Learn about ketosis. Doctors know that ketosis is caused by an increased level of ketones in the system as a result of the body burning fat as fuel.[4] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source There are certain factors that can put you into a state of ketosis, which if left unchecked, can develop into the more dangerous state of ketoacidosis, which can lead to serious conditions such as brain swelling.[5] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Factors that can put you in a state of ketosis are: Having diabetes (there is a greater risk for those with type 1 diabetes, but people with type 2 diabetes can develop ketosis as well)[6] X Research source Eating a low carbohydrate or ketogenic diet for weight loss or building muscle mass[7] X Research source Being male Experiencing emotional or physical trauma or stress Abusing drugs and alcohol Having surgery[8] X Research source Ketoacidosis occurs when the levels of ketones present during a state of ketosis rise above levels that are healthy.[9] X Trustworthy Source Mayo Clinic Educational website from

one of the world's leading hospitals Go to source Ketoacidosis can lead to loss of consciousness and even death.[10] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Determine potential signs of ketosis. There are some key signs associated with ketosis that can help you determine if your body is in this state. This can help you monitor your level of ketones and minimize your risk for developing ketoacidosis.[11] X Research source The signs of ketosis include:[12] X Research source Dry mouth Bad or "fruity"-smelling breath or metallic taste in your mouth Strong urine odor Decreased appetite Feelings of euphoria or increased energy Excessive thirst Observe your body functions closely. Because ketosis can quickly progress into the dangerous state of ketoacidosis, paying close attention to your body and its functions is important. This can help you get timely treatment and prevent bigger issues.[13] X Research source If you are in ketosis, note when the signs start and if and under what conditions they cease. Keeping notes may help you more readily identify if you are in a state of ketosis or ketoacidosis.[14] X Research source

Understand that the signs of ketosis can vary from person to person. It can be obvious for some that they are in a state of ketosis, while others may not recognize it as readily.[15] X Research source Test for ketosis at home. If you suspect you are in a state of ketosis, you can test for it at home. By measuring blood sugar or testing urine, you may be able to confirm it and ensure that your ketone levels remain healthy.[16] X Research source You can monitor ketone levels in your blood with an at-home kit.[17] X Research source If your blood sugar is over 240mg/dl, you may have too many ketones in your system.[18] X Research source You can purchase ketone testing kits at many pharmacies or medical supply stores. These kits require a urine sample, which will change color to indicate the amount of ketones in your system.[19] X Research source It’s important to use a dipstick and a clean-catch urine sample to get the most optimal results.[20] X Research source Schedule an appointment with your doctor. If you suspect your level of ketones are too high, schedule an appointment to see your doctor. She can provide a definitive diagnosis and help you formulate an effective plan to keep

your levels of ketones in check.[21] X Research source Your doctor may order a blood ketone test. This will require a sample from a vein or a finger stick.[22] X Research source This may be a more effective test than a urinalysis. Your doctor may order a urine test to determine the amount of ketones in your system; however, this may not be as accurate because it can take time for the ketones to pass through your system.[23] X Research source Ketoacidosis can cause problems with your heart, so you may need and EKG as well. Manage ketosis. If your doctor confirms that you are in a state of ketosis, he may suggest ways to keep your ketone levels within a healthy and manageable range. This may include everything from watching your diet to counseling. It is important to follow your doctor’s suggestions in order to minimize your risk developing ketoacidosis.[24] X Research source There are several different ways to manage the amount of ketones in your system. These include: fluid replacement, insulin therapy, blood sugar monitoring, hydration and changing your diet.[25] X Trustworthy Source American Diabetes Association Health-based nonprofit focused on preventing and researching

diabetes Go to source Refrain from exercise. If you exercise regularly, you may want to refrain from vigorous activity if your ketone levels are high.[26] X Research source Exercise often increases the number of ketones in the body and avoiding it can prevent your ketosis from developing into ketoacidosis.[27] X Research source If you need some form of activity to help you feel good, consider light activities such as walking or biking while your ketone levels are high. Flush out your system. Staying hydrated is often the most effective way to control the level of ketones in your body.[28] X Research source By drinking enough water throughout the day, you may be able to effectively eliminate excessive ketones from your system.[29] X Research source Most people need nine to 13 cups of water per day, and up to 16 if you are active or pregnant.[30] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Water and other non-caloric beverages are the best liquids with which to flush out your system.[31] X Research source Avoid drinking too much caffeine or alcohol when your ketones are high, as these can dehydrate you and may thus

increase the levels of ketones in your system.[32] X Research source Eat a healthy, well-balanced diet. Most individuals who consume a healthy, well-balanced diet do not experience increased levels of ketones. Ceasing a low carbohydrate diet in favor of a balanced diet can help you to manage ketone levels and minimize your risk of developing ketoacidosis.[33] X Research source You should eat around 1,800–2,200 calories per day, depending on your activity level.[34] X Research source Get calories from a wide variety of nutrient-dense whole foods. Include foods from all of the major food groups of fruits and vegetables, whole grains, low-fat dairy, and lean proteins. Incorporating foods that you may have avoided, such as bread or pasta, may help keep your ketone levels in check.[35] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Be aware that this may make you gain slight weight, but it’s better to minimize the risk of ketoacidosis and related conditions than keeping off a couple of pounds by avoiding otherwise nutritious foods.[36] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading

hospitals Go to source Manage your blood sugar. If your elevated ketone levels are a result of diabetes or other issues with your blood sugar, control it as best you can through insulin and diet. This may help manage ketone levels and prevent related conditions.[37] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source If you are giving yourself insulin shots, your doctor may prescribe a temporary increase in your dosage or the number of injections you get daily.[38] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source Seek counseling. If you have ketosis as a result of malnutrition from anorexia or bulimia, your doctor may refer you to counseling. A therapist can help you work through your issues with food, which in turn may help resolve high ketone levels and prevent ketoacidosis.[39] X Trustworthy Source American Diabetes Association Health-based nonprofit focused on preventing and researching diabetes Go to source If you are reducing carbohydrates to reduce weight for any reason, you may want to discuss with a counselor the reason why you are possibly putting your

health in jeopardy in pursuit of perceived beauty.