Ketone meters

The new Nova Max Plus meter arrived today, and let me say I'm a little underwhelmed. I still have to hold the strip at a tilted angle to get the meter to read it, but at least now it doesn't take 3-5 minutes to find the 'sweet spot'.

My first attempt to test with a ketone strip was botched, I moved the strip after I applied the blood sample which resulted in a test reset and a E-3 error message. My second ketone test attempt was read as a glucose test, which said I was at 61 mg/dL. My third ketone test attempt worked and according to my test my ketone level is 4.9 mmol/L.

Now, I've not eaten in about 4 hours, and not had anything to drink in probably 2-3 because of an absurdly long nap. The glucose number I can see as being right, but does 4.9 seem absurdly high to anyone else? Perhaps I'm slightly dehydrated?
 
A Jay said:
The new Nova Max Plus meter arrived today, and let me say I'm a little underwhelmed. I still have to hold the strip at a tilted angle to get the meter to read it, but at least now it doesn't take 3-5 minutes to find the 'sweet spot'.

My first attempt to test with a ketone strip was botched, I moved the strip after I applied the blood sample which resulted in a test reset and a E-3 error message. My second ketone test attempt was read as a glucose test, which said I was at 61 mg/dL. My third ketone test attempt worked and according to my test my ketone level is 4.9 mmol/L.

Now, I've not eaten in about 4 hours, and not had anything to drink in probably 2-3 because of an absurdly long nap. The glucose number I can see as being right, but does 4.9 seem absurdly high to anyone else? Perhaps I'm slightly dehydrated?

Hi A Jay, I'm going off memory here, but I'm sure Volek and Phinney state that blood ketone levels between 0.5 -3.0 mmol/l is optimal nutritional ketosis, with no significant benefit in going above 3.0 mmol/L. Ketoacidosis occurs (more so with diabetics) when the levels go off the chart (10-25 mmol/L). Found this on the net:

ketones.jpg


So, what time of day did you measure? Have you checked with Nova Max that the ketone strips are not of a dodgy batch?
 
Arwenn said:
So, what time of day did you measure? Have you checked with Nova Max that the ketone strips are not of a dodgy batch?

It was around 6-6:30 PM when I did the test, and when I called the company we checked the glucose and ketone test strips and only the glucose strips were from a bad batch. I do not have any "control solution" and none came with the new meter, so I have no way of knowing if the strips are bad.

If the strips aren't bad, I'm thinking the only way I could be getting up that high is I'm slightly dehydrated. Seems to be a frequent problem for me when I'm in ketosis. I've started adding .5-.75 teaspoons/Liter of a salt and LoSalt mixture of water to a gallon jug I drink from throughout the day to combat the dehydration problem, but I usually only drink around 2 liters or so of it a day. Perhaps I should be drinking the whole gallon?
 
A Jay said:
It was around 6-6:30 PM when I did the test, and when I called the company we checked the glucose and ketone test strips and only the glucose strips were from a bad batch. I do not have any "control solution" and none came with the new meter, so I have no way of knowing if the strips are bad.

If the strips aren't bad, I'm thinking the only way I could be getting up that high is I'm slightly dehydrated. Seems to be a frequent problem for me when I'm in ketosis. I've started adding .5-.75 teaspoons/Liter of a salt and LoSalt mixture of water to a gallon jug I drink from throughout the day to combat the dehydration problem, but I usually only drink around 2 liters or so of it a day. Perhaps I should be drinking the whole gallon?

It's hard to say, A Jay-if you feel you're dehydrated, then drink more and watch the electrolyte loss (I was peeing lots to begin with and getting headaches), but a tall glass of salted water every morning stopped that. Are you taking any supplements? Maybe do a few tests over the next few days and see what readings you get and post them here.
 
Arwenn said:
A Jay said:
It was around 6-6:30 PM when I did the test, and when I called the company we checked the glucose and ketone test strips and only the glucose strips were from a bad batch. I do not have any "control solution" and none came with the new meter, so I have no way of knowing if the strips are bad.

If the strips aren't bad, I'm thinking the only way I could be getting up that high is I'm slightly dehydrated. Seems to be a frequent problem for me when I'm in ketosis. I've started adding .5-.75 teaspoons/Liter of a salt and LoSalt mixture of water to a gallon jug I drink from throughout the day to combat the dehydration problem, but I usually only drink around 2 liters or so of it a day. Perhaps I should be drinking the whole gallon?

It's hard to say, A Jay-if you feel you're dehydrated, then drink more and watch the electrolyte loss (I was peeing lots to begin with and getting headaches), but a tall glass of salted water every morning stopped that. Are you taking any supplements? Maybe do a few tests over the next few days and see what readings you get and post them here.

I'm going to pay more attention to making sure I drink a lot of water throughout the day, regardless of whether I'm dehydrated or not. Close to a gallon or so should be plenty sufficient, or so I think.

The only supplements I'm taking are 500mg of magnesium and the occassional multi-vitamin, with the addition of salt and LoSalt to my water for electrolytes. I may add the tall glass of salt water in the morning, and just cut back a bit on the salt and LoSalt in my drinking water.

I did a ketone test this morning shortly after waking, and it read 4.5 mmol/L. I'm really thinking it's the strips at this point, but I'm going to push the liquids and see if that effects the numbers at all. I'll be doing some water experiments tonight to try and nail down a good time to test after drinking to make sure dehydrated isn't factoring into my numbers.
 
I did some testing this morning around 9:30 AM, and my numbers were glucose at 81 mg/dL and ketones at 2.4mmol/L. I drank probably a Liter or so of my electrolyte water about 20 minutes before testing, and I felt more hydrated after that so maybe this is why my numbers have been off. I tested again a little while ago at 12:55 PM and my glucose test said 85 mg/dL, which was 2-2.5 hours post breakfast in which I had approx. 30g of protein.

I'm going to have to order more ketone strips, because I had two duds in this mornings test attempt. But just having the one test at 2.4 makes me happy. :D
 
A Jay said:
I did some testing this morning around 9:30 AM, and my numbers were glucose at 81 mg/dL and ketones at 2.4mmol/L. I drank probably a Liter or so of my electrolyte water about 20 minutes before testing, and I felt more hydrated after that so maybe this is why my numbers have been off. I tested again a little while ago at 12:55 PM and my glucose test said 85 mg/dL, which was 2-2.5 hours post breakfast in which I had approx. 30g of protein.

I'm going to have to order more ketone strips, because I had two duds in this mornings test attempt. But just having the one test at 2.4 makes me happy. :D

That is pretty good. So is the glucose after a couple of hours of eating protein. Wow, so it was dehydration.
 
Gaby said:
A Jay said:
I did some testing this morning around 9:30 AM, and my numbers were glucose at 81 mg/dL and ketones at 2.4mmol/L. I drank probably a Liter or so of my electrolyte water about 20 minutes before testing, and I felt more hydrated after that so maybe this is why my numbers have been off. I tested again a little while ago at 12:55 PM and my glucose test said 85 mg/dL, which was 2-2.5 hours post breakfast in which I had approx. 30g of protein.

I'm going to have to order more ketone strips, because I had two duds in this mornings test attempt. But just having the one test at 2.4 makes me happy. :D

That is pretty good. So is the glucose after a couple of hours of eating protein. Wow, so it was dehydration.

Sorry, I misspoke. My glucose was 89 mg/dL, which is still good. I think.

Is dehydration a problem for a lot of people, or does the salt water in the morning pretty much take care of it so long as you're drinking during the day?
 
A Jay said:
Sorry, I misspoke. My glucose was 89 mg/dL, which is still good. I think.

Is dehydration a problem for a lot of people, or does the salt water in the morning pretty much take care of it so long as you're drinking during the day?

It looks like it. The salted water should help and it is true that Emmerich recommends a lot of water.

So this one is good to keep in mind. There are those who wake up with 0.5 or so after a night of gluconeogenesis, while others like you need to stay fairly well hydrated to be in range and not so close to the higher limit of the ideal ketosis.

Interesting.

Glucose looks good, specially if it was after eating :)
 
A Jay said:
I did some testing this morning around 9:30 AM, and my numbers were glucose at 81 mg/dL and ketones at 2.4mmol/L. I drank probably a Liter or so of my electrolyte water about 20 minutes before testing, and I felt more hydrated after that so maybe this is why my numbers have been off. I tested again a little while ago at 12:55 PM and my glucose test said 85 mg/dL, which was 2-2.5 hours post breakfast in which I had approx. 30g of protein.

I'm going to have to order more ketone strips, because I had two duds in this mornings test attempt. But just having the one test at 2.4 makes me happy. :D

Ok, so it was a hydration issue. I'll have to remember to do the same too (I tend not to drink much water) :/

You seem to be humming along nicely with those levels, so well done A Jay! Just out of curiosity, what are you restricting your macronutrient levels to, and have you got some sort of a meal plan going?

Mines kinda gone out the door since being unwell, but I'm hanging in there (lowest ketone level thus far of 0.40 mmol/L) & that's 'cuz I had some fruit (oranges for vitamin C). I'm going to have to make some liposomal vitamin C to keep on hand for head colds.
 
Arwenn said:
A Jay said:
I did some testing this morning around 9:30 AM, and my numbers were glucose at 81 mg/dL and ketones at 2.4mmol/L. I drank probably a Liter or so of my electrolyte water about 20 minutes before testing, and I felt more hydrated after that so maybe this is why my numbers have been off. I tested again a little while ago at 12:55 PM and my glucose test said 85 mg/dL, which was 2-2.5 hours post breakfast in which I had approx. 30g of protein.

I'm going to have to order more ketone strips, because I had two duds in this mornings test attempt. But just having the one test at 2.4 makes me happy. :D

Ok, so it was a hydration issue. I'll have to remember to do the same too (I tend not to drink much water) :/

You seem to be humming along nicely with those levels, so well done A Jay! Just out of curiosity, what are you restricting your macronutrient levels to, and have you got some sort of a meal plan going?

Mines kinda gone out the door since being unwell, but I'm hanging in there (lowest ketone level thus far of 0.40 mmol/L) & that's 'cuz I had some fruit (oranges for vitamin C). I'm going to have to make some liposomal vitamin C to keep on hand for head colds.

I'm still working out a consistent meal plan, so right now I'm just making sure that all my meals are about 4-5 oz of meat, with 2-3 tablespoons of added butter, lard, or bacon grease, and finished up with a half to full fat bomb. I may have a small salad, or spoonful of almond butter here and there but other than that it's just 3-4 of those meals a day. Carbs are kept low (never more than 30g), protein is moderately restricted (not more than 1.5g/kg), and there's LOTs of fat (over 300g). Usually my macros run around 85% fat, 12% protein, and 3% carbs.

Glad to hear you're hangin' in there. :) :hug2: Don't know if there's a good vitamin shop where you live, but one near me sells Dr. Mercola's lipsomal Vitamin C which while expensive is really good in a pinch.

Did some more glucose testing and the results are as follows: at 10:52 PM last night I got 73 mg/dL, this morning at 10:37 AM just before breakfast I got 73 mg/dL, and 10 minutes ago 2 hours post breakfast (bacon, sausage, and added bacon grease) I got 87 mg/dL. So we're looking good! :)
 
trendsetter37 said:
I agree this may need to be moved to a separate thread at this point sorry guys...

A Jay said:
Regarding exercise maybe someone can help me out with this, because I've been wondering about how the metabolism pathways change in muscles after keto-adaptation. From my understanding, when not keto-adapted muscles still prefer to use fats for fuel up to a certain point of 'relative effort' above which they switch to using their glycogen stores for fuel. (Which is how all the "cardio" classes can say that they "burn fat" without actually doing much to change one's body comp, because if your muscles are never depleted of glycogen to raise insulin sensitivity then any carbs you eat will go straight to the fat cells.) Now, correct me if I'm wrong but glucose isn't actually pulled directly from the bloodstream to fuel exercise, rather the blood delivers glucose to glycogen stores in the muscle which it then uses when triggered by a high amount of relative muscular effort. So during the adaptation period, any high relative effort exercise won't prevent the spike in blood glucose levels resulting from excessive protein intake. However, that exercise would provide a place for the excess glucose to be stored, up to the point of becoming keto-adapted. From what Phinney and Volek stated in their books it would seem that the relative effort glycogen threshold in muscles is removed after keto-adaptation, and fats are continuously used for fuel up to 100% of relative effort. So, once keto-adapted our muscle glycogen stores aren't actually ever used, similar to the fat cells in an insulin resistant individual. Which would mean that even in the presence of high amounts of exercise, excess protein does nothing but prevent keto-adaptation from occurring. However, exercise could help the adaptation process along by helping with insulin sensitivity and by increasing the amount of fats/ketones metabolized in a given period of time. Or so I think, any comments?

Ahh all of this does makes sense. And honestly I think I have some serious gaps in my understanding of this process. I didn't see it from that angle and my thinking on the matter looks like it could be wrong entirely. I will definitely have to look into Phinney and Volek. Thank you!

A Jay said:
Hmm... So on a conventional diet, you trained religiously (meaning you never missed a workout I'm assuming) using a split routine similar to what you're doing now (again, I'm assuming). Now that you're on a ketogenic diet, you train more infrequently but you're seeing better gains in strength and size. We can't throw out the experience of many athlete's and bodybuilders that it's easier to regain lost strength and muscle then it is to build new muscle fibers, so no surprise there. As for the infrequency leading to consistent gains, it's actually been observed by Dr. Doug McGuff, John Little, and others that those who allow more time for rest and repair make better gains than those who over-train. So, the question is how your body didn't go into repair mode and build new muscle after the intermittent succession of consistent exercise. Assuming you didn't take absurdly long breaks (+3 months between sessions) and only skipped a week or two at most every few months, you should have returned to the gym without losing any strength and possibly becoming slightly stronger. Did you loose any strength after these breaks, or did you just not make any progress?

Your assumptions are correct here regarding my historical workout regimen. And yes in the past I would workout four days on an take 3 off. Consistently. I would maybe edge up a little bit but really see better improvement only if I would take a week off. Then when I went back it was like night and day. It seemed really counter-intuitive at the time because I thought I was giving my body a break for those 3 off days. And in reality since I was doing splits I thought each section had a week off. Guess not.

I try to do more weight than my last session on a particular body part. Where the last session was pretty close to failure or not able to lift the weight on the last set. This is where I concentrate on my breathing and concentration. When I come back to that body part either a week or two later it has been like my muscles don't even remember struggling with that weight the last time. It wasn't really like this before. But you are right about the muscle memory that could be a major factor in all of this. However, maybe i'll plateau soon?


Depends, are you near the level of strength you remember last being at? If you're training properly (one set to MMF reached within 60-90 seconds), getting adequate rest (8-9 hours a night), eating sufficient nutrients and drinking enough water then you'll never actually 'plateau'. Your progress will slow down, but you'll never actually plateau. It's a good idea to time your sets to failure as well, because as time goes on you may not go up in weight with every session but you should be going up in 'time under load'. Which will show you that you're still making progress, and you're still doing things right. Similar to how ketone and glucose testing gives you numbers to know if you need to change something, so too does tracking you workouts, exercises, loads, and time under load.

Currently, or at least this is what it seems like to me anyways. I am less concerned about "getting huge" and just kind of use it as an outlet and to stay in some kind of shape. But the less I try in regards to the "oh I need to get to the the gym!" feeling. The more i've noticed the differences between then and now. With the only real changes being dietary and of course finding the forum and reading like crazy!.

So the less you try to make your body conform to an idea planted in your mind by media manipulation, the more you feel you gain from doing things that are good for your body? Makes sense, lol.

If you're wanting better conditioning with less concern for strength/size gains, then to tweak the exercise stimulus accordingly you would keep the time between exercises to a minimum and do the workouts more often. Once every 4-5 days should be sufficient rest for this goal, and you wouldn't want to do it less than once every 10-12 days because after that you'd run the risk of losing the increase in metabolic conditioning you gain from the workouts.

Personally, I'm more focused on strength/size gains, so I take a little extra time between exercises (1m:30s as opposed to 0:30s) to recover a bit. But this thread has really helped me in this dept., because now I know why I've been stuck at the same weight for so long: dehydration! I need a gallon of water AT LEAST to make sure I'm hydrated throughout the day.

A Jay said:
A stormy day doesn't allow for a strong stimulus if any at all, so very little if any melanin production occurs. Applying this analogy to exercise and we see that different weight/rep ranges and number of sets do not produce a different response, rather each is either a stronger or weaker signal that triggers a stronger or weaker adaptive response. From the pioneering work of Arthur Jones, we find that single sets of low reps/high weights provides the strongest signal for growth in strength and size, while high reps/low weights provides a weak signal and multiple sets does not increase signal strength provided the signal is sent in the first set by going beyond 100% relative effort. The hows and whys of the exercise stimulus are still not really well understood, but the essence from Jones' work is to push a given muscle beyond 100% relative effort within 60-90 seconds. This will allow for a maximal adaptive response from the body, and result in greater strength and size according to one's genetics and environment.

This is a good analogy. It seems like I may have been doing what Arthur Jones is suggesting without really understanding the why but noticing or observing the result. Further still I think I have a lot to learn in this area and I think this route was somewhat useful for me (osit). I didn't really have other blatant issues from a physical standpoint to gauge how ketosis was helping me....well save the increased clarity of mind and of course noticing the bodies response when you slip up and eat something forbidden.

So for me the weight training and noticing the differences between now and then really did put things in perspective. But it seems like I need to really dig into the studies to catch up to speed on the knowledge part....my book cue just keeps growing by the day lol.

P.S. Thanks for that link! :D

I got you, without having some physical malady to heal or extra body fat to loose you don't really "see" much happening in the way of body transformation. So, exercise is a great way to 'feel' the difference, and do your body good at the same time.

I'm glad you found the link helpful! For knowledge, reading 'Body By Science' and maybe a few articles from Drew Baye's blog is all you need to get up to speed. BBS was actually one of the books on exercise recommended in PBPM, and though it's not perfect it's light-years ahead of mainstream ideas and 'conventional wisdom'. If you want, I can lend you my copy.
 
Hey A Jay, wow those sugar levels are looking good! Well done. :)

Now, off the topic of ketone meters, I've been following your dialogue with trendsetter about weights and training with interest. Sounds like BBS is a good read, I'll add that to my (never-ending) book list. Do you guys have any recommendations or suggestions for toning up? I'm a petite (5ft1") female, and I don't want to bulk up, just convert some flab to muscle. Ketone levels vary from 0.6- 2.5 mmol/L, and sugar between 3 & 6 mmol/L. I'm restricting carbs to around 25gm, protein to 60 gm and fats 100 gm. I don't drink much water & it's definitely something I need to do more of.

I have a gym set at home (I tried going to the gym, but got totally scared by all the Incredible Hulks). So any ideas of a basic routine that I could do at home?
 
Arwenn said:
Hey A Jay, wow those sugar levels are looking good! Well done. :)

Thanks! :)

I am wondering though, can dehydration lead to low blood sugar levels and nausea? I added too much salt to my morning salt water yesterday, and it lead to some very unfortunate and dehydrating bathroom visits. I think it's called a 'salt flush'. After two or three of these visits, I felt very nauseated and when I tested my blood sugar it got down to 56 mg/dL. Which I know is really low. The only thing that helped was drinking a lot of water, which eventually got me back up to 77 mg/dL this morning. So again I'm wondering if it's the dehydration, low salt, low potassium, or a combination thereof that was causing my low blood sugar and subsequent nausea. Rather unpleasant experience, but it's helping better understand everything so I guess it's not so bad. :/

Now, off the topic of ketone meters, I've been following your dialogue with trendsetter about weights and training with interest. Sounds like BBS is a good read, I'll add that to my (never-ending) book list. Do you guys have any recommendations or suggestions for toning up? I'm a petite (5ft1") female, and I don't want to bulk up, just convert some flab to muscle. Ketone levels vary from 0.6- 2.5 mmol/L, and sugar between 3 & 6 mmol/L. I'm restricting carbs to around 25gm, protein to 60 gm and fats 100 gm. I don't drink much water & it's definitely something I need to do more of.

I have a gym set at home (I tried going to the gym, but got totally scared by all the Incredible Hulks). So any ideas of a basic routine that I could do at home?

Sure, I can make some suggestions. What type of equipment do you have access to?

BBS is a great read, I highly recommend it. There is a portion pertaining to the 'Inroad Theory of Exercise' that is off the mark, which is something I forgot to mention in my comment to trendsetter, but it's still very solid otherwise. I'll go back and edit my comment to include the caveat.
 
A Jay said:
I am wondering though, can dehydration lead to low blood sugar levels and nausea? I added too much salt to my morning salt water yesterday, and it lead to some very unfortunate and dehydrating bathroom visits. I think it's called a 'salt flush'. After two or three of these visits, I felt very nauseated and when I tested my blood sugar it got down to 56 mg/dL.

FWIW A Jay, I've seen my blood glucose levels in the 55 range on more than one occasion without being nauseated. However I was drinking a ton of water (around 3 Liters / 0.8 gal) a day. So maybe it could be from the salt flushing? Usually the lower my blood glucose level was translated to a higher ketone count. That is one of the big things I noticed. Again though I'm getting more strips from cvs today and will track it.

I'm not comfortable saying that particular correlation is always the case at this point because I had a very small number of (trials or test, 10 or so) when tracking the two metrics. Sometimes I would be in ketosis with a glucose reading of 77 and a ketone reading of 2.4 mmol/L, Sometimes a glucose reading of 55 and ketone levels at 3.1 mmol/L.

On the extreme end of the spectrum I was almost never in ketosis if my glucose was above 88 -90. Conversely, I was almost always in ketosis if my glucose was below 70. Of course I found that it was a spectrum but an interesting correlation that I think might save money on the expensive ketone strips if we can just gauge our ketone levels off of glucose measures.

I was going to make a graph to really track down the thresholds. Which might lead to a chart but other things came up. I see that I NEED to DO this because it could potential save people money if the pattern was consistent across different people....assuming that there is such a pattern.

ps I also wasn't adding salt to my water though so my guess is that maybe you would need more water?

What are your thoughts about that? Have you seen any correlation between glucose and ketone readings?


Edit: For exceptions
 
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