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Why Test Ketone?

Ketones are a type of acid produced when there is a shortage of insulin in the blood and your body breaks down fat for fuel. The accumulation and elevated level of ketones will lead to diabetic ketoacidosis (DHA) which is a potentially life-threatening complication in diabetes patients, especially those with type1 diabetes.

American Diabetes Association now recommends testing your ketone level on sick days or blood glucose more than 300 mg/dL. A study in a New York Hospital also showed that if DKA was prevented at home, it could prevent physician visit, emergency department visit, and even hospital or intensive care admission.

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Your cells can not use glucose for energy.

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Your body begin to burn fat, this process produce ketone.

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Ketone build up in the blood make it more acidic.

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Ketoacidosis is serious and dangerous

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Who Should Test Ketone?

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Diabetes patients

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Being often to feel thirst

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Blood glucose above 300 mg/dL

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Feel hard to breathe and breath smells “fruity”

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Clinical Significance

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0.6 mmol/L : Normal range

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1.0 mmol/L : Hyperketonemia

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3.0 mmol/L : Ketoacidosis

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Why Test Uric Acid?

 

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Your kidneys are not able to remove uric acid normally.

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Uric acid cause solid crystals to form within joints, cause gout.

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High level uric acid also cause kidney stones or kidney failure.

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Who Should Test Uric Acid?

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Eat too many foods rich in purines (organ meats, red meats )

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Drink too much beer

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Are overweight

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Clinical Significance

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4.4 – 7.6 mg/dL : Normal range for men

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2.3 – 6.6 mg/dL : Normal range for women

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Why Test Total Cholesterol?

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Cholesterol is necessary, but too much can be harmful.

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High cholesterol has no symptoms. A blood test is the only way to detect it.

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Saturated fats, and trans fats can raise blood cholesterol levels.

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Low cholesterol related to depression and anxiety.

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Who Should Test Total Cholesterol?

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Cigarette smoker

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Family history of early heart disease

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High blood pressure

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Diabetes patients

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Are overweight

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Clinical Significance

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0.5 – 1.0 mmol/L : Normal range

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2.0 – 4.0 mmol/L : Hyperlactatemia

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5.0 mmol/L : Lactic acidosis (with blood pH < 7.35)

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Why Test Lactate?

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Anaerobic energy production’s primary byproduct is lactic acid.

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Lactate production is associated with muscular fatigue.

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Lactate involved in some chronic metabolic diseases.

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Who Should Test Lactate?

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Athletes

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Neonates

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Diabetes patients

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Low perfusion patients

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Why Test Hb?

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Hemoglobin enables red blood cells to bind to oxygen.

High hemoglobin level increases the risk of a blood clot forming, could lead to a stroke or heart attack.

Low hemoglobin level might experience shortness of breath, palpitations and chest pain.

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Who Should Test Hb?

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Type I diabetes patients

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Blood glucose above 300 mg/dL

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Chronic kidney disease

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Blood disorder, like anemia

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Feel dizziness, headache, fatigue and tiredness

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