetics. You ought to discover AcAc ketone take a look at sticks there. I acquired mine at CVS, however you’ll find them in any respect drugstores.
I additionally bought two totally different sticks from two totally different distributors on Ebay. You also can discover them on-line on the typical locations: Amazon, GNC, and wherever that sells dietary dietary supplements and weight-reduction plan aids for health fans.
On Ebay, you should purchase them from a US vendor, who will ship them rapidly, or from an Asian vendor, often in China, who will ship them slowly (utilizing ePacket). The China distributors are typically the least costly.
You also can get urine take a look at strips with a number of pads, to measure a number of features of urine chemistry. I like to recommend getting these, as a result of they aren’t too costly, and it’s extra attention-grabbing to make use of. I acquired one from the identical US vendor the place I purchased the ketone checks.
I acquired three strips from three totally different manufacturers:
There’s a model referred to as “ketostix”, and I believe it’s by Bayer, however I didn’t get that.
Please be aware that each one have expiration dates, and the TruePlus has a “date opened” house to write down the date opened. These strips all react with air, water, and light-weight, dropping accuracy and efficacy with publicity.
In quick, you can’t hoard these take a look at sticks. They turn into ineffective.
How I Started Suspecting a Problem
My first batch of strips was the TruePlus, they usually have been reporting that I had AcAc, typically, fairly a bit. My second batch was the Cybow, and it reported “hint” a few times, however in any other case confirmed “neg”.
What appeared bizarre to me was that it was reporting nothing, however I used to be shedding pounds on a decreased carbohydrate weight-reduction plan, and in addition exercising a bit greater than up to now. The odds that I used to be producing and utilizing ketone our bodies have been excessive. Remember that the state of dietary ketogenesis = changing fats to ketones, within the liver.
There are a number of methods to shed weight: dehydrate and lose water, lose a limb, get liposuction and take away fats cells, lose muscle mass, or digest physique fats the traditional manner your physique makes use of fats.
I used to be ingesting plenty of water, and didn’t appear to be dropping an excessive amount of muscle mass, so… what was happening?
I cracked open a special pack of strips, and in contrast. The different strips reported “small”. Aha! Ketones!
How I Tested these Ketone Strips
I think about an excellent testing fluid with a identified amount of AcAc in it’s out there, however I don’t know how you can get it. I believe the second finest manner is to put your physique into ketogenesis.
How to Get Your Body Into Ketogenesis and Ketosis
If you’re overweight like I’m, the easiest way to guarantee ketogenesis, to supply urine that accommodates ketones, is to shed weight.
I additionally don’t assume the standard keto weight-reduction plan of meals like bacon wrapped shrimp, steaks, and low with coconut oil is essentially the easiest way: consuming a particularly excessive fats weight-reduction plan doesn’t sound wholesome to me. Also, in case you’re consuming plenty of fats, in fact you’re going to be in ketosis – the physique goes to make use of that fats you simply ate as an alternative of your physique fats.
You additionally probably lose the power to confirm that you just’re shedding pounds. If you eat excessive fats, and keep the identical weight, how have you learnt that you just’re in ketogenesis? You undoubtedly don’t know.
If you’re shedding pounds, you’re in all probability in ketogenesis.
Some on-line promoters have a option to improve ketones within the bloodstream: eat raspberry ketone powder. Basically, it’s filled with BHB ketones.
I don’t assume these powders are a good suggestion, particularly for diabetics. Ketones are an power supply for the physique, however they’re additionally amino acids.
As acids, they trigger the blood to turn into acidic. The steadiness of acids and bases within the blood is crucial to not dying. If you go too far in any course, you’re going to get sick.
So, your physique has a number of methods to take care of elevated or lowered acid ranges. In some folks, although, these regulatory mechanisms don’t appear to work so properly.
Also, in case you devour ketones, a supply of power, your physique might not devour its fats shops to supply ketons.
How Did I Lose Weight?
I ate a low carb weight-reduction plan, to take care of my diabetes. Low carb, for me, meant between 80g and 150g of carbs a day, leaning extra towards 100g than both finish. I used Poundaweek to find out carb counts (and be aware, that isn’t correct, both).
My fats consumption was considerably excessive, and proteins have been actually excessive for some time, however I in the reduction of. I minimize energy, right down to round 1400 to 1800 for many days, and misplaced weight. I additionally did a bit train, largely strolling briskly and doing squats.
I wasn’t shedding pounds persistently, however I misplaced extra usually than gained. I went from a peak of 240 kilos right down to 219, and the interval during which I used to be measuring with the take a look at sticks was round 225 to round 219.
During this time, I may additionally really feel among the extra fatty, bulbous areas flip to softer flab. It was a sensuous expertise 🙂
So I used to be “burning fats”.
(Postscript – after I wrote this text, I decreased my carbohydrate consumption right down to 50g a day, and that helped me keep my blood glucose within the 90mg/dl to 110mg/dl for many of the day.)
How Did I Test the Strips? Comparatively
I measured the three strips towards one another.
To do that, I gathered my morning urine right into a small cup. (Normally, I urinate onto the strip, however for this take a look at, I wanted to measure the identical batch of urine.)
The strips differed in how lengthy every took to achieve a ultimate end result. Cybow took 60 seconds. Generic took 40 seconds. Truvidia took 15 seconds. Note that that is one other potential supply of inaccuracy, as a result of the pad continues to darken after the time interval. You must learn it while you attain the designated time.
I believe that the time required is determined by the quantity of sodium nitroprusside within the pad. Cybow studies 23mg. Truvidia says round 7% w/vol. I threw away the paper that got here with the generic. In quick, I can not examine right now.
Personally, I belief strips with shorter instances greater than these with longer instances.
I timed the dipping in order that they might all “mature” on the identical time. Here are the images of that:
The outcomes have been that the generic and TruePlus pads went to someplace between “hint” and “small”. The Cybow went solely to “detrimental”.
Cybow was not working.
What is the Best Ketone Test Strip?
I might argue that you just can not say one model is “finest” or “worst”. The take a look at strips will differ primarily based on how they’re saved, the way you run the checks, and even manufacturing issues with batches.
It’s solely attainable that Cybow was a foul batch, and is in any other case an excellent model. How would the Ebay vendor know? They might have bought a giant case, and trusted their wholesaler. They in all probability don’t have a impartial take a look at that may have the ability to push the strips to show the totally different portions of ketones.
They wouldn’t know the storage circumstances on the wholesaler.
I observed that the expiration date was 12/2020. That’s far sooner or later, however not so far as the others.
Likewise, whereas the generics appear to have good outcomes, but it surely’s attainable that those you order will likely be uncovered to warmth or chilly, as a result of they’ll spend a number of weeks in transit.
(The ones I acquired had a foil seal, so air didn’t get into the bottle. That might have resulted in higher outcomes, but when the bottle itself is leaky, the strips may be broken.)
The most dependable strips, I believe, have been the TruePlus strips, which, sadly, have been the most costly at round $10 per bottle.
They have a short while to check, and have been bought at a drugstore with air-con. The drugstore handles tons of medicines, and almost all of them should be saved in local weather managed warehouses, and doubtless additionally local weather managed vehicles.
So, for myself, I’m going to proceed to purchase the cheaper strips from Ebay distributors, however take a look at towards the costly strips from the drug retailer.
I’ll attempt to make the costly strips final, and use a budget strips extra usually. I take a look at nearly each urination at dwelling, and am determining how you can make a “street package” to check once I’m away from dwelling.
Urinalysis During Ketosis with 11-way Test Strips (May 21, 2019)
(In addition to the ketone stix I purchased, above, I additionally bought Qtest model urinalysis take a look at strips. These have been purchased from the identical US vendor from whom I acquired the Cybow checks. These strips labored properly, and I used them up over the course of a yr.)
I did a urinalysis on my diluted pee, following a take a look at the place a ketone strip detected a reasonable dimension presence of ketones, an indication I used to be in ketosis. Here’s the urine take a look at:
Most of the values are manner over to the left, indicating a detrimental take a look at, however a number of are usually not.
Specific Gravity was round 1.020.
pH was between 6 and 6.5.
Ketones have been +15.
I believe the ketone studying, which was decrease than an hour in the past, confirmed that the water ingesting I did efficiently diluted the ketones in urine.
The regular vary for pH is 4.6 to eight. A pH between 6 and 6.5 is regular.
Normal S.G. is 1.00Zero to 1.030, so my SG is in a traditional vary.
So, all of the numbers are good. I want I’d accomplished the take a look at proper when the ketone take a look at went purple, so I may examine the 2 outcomes, and see what the water ingesting did to my urine.
What are Ketones, Specific Gravity, and pH?
Ketones are a secondary supply of power for the human physique. The presence of ketones in urine point out that there are excessive ranges of ketones within the blood, and the kidney is eradicating extra and dumping it to urine.
Specific Gravity is the focus of urine. 1.030 is taken into account dehydrated, so I used to be comparatively dehydrated. If I drank extra water, earlier, this quantity would have been decrease. The SG is the load of the pattern in comparison with the load of an equal quantity of water.
So urine is extra dense than water.
pH is the acidity or alkalinity of an answer. 7 is impartial, and a decrease quantity is acid, the next quantity is primary. Urine pH between 4.6 and eight is regular. Urine between 6.5 and seven.25 is wholesome. Urine between 6 and 6.5 is acidic, and signifies that the physique is overwhelmed by acid.
In my case, I used to be in ketosis, and my urine was a bit acidic.
I ate some fava bean snacks to attempt to present some carbs, and decelerate the ketogenesis.
I’m Not Urinating Away Vitamin C, Watching Videos, and Early Testing Numbers (August 3, 2019)
I’ve began to observe extra movies about diabetes, insulin resistance, and affected person outcomes. They’re going to be compiled right into a playlist. My choice in movies shouldn’t be the “do that to repair your state of affairs”, which I discover too strident and commercial-feeling. I just like the calmer, perhaps “boring” movies. I discover them thrilling.
Urinating Away Ascorbic Acid
I’ve been checking my pee with the urinalysis take a look at strips, and have by no means, ever seen the ascorbic acid pad change from darkish inexperienced. That means there’s no ascorbic acid in my urine.
Ascorbic acid is vitamin C, and girls want 75mg, and males 90mg a day. Any extra goes away into the urine.
I’m often taking a multivitamin with 90mg vitamin C. I additionally eat leafy greens, which comprise vitamin C. So the place is the vitamin C being pissed away?
I’ll must both improve my consumption and see if it will get urinated out, or take a look at proper after taking a complement, to see if it’s excreted rapidly.
Vitamin C is related to elevated threat of kidney stones (see the wikipedia article, “Exceretion” part). I’m speaking magnesium citrate to attempt to keep away from kidney stones, and to de-acidify my urine. See this for the reason why.
Because I’m on the diabetic LCHF weight-reduction plan, which stipulates that fruit not be eaten, one in all my sources of vitamin C has been eliminated. I in all probability don’t get sufficient C, besides from broccoli (a C superfood).
Citrate, a salt of citric acid, shouldn’t be vitamin C. I acquired this confused for a very long time, in all probability as a result of citrus fruits comprise each vitamin C and citric acid.
Vitamin C will increase threat of kidney stones as a result of it may be transformed to oxalate, which causes calcium to bind collectively into stones of calcium oxalate. This is simply too dangerous, as a result of vitamin C is a mandatory nutrient.
Citrate binds with calcium, and in addition prevents calcium from crystalizing. I believe magnesium citrate would quit a magnesium, which is usually okay. Magnesium RDA is 320mg for ladies, and 420mg for males, however the typical weight-reduction plan doesn’t present that. A weight-reduction plan with complete meals, leafy greens, and nuts, would.
Given these info, I get the impression that ingesting lemon juice is the fast option to improve each ascorbic acid and citric acid, safely.
Urinalysis Test Strip Numbers
I’ve been monitoring the 11-way take a look at strips a number of days, and have some numbers. All the pads besides Specific Gravity, Ketones, and pH, learn “neg” and don’t change. (That doesn’t imply the values aren’t altering – it simply means I can’t see them on the pads.)
These have been all measured in the beginning of the day, first urination.
Testing within the morning helps, as a result of the urine is meant to be extra concentrated. Later within the day, after ingesting water, it needs to be extra dilute. That would increase the pH, scale back the ketone focus, and decrease the particular gravity.
Ketones: 15, 15, 5, 15, 15 mm/dL
Specific Gravity: 1.018, 1.018, 1.020, 1.015, 1.020
pH: 6, 6.5, 6.5, 7, 6.5
Also, be aware that each one these values are a median of all of the urine in your bladder. If it took 2 hours to fill the bladder, it means the numbers are the typical of two hours of physique exercise.
Morning checks measure the previous night time of physique exercise. Daytime checks measure the interval because the final urination.
Has Magnesium Citrate Helped My Urine pH?
I’ve been taking 1000mg of magnesium citrate, hoping to lift my pH. I can’t inform if it has had any impact. Maybe it has. Prior to this, I’d been seeing 6 and 6.5 on the urine take a look at strips, and as soon as noticed 5. So I used to be afraid of extra acid.
pH of 6 to 7 is regular.
What Does High Specific Gravity Mean?
Specific Gravity reveals in case you’re dehydrated. 1.005 to 1.015 is regular. My values round 1.018 present I’m barely dehydrated. Given that that is the morning, and I haven’t had a drink in round 7 or eight hours, it is sensible. I have a tendency to want plenty of water – and being diabetic and typically working exterior, I do must drink extra water.
It’s additionally attainable that I’ve kidney illness, and the kidneys aren’t pushing sufficient water by. Different web sites checklist totally different concentrations as “regular”.
Ketones and Ketosis
Ketones present the quantity of extra Acetoacetate (AcAc) being dumped in my urine. Unlike the pH and SG, which I observe to see how my pee is doing, I’m wanting on the ketones pad to make a guess about what’s occurring in my blood.
I hope that’s clear: the ketones measured on the pad point out that my physique has extra ketones, and is dumping them out. My muscle tissues and mind aren’t utilizing up the ketones.
Also, AcAc is only one ketone. It will get transformed to beta-hydroxybutyrate (BH). Both AcAc and BHB are used as an power supply within the physique. So, while you’re in ketosis, fats is become triglyceride droplets, which is transformed into ketones (Acetone, AcAc), and AcAc is transformed to BHB. Most of the ketones are BHB.
So, my variety of 15 exhibits I’m in ketosis. I had a dip to five. However, this doesn’t actually inform the entire story. I might be burning my fat extra effectively when it’s at 5.
My historical past of ketones goes like this. In the mid 2010s, I went on a weight-reduction plan and tried to trace ketones. I had no concept what a keto weight-reduction plan was. I’d solely heard of the Atkins weight-reduction plan. I centered on carbs as a result of I used to be satisfied that I had gained weight from carbs once I went vegetarian. My ketone numbers have been sometimes Zero or “none”, and some instances went as much as “hint” or 5. In the method, I modified my weight-reduction plan to typically be decrease in carbs, although I did go high-carb once I baked bread. That stated, I hardly ever ate as a lot rice or pasta as I had earlier than this variation.
Then, resulting from plenty of life occasions, I elevated my weight from round 225 to 240 lbs. I used to be feeling like crap, like I used to be going to die slowly and painfully, so went on a weight-reduction plan. The weight-reduction plan app I used, Poundaweek, let me observe carbs, so I lowered carbs together with energy. I misplaced weight. My physique went into ketosis. I used to be focusing on 100 to 130g of carbs per day, however in all probability went a lot decrease.
I began to really feel crappy, however differently. I felt actually sick, not simply typically sick. I felt like I’d die that week! So I purchased some ketone strips, and located I used to be “reasonable” or at 40mg/dL. This was just under “excessive”.
I additionally acquired my buddy to present me a sugar take a look at, and my blood glucose was 213 mg/dL. I used to be manner the hell up. I used to be already suspecting diabetes, and had accomplished studying in that course. I had examine diabetic ketoacidosis, and acidosis on the whole. During this time, my ketones fluctuated, however I attempted to maintain them low or detrimental. I additionally tasted my pee – as a result of candy urine signifies that the BG is increased than 180 mg/dL. Fortunately, it was candy solely two tastings.
I went to the medical doctors and acquired recognized as kind 2 diabetic.
I pulled myself out of ketosis for a pair weeks, after which discovered the LCHF Type 2 group on Facebook, and began to get into that weight-reduction plan over the course of some weeks. My ketones strips have been measuring from “hint” or 5 mg/dL to “small” or 15 mg/dL.
Sometimes, the studying would go as much as 40mg/dL or “reasonable”. Then, I’d freak out a bit and drink water. I typically elevated my carb consumption to hit the 50g a day mark.
Vitamin C and the Testing Pads
So, the ascorbic acid/vitamin c pad is on there to verify for presence of C. If C is current, then the values for hemoglobin and glucose are unsuitable.
In my case, there’s no ascorbic acid within the urine, and in addition no hemoglobin or glucose, both. So that’s all good.
If you bought this far on this lengthy article, you’ll in all probability get pleasure from: Things Your Pee Can Tell You.
14-Way Urinalysis Test Strips Reviewed (July 26, 2020)
I bought these on eBay from the seller, CompleteNaturalProducts, for round $15. They’re much like the Qtest 11 manner sticks reviewed above, however with extra pads.
The extra pads are Creatinine, Calcium, and Microalbumin.
These extra checks can assist consider urinary tract infections (UTI) and kidney well being. The relationship between the checks and totally different organs is summarized on the label.
The important factor I observed was that the colours on these take a look at pads was brighter than within the Qtest strips. This makes it simpler to see the totally different colours.
Recently, my mom had been having issues with UTIs, so I acquired these extra for UTI testing than for ketone testing. Depending on how far the an infection had continued, the checks confirmed a rise in in Leukocytes, after which Nitrites.
Additionally, resulting from a kidney an infection, the Blood pad would additionally present modifications in coloration, starting from spots of inexperienced, to blobs of inexperienced, or a normal change in coloration from orange towards inexperienced.
Like all the opposite take a look at sticks, these should be learn after ready a selected period of time after dipping. Most pads take 60 seconds, however some are sooner, and the instances are listed on the label.
If you wait longer, the colours will get darker, and also you’ll get a excessive studying.
I’ve used these for my very own testing, however, they often flip up detrimental throughout many of the pads. My weight has plateaued, and I hardly ever see ketones in any checks.
A Clean Catch
I just lately realized the time period “clear catch”, which is a clear urine pattern, uncontaminated by materials within the urethra. You’re supposed to start out urinating, after which take a pattern half of second after beginning.
Around right here, we use a tofu tray. It’s round Four x 6 inches, and might maintain plenty of urine, so there’s no threat of overflowing. It’s additionally vast sufficient that dipping the lengthy take a look at stick is simple.
The tray’s white coloration in all probability helps us resolve the colour on the pads extra precisely than towards different colours, too. I like to recommend utilizing a tofu tray to seize urine.