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The Question
06/24/09
11:50 AM
"What should I tell my Endo that thinks ketone test strips are useless?"
Asked By:
wheber2
Category:
Blood Glucose Monitoring
Background Info Hide
Ketone test strips are VERY useful for me. I am a Type I diabetic on an insulin pump. I have always purchased the test strips over the counter but, recently I found out my insurance company will cover it. But, my Endo won't write a prescription because he thinks it's useless.
Expert Answers (1)
11/30/09
03:03 AM
Many diabetes experts recommend that a person with Type 1 diabetes test for ketones when their blood sugar is above 240, especially when they are sick. Testing for ketones can be a very good way to prevent hospitalization for DKA (diabetic ketoacidosis) a serious and potentially life threatening complication from lack of insulin. The American Diabetes Association recommends testing for ketones when the blood sugar is 300 or higher or if you have symptoms such as nausea, vomiting, or abdominal pain which can be symptoms of DKA. However, just as glucose levels are much more accurate when tested in the blood compared to the urine; the same is true for ketone testing. Ketones can be produced for quite a while before they spill over into the urine. By testing blood ketones you will be able to act quicker to solve problems. Is it possible your clinician feels that urine ketone testing is not accurate? Have you considered using a blood ketone meter? At present there is only one meter on the market that can test blood ketones and the strips are much more expensive than blood glucose test strips. The following link has some information on blood ketone testing. http://www.abbottdiabetescare.com/adc_dotcom/url/content/en_US/20.10.30:30/general_content/General_Content_0000068.htm?utm_source=ketone-testing&utm_medium=redirect&utm_content=ketone-testing&utm_campaign=redirectreferral
Answered By:
Deborah Greenwood
Accreditations: MEd, CNS, BC-ADM, CDE
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