A ketones in urine test measures ketone levels in your urine. Normally, the cells in your body use glucose (sugar) from your blood for energy. If your cells can’t get enough glucose, your body breaks down fat for energy instead. This produces an acid called ketones, which can build up in your blood and urine.
Having some ketones in your urine is normal. But high ketone levels in urine may be a sign that your body is too acidic. This condition is called ketoacidosis. The most common type of ketoacidosis is a complication of diabetes called diabetic ketoacidosis (DKA). Diabetic ketoacidosis is a medical emergency that often develops quickly and can even be life-threatening.
If you have diabetes, a ketones in urine test can help find high ketone levels early so you can get treatment right away. Home tests are available if your health care provider recommends frequent testing.