When should I check my blood or urine for ketones?

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You should test your blood or urine for ketones if:

  • Your blood sugar rises unexpectedly, or if it’s over 250 mg/dl (13.9 mmol/l) for two consecutive tests.
  • You experience symptoms like nausea, vomiting, confusion, or severe fatigue.
  • You notice signs of ketoacidosis, such as increased thirst, frequent urination, stomachache, or dry mouth.
  • You have an infection, flu, injury, or are feeling unwell.
  • You’re planning to exercise but your blood sugar is over 250 mg/dl.
  • If you’re pregnant, check for ketones each morning before breakfast or whenever your blood glucose exceeds 250 mg/dl.

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