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    • 15 hours, 53 minutes ago
      KarenM6 likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 15 hours, 54 minutes ago
      KarenM6 likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 20 hours, 15 minutes ago
      Mick Martin likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 20 hours, 15 minutes ago
      Mick Martin likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 20 hours, 33 minutes ago
      Trina Blake likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I am curious. Do you routinely check the control glucose solution to be sure the meter is accurate?
    • 21 hours, 21 minutes ago
      Barbara Bubar likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 21 hours, 33 minutes ago
      Barbara Bubar likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 21 hours, 42 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My infusion site stopped working well. Most of my problems going high are due to problems with infusion set. Another problem is my slow processing of my dinner. If I bolus too fast I go low, if I wait a bit I go high. It’s a nightmare
    • 21 hours, 42 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 21 hours, 44 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I answered 4 , I had steroid in my infusion yesterday.
    • 21 hours, 47 minutes ago
      Marthaeg likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 10 minutes ago
      Mike S likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 14 minutes ago
      KCR likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 15 minutes ago
      Jeff Marvel likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 23 hours, 39 minutes ago
      ConnieT1D62 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I use a CGM and my BG went over 180 seven times. Not unusual for BG go to 200+ after eating, then comes down. Yesterday and today my average BG was 150.
    • 1 day, 16 hours ago
      KarenM6 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I answered 4 , I had steroid in my infusion yesterday.
    • 1 day, 16 hours ago
      KarenM6 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My infusion site stopped working well. Most of my problems going high are due to problems with infusion set. Another problem is my slow processing of my dinner. If I bolus too fast I go low, if I wait a bit I go high. It’s a nightmare
    • 1 day, 17 hours ago
      Lindsey Whitnell likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My "high" alarm is 130. When I hit that I consider: when I ate; could I have screwed up the bolus; what am I doing or will be doing; when I'll eat next. Rarely go over 150-160, by reacting and preventing highs found I actually use less insulin than just correct when it peaks....could never do this without a CGM I'm comfortable with, although with pens and an unmoving basel more fun (can't make fast adjustments for food, stress, heat, or activity). So the past several days zero over 180, just a few over 150.
    • 1 day, 19 hours ago
      Janis Senungetuk likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 1 day, 19 hours ago
      Bruce Schnitzler likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      I had the same thing happen. I usually go below about 3 times but yesterday not at all. Amazing!
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      With Tandem CIQ, I get <2% in hypo range, rare at night, and when I do it is usually my fault- over bolusing for food, or exercise. Love this system
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      It's been an unusual 24 hours for me and I haven't gone below 70 at all. (If I'd a been asked last week, totally different answer!) :p But, I'm doing really great today. So... Yay! :D
    • 2 days, 8 hours ago
      ConnieT1D62 likes your comment at
      The food we choose to eat as people with T1D is so personal, and each food impacts every person differently. What foods do you prefer to eat for your first meal of the day? Share what works for you in the comments!
      I follow my wife’s old adage, “Eat breakfast like a king, lunch like a queen, and dinner like a pauper.” And in a very king-like fashion and since I am retired, I do it most mornings in a very leisurely 3 or 4 fashion. The best breakfasts, by far, are those you have with delightful conversationalists with people of wide-ranging interests. I start with 2 or 3 cups of strong, dark-roast black coffee, nursed liked an expensive cocktail rather than gulped. Then come berries—raspberries, black berries, blue berries, and a complete box of strawberries, followed by protein potions of turkey peperoni slices or an egg or two. The cereal consumed is a mix of three-Uncle Sam’s mixed with Grape Nuts mixed with All Bran. Either milk or yogurt is used to top the cereal. I know not the calories, but the carbs I can count down to the first decimal point. And decidedly, the meal’s main attributes are the time spent and the conversations.
    • 2 days, 9 hours ago
      ConnieT1D62 likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      With Tandem CIQ, I get <2% in hypo range, rare at night, and when I do it is usually my fault- over bolusing for food, or exercise. Love this system
    Clear All
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    How often do you check for ketones when your blood glucose levels are above 250 mg/dL?

    Home > LC Polls > How often do you check for ketones when your blood glucose levels are above 250 mg/dL?
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    Sarah Howard
    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    26 Comments

    1. Lawrence Stearns

      I check for ketones when I am sick.

      3
      1 year ago Log in to Reply
    2. Steve Rumble

      I have not tested for ketones since blood test meters first became available in the early 80s.

      2
      1 year ago Log in to Reply
    3. Kathy Hanavan

      I am very rarely above 250 and don’t stay there for long, so don’t see the need to test.

      1
      1 year ago Log in to Reply
      1. Henry Renn

        I hate going high but my experience is sane as yours.

        1
        1 year ago Log in to Reply
    4. Henry Renn

      Whike hospitalized in August I was running bg consistently in mid 200s over 2.5 days due to poor method of bg control by hospitalist. Yet anion gap test did not show ketoacidosis.

      1 year ago Log in to Reply
    5. Kevin McCue

      Never have been in a situation where I was unable to give enough medicine or do an activity that I was unable to lower glucose numbers into the 100s

      1 year ago Log in to Reply
    6. Kristine Warmecke

      It depends on what if/what my other symptom’s are.

      1
      1 year ago Log in to Reply
    7. Mary Dexter

      I have never been sure of what I was doing or of the accuracy of the result the couple of times I did do it. And none of my doctors have ever cared.

      1 year ago Log in to Reply
    8. Richard Vaughn

      My BG is never above 250. I chose the NA response.

      1 year ago Log in to Reply
    9. Andrew Stewart

      In my 31 years with T1D, I have never checked for ketones. I’ve been over 250 many times but rarely for an extended period of time. Ketone checking just wasn’t something any of my doctors pushed on me.

      2
      1 year ago Log in to Reply
    10. ConnieT1D62

      BGs go up and down on a daily basis depending on variable circumstances. A BG of 250 mg/dl or above is usually temporary. If at 250 > for a sustained period of time, then I will check. However, it has been several years since I last tested for ketones.

      1 year ago Log in to Reply
    11. Stephen Woodward

      Never have +250 bg, taking action preemptively pays off.

      3
      1 year ago Log in to Reply
    12. KCR

      If my BG goes over 250, I am either sick or having a pump-related problem and will test for ketones then. This spring I had a bad GI bug and got dehydrated (despite drinking lots of fluids, go figure) and saw rising ketones. I had to go to the ER for fluids.

      1 year ago Log in to Reply
    13. Joan McGinnis

      Only if I am sick wd I ck for ketones

      1
      1 year ago Log in to Reply
    14. Sahran Holiday

      My endocrinologist told me not to.

      1 year ago Log in to Reply
    15. Jneticdiabetic

      I have only tested for ketones a handful of times over my 26 yrs with T1D and not for over a decade. Having a 250 mg/dl is not uncommon for me, but it’s usually related to inadequate (or forgotten) meal bolus. If a high persists, I change my infusion site. I can tell when I’m spilling ketones because I get very nauseous. For me it’s always due to not getting insulin. Usually because a pump site became disconnected without me realizing. Once in my rush to get the kids to school and myself to work for a big meeting, I forgot to re-attach my pump post shower. 🤦‍♀️

      3
      1 year ago Log in to Reply
    16. Kim Murphy

      I don’t have any way to check for Keynes. Insurance 25 years ago used to pay for Ketosticks to test but they don’t anymore. Even if I had Ketosticks I wouldn’t check unless I was above 350 for at least 4 hours which has never happened.

      1
      1 year ago Log in to Reply
    17. Molly Jones

      I chose rarely. My BG is above 250 for a short amount of time almost every time I eat carbs. It doesn’t stay for long and comes down quickly on its own or crashing if I over correct, as I am highly sensitive to insulin.
      I have checked for ketones when my BG is above 200 and doesn’t respond to insulin normally. This has happened possibly ten times max.

      1 year ago Log in to Reply
    18. Kathleen Juzenas

      I rarely get that high. If it happens, it’s for a short time since I’d be taking measures to bring it down.

      1
      1 year ago Log in to Reply
    19. M C

      IF(!) it was staying above that level for days, then maybe… But, luckily, that just doesn’t happen. The only time my BG is ever that high is when I may have forgotten to bolus (and correct immediately), or I have indulged in something sweet, creating a swell upward of my BG, and I continue monitoring, to ensure it comes back down.

      1
      1 year ago Log in to Reply
    20. Wanacure

      Like most of the others who’ve commented, I seldom get high bg levels, so I rarely test. If I did, it would be with expired ketostix. If positive I’d test again with new strips ASAP within 24 hours, if not immediately. (I can walk to a 24-hour pharmacy not covered by my insurance.) BUT…BUT…BUT I only get tested for albumin once per year as my health insurance requires. And I’ve had T1D for so long, I probably could wisely choose to test for urine ketones every couple of months, just to be extra safe. I know a T2D who is now on dialysis. The sooner we can grow transplant kidneys from genetically modified pigs or our own stem cells, the better. Organ transplant donors are way too few.

      1 year ago Log in to Reply
    21. Carol Meares

      I keep my BG below 200 mostly. On occasion I pop up above but immediately correct with bolus to bring BG down quickly. I have never tested for ketones in the almost 30 years with diabetes. A doctor has never recommended me to do so nor given me the means.

      1
      1 year ago Log in to Reply
    22. Megan W

      I’ve never checked for ketones in 29 years with T1D. I asked my endo about it a year or two ago and she advised that I don’t need to test. She said that the test sticks used to be individually wrapped but no longer come that way so they expire too quickly for it to make sense to have them on hand. She said if I had ketones that were concerning I would feel it or other things anyway and would already be seeking care.

      1
      1 year ago Log in to Reply
    23. Cheryl Seibert

      I never check for ketones with sticks. They expire before I use them up. I rely on symptoms. If I am thirsty and urinating a lot and/or above 200 for over 2 hours, I drink a sugar-free drink mix with lots of potassium to eliminate chest pains and manually inject 2 units and then wait 30 mins.

      1 year ago Log in to Reply
    24. Jodi Greenfield

      If I get no response from a correcting dose of insulin – I test. 95% of the time I only have ‘trace’ amounts of ketones. If they get above ‘small’, I take action by changing my pump and using a new vial of insulin to load it. I learned the hard way years ago when I had insulin go bad on me.

      1 year ago Log in to Reply
    25. Leona Hanson

      Never been prescribed ketone strips I didn’t know

      1 year ago Log in to Reply

    How often do you check for ketones when your blood glucose levels are above 250 mg/dL? Cancel reply

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