Ketones are substances produced when the body breaks down fats for energy, especially during low carbohydrate intake such as fasting or following a ketogenic diet. This process, called ketosis, primarily takes place in the liver and generates key ketones like beta-hydroxybutyrate, acetoacetate, and acetone. Ketones serve as an alternative energy source, particularly for the brain, but elevated levels can signal serious conditions like diabetic ketoacidosis (DKA) in people with diabetes.
Ketones are byproducts produced during the breakdown of fats when glucose is not available as a primary energy source. They are crucial for providing energy during periods of fasting or low carbohydrate intake and play a significant role in maintaining energy levels in low-glucose conditions.
Individuals with type 1 diabetes are particularly encouraged to monitor their ketone levels regularly as they are at higher risk of developing diabetic ketoacidosis, a dangerous condition if not managed promptly. People on strict ketogenic diets may also monitor their ketones to ensure they are maintaining a state of ketosis.
Ketone levels can be measured through blood, urine, or breath tests. Blood tests are the most accurate but require a small blood sample. Urine strips, which are less precise, can still provide a quick indication of ketone levels, while breath analyzers measure acetone levels and are used primarily by those following ketogenic diets.
High ketone levels can be caused by uncontrolled diabetes, particularly type 1 diabetes, prolonged fasting, or a low-carbohydrate, high-fat diet. In diabetics, high levels may indicate insufficient insulin, leading to the use of fats for energy, resulting in ketone production.