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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/f/clinical-questions/28280/advise-on-serum-ketone-measurements-using-dipsticks</link><description> Hi 
 We have no serum ketone meter and I have a cat I am suspicious of mild DKA.I have tested the serum on dipstick it is negative however I know it doesn&amp;#39;t test for all forms of ketones (if that is the right terminology!). I remember from a CPD session</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>RE: Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/thread/212268?ContentTypeID=1</link><pubDate>Mon, 10 Jun 2019 20:04:34 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:9e3394a2-5f18-4870-a6d8-2ea862dcc11e</guid><dc:creator>Glen McIntosh</dc:creator><description>&lt;p&gt;I would tend to agree.&lt;/p&gt;
&lt;p&gt;If the serum ketones are not showing up on the dipstick then the ketoacidosis probably isn&amp;rsquo;t very severe.&lt;/p&gt;
&lt;p&gt;A blood gas would be my next port of call if the animal seemed sick. That, and as MW suggests, get some urine.&lt;/p&gt;
&lt;p&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/thread/212266?ContentTypeID=1</link><pubDate>Mon, 10 Jun 2019 19:27:10 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:c06ab871-f84a-46be-9a94-b39d3ecba4cd</guid><dc:creator>Beats</dc:creator><description>&lt;p&gt;&lt;a  target='_blank'  href="https://www.ncbi.nlm.nih.gov/pubmed/18637083"&gt;https://www.ncbi.nlm.nih.gov/pubmed/18637083&lt;/a&gt;&lt;/p&gt;
&lt;p&gt;I think michael&amp;#39;s unfortunately correct that adding h2O2 is probably not a useful enough thing to do to bother.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/thread/212256?ContentTypeID=1</link><pubDate>Mon, 10 Jun 2019 16:24:22 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:315b4bef-eb8a-48c3-bd43-08772fe33140</guid><dc:creator>Laura Kidd</dc:creator><description>&lt;p&gt;Hello,&lt;/p&gt;
&lt;p&gt;I have heard that you add hydrogen peroxide to the sample. No idea how much.&lt;/p&gt;
&lt;p&gt;Laura&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/thread/212250?ContentTypeID=1</link><pubDate>Mon, 10 Jun 2019 15:15:41 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:f9338f60-a940-4dcd-bf0c-d2fe66941d63</guid><dc:creator>topaz koch</dc:creator><description>&lt;p&gt;Is negative on urine but ketones show first in serum so wanted to check serum levels. Thanks for info on blood machine last time checked was much more expensive, maybe a diff brand. Will defo ask relevant people again if can get one in. However I wanted to know today what levels were so was interested if other people had used this technique&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Advise on serum ketone measurements using dipsticks</title><link>https://www.vetsurgeon.org/thread/212245?ContentTypeID=1</link><pubDate>Mon, 10 Jun 2019 14:26:25 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:10af53ba-969a-4117-9c58-0a5eb2d8ffeb</guid><dc:creator>Michael Woodhouse</dc:creator><description>&lt;p&gt;Why?&lt;/p&gt;
&lt;p&gt;If you have dipsticks, then squeeze the bladder or do a cysto and test urine.&lt;/p&gt;
&lt;p&gt;If you want to do blood then the Freestyle Optium machine is cheap - look on ebay. The machines are &amp;pound;10-20 and strips less than &amp;pound;1/each if you buy in quantity.&lt;/p&gt;
&lt;p&gt;The blood measures beta hydroxy buterate and urine is mainly acetoacetate I believe. Just use the right method on the right fluid.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>