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Acetoneairmcnc

Published: August 9, 2026Updated: August 10, 2026

The acetone blood test measures acetone levels in your blood to help diagnose and monitor conditions like diabetic ketoacidosis and metabolic disorders.

Quick summary

{"Measures acetone (a ketone body) concentration in blood serum","Used to diagnose and monitor diabetic ketoacidosis (DKA)","Helps evaluate metabolic conditions and liver function","Results are interpreted alongside other ketone tests and clinical symptoms","Abnormal levels may indicate serious medical conditions requiring prompt treatment"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
38585-6
Short code
ACET-AIR
Synonyms
Acetone Air-mCnc
Category
chemistry
Sample
serum
Container
Red top serum separator tube (SST) or gray top tube with sodium fluoride/potassium oxalate
Units
N/A
Ref low
0
Ref high
0
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Gas chromatography-mass spectrometry (GC-MS) or enzymatic assay
CPT
80378
SNOMED
39579001
Specimen volume
1-2 mL serum
Stability
Store at 2-8°C if analysis within 24 hours; freeze at -20°C or below for longer storage
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The acetone blood test measures the amount of acetone, a type of ketone body, in your blood serum. Acetone is produced when your body breaks down fat for energy instead of using glucose. This typically happens when there isn't enough insulin in the body or when you haven't eaten for an extended period.

Why is it performed?

This test is primarily ordered to: (1) Diagnose and monitor diabetic ketoacidosis (DKA), a serious complication of diabetes; (2) Evaluate unexplained metabolic acidosis; (3) Assess fasting or starvation states; (4) Monitor patients with poorly controlled diabetes; (5) Help differentiate between various causes of altered mental status.

How is the test done?

A healthcare professional will draw a blood sample from a vein in your arm. The sample is then sent to a laboratory for analysis. You may be asked to fast for 8-12 hours before the test, depending on your doctor's instructions. It's important to follow any pre-test guidelines provided by your healthcare provider.

Understanding your results

Normal blood acetone levels are typically very low or undetectable. Elevated levels (ketonemia) may indicate: diabetic ketoacidosis, prolonged fasting or starvation, a very low-carbohydrate diet, alcoholism, certain metabolic disorders, or liver disease. Your doctor will interpret results in context of your symptoms, medical history, and other test findings.

Reference range

Negative or not detected. Reference range may vary by laboratory methodology.N/A

Specimen: serum

No special preparation required. Inform laboratory of any medications, supplements, or recent alcohol consumption that may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before the acetone test?
Your doctor may ask you to fast for 8-12 hours before the test, as eating can affect ketone levels. Follow your healthcare provider's specific instructions.
What happens if my acetone levels are high?
High acetone levels indicate your body is producing excess ketones, which can lead to a dangerous condition called ketoacidosis. This requires immediate medical treatment, typically in a hospital setting with insulin therapy and intravenous fluids.
Is the test painful?
You may feel a brief sting or pinch when the needle is inserted to draw blood. This is typically well-tolerated, and any discomfort usually subsides quickly.
Can I monitor acetone at home?
Yes, there are home ketone meters available that measure blood ketone levels using a finger-prick blood sample. These can be useful for people with diabetes to monitor for early signs of DKA, but they should not replace regular medical testing.
How is this test different from urine ketone tests?
Blood tests measure the actual level of ketones circulating in your bloodstream, providing a more immediate and accurate picture of your current metabolic state. Urine tests detect ketones that have been excreted, which may reflect ketone levels from hours earlier.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy