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Using your glucose monitor is the number one way you can assess how your diabetes (and your body as a whole) is doing. Testing once a day is usually not enough to truly assess the information below because your blood sugar can change very easily throughout the day, after any food and drink, after exercise, etc.
Ask your health care provider when and how you should test for ketones. Many experts advise to check your urine for ketones when your blood glucose is more than 240 mg/dl. When you are ill (when you have a cold or the flu, for example), check for ketones every 4 to 6 hours. And check every 4 to 6 hours when your blood glucose is more than 240 mg/dl.