What are ketones, and why do they matter for diabetes testing?
- Date:
- 16/07/2025
- Author:
- Ellie Jones

Ever wondered what's going on inside your body when it's low on fuel? We've all heard about glucose as our primary energy source, but there's a fascinating backup system at play: ketones.
While perfectly normal for everyone in certain situations, for individuals managing diabetes, understanding ketones isn't just interesting, it's crucial for health.
This blog post will demystify what exactly ketones are, explore their role in metabolism, and explain why they matter so much for diabetes testing, especially when you're monitoring your health from home.
What exactly are ketones?
Think of your body as an efficient machine that mainly runs on glucose, a type of sugar that comes from the foods you eat. Glucose is your body’s primary fuel source.
However, what happens when glucose isn't readily available? Perhaps you haven't eaten for a while, you're exercising intensely, or maybe your body isn't using glucose effectively. This is where ketones come in.
When glucose is scarce, your body needs an alternative energy source. It starts breaking down fats stored in your liver. This process produces ketones, which are then released into your bloodstream. Your muscles, brain, and other tissues can use these ketones for energy when glucose isn't an option. It's essentially your body's backup system.
Ketones: a sign of fat metabolism
When you detect ketones in your body, it's generally an indication that your body is relying on fat for fuel.
This can happen in several normal situations, including:
- During periods of fasting or when skipping meals, your body taps into fat reserves for energy when glucose isn't coming in.
- When following a low-carbohydrate or ketogenic diet, you intentionally shift your body's primary fuel source to fat.
- During prolonged or intense exercise, as your body's readily available glucose stores get used up, it turns to fat for sustained energy.
- In specific physiological states like pregnancy or breastfeeding, the body's energy demands can lead to mild ketone production
In these instances, producing small to moderate amounts of ketones is a natural process. It demonstrates that your body is effectively accessing its fat stores for energy.
Understanding why ketones matter for managing diabetes

For individuals managing diabetes and their symptoms, the presence and level of ketones can tell a different story.
Diabetes affects how your body uses glucose. In people with type 1 diabetes, the body doesn't produce enough insulin, the hormone needed to get glucose from the bloodstream into cells for energy. In people with type 2 diabetes, the body might not produce enough insulin, or the cells don't respond properly to the insulin that is produced (insulin resistance).
When insulin is lacking or ineffective, glucose can't enter the cells, even if there's plenty of it in the bloodstream. Your cells are essentially "starved" for energy despite high glucose levels.
In this situation, the body still needs fuel. It turns to fat breakdown, just like in other low-glucose scenarios, producing ketones. However, because the underlying issue (lack of effective insulin) isn't resolved, the body can continue producing ketones at a high rate.
High ketone levels: what they might indicate
While small amounts of ketones are part of normal metabolism, high levels, particularly in the context of high blood glucose, can be a sign that something needs attention. This is where understanding ketones becomes important for people living with diabetes.
Elevated ketones can indicate that your body isn't getting the glucose it needs for energy due to insufficient insulin. If these levels continue to rise, they can build up in the blood, making it more acidic. This requires prompt action and is something individuals managing diabetes need to be aware of and know how to monitor.
This is precisely why ketone monitoring is such an important part of diabetes testing. It provides crucial information about your body's metabolic state that glucose monitoring alone might not capture.
Ketones and diabetes testing at home
For individuals managing diabetes, being able to monitor ketone levels is empowering. It provides a tool to:
- Make more informed decisions about your diet, activity and lifestyle.
- Take proactive steps in your daily health management.
- Feel more confident and in control of your diabetes journey.
Traditionally, ketone testing might have involved visits to a clinic. However, just like glucose monitoring, ketone testing has become much more accessible and convenient for at-home use.
Reliable at-home diabetes testing kits that measure both glucose and ketones are now readily available. These kits are designed with user-friendliness in mind, providing clear results you can trust from the comfort and privacy of your own home.
Though they do not replace professional medical advice or diagnosis, these insights serve as a valuable starting point for discussions with your healthcare provider.
How at-home ketone testing works

Most at-home ketone tests for diabetes use urine or blood samples.
The Home Diabetes Glucose and Ketones Indicator Test Kit is an example of a straightforward tool designed for this purpose. It's built on the same principles of reliability and ease of use that healthcare professionals trust, but packaged for convenient home use.
Using these kits involves following clear instructions to collect a sample and interpret the results.
The kit is simple to use: you collect a fresh urine sample, dip the test strip into it for a few seconds, ensuring all fields are immersed, and then remove any excess urine. In just minutes, you can compare the colors on the strip's reagent pads to the provided color chart to interpret your results.
The focus is on simplicity and transparency, removing the guesswork from monitoring.
Empowering yourself through self-testing
Access to reliable self-testing tools transforms health management. It shifts the focus towards proactive monitoring and understanding.
For individuals, it can mean having the insights needed to make informed choices about diet, activity, and when to seek further advice. For workplace wellness programmes, offering at-home tests could form part of a broader strategy to support employee health, providing accessible ways for individuals to keep track of important health indicators.
Navigating diabetes proactively
Managing diabetes involves many factors, and understanding ketones is a valuable piece of the journey. It's a clear indicator of how your body is using fuel and can signal when something needs attention.
By incorporating ketone monitoring into your routine, you add another layer of insight into your metabolic well-being. Reliable at-home kits provide a simple, accessible, and trustworthy way to do this.
It's about gaining clarity, taking informed action, and ensuring you have the right information needed to confidently manage your health.