Drug Interactions

Tell your doctor or pharmacist if you are taking or if you are planning to take any over-the-counter or prescription medications or dietary supplements while testing for ketones. The following drugs and drug classes interact with the tests to cause questionable results.

8-hydroxyquinolone

Phthalein compounds (eg, brom sulfophthalein)

Levodopa (eg, Larodopa)

Mesna (eg, Mesnex) tions)

Nitrofurantoin (Furadantin)

Sulfhydryls

Phenazopyridine (eg, Pyridium)

Guidelines for Use

Follow the instructions on the label exactly.

Monitor urine for glucose and ketones as prescribed. Monitor urine ketones especially if your blood glucose level has been more than 250 mg/dL for 2 consecutive blood glucose determinations. Blood glucose monitoring is essential to achieve normal blood sugar levels. Keep track of your blood glucose results so that adjustments in your treatment program can be made more easily.

Ketones are not present in normal urine. Ketones in urine could be a sign of illness, stress, or poor diabetes control. Immediately report any positive test result to your doctor.

Have all of the materials you need before beginning the test: Tesfstrips or tablets, timer (stopwatch or watch with second hand), and a Clean dry container. For Acetest you will need a dropper and a clean, white piece of paper.

Color vision is needed to properly read test results. Have someone else confirm results if in doubt.

If test results seem questionable, confirm that product is within theexpiration date on the bottle. Repeat the test using a new test strip ortablet and fresh urine specimen.

Acetest-When a drop of urine is put onto a tablet, the drop should be absorbed within 30 seconds. If absorption takes more than 30 seconds, the tablets have been exposed to moisture and may not g.ive good results.

As with all laboratory tests, definitive diagnostic or therapeutic decisions should not be based on any single result or method.

Patients with diabetes should test for ketones:

When you have a cold, the flu, or any other kind of illness. When your urine sugar test results show you are spilling large amounts of sugar (at least 2% for at least 2 tests in a row or several days).

When you feel the signs of high blood sugar (more than 240mg/dL) or when your blood sugar is well over the range your doctor or educator has set for you.

When you are under unusual physical or emotional stress. Regularly during pregnancy.

Participate in a diabetes education program so that youl1nderstand diabetes and all aspects of its treatment, including diet, exercise, personal hygiene, and how to self-monitor blood glucose.

Diabetes education materials may be obtained through your local chapter of the American Diabetes Association.

Do not use opened or unopened product after expiration date.

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