Acetonemsmtur
A urine test that measures acetone levels to check how your body is breaking down fats for energy.
{"Measures acetone (a type of ketone) in your urine","Helps monitor diabetes and metabolic conditions","High levels may indicate diabetic ketoacidosis (DKA)","Simple urine sample collection required","Results help doctors assess your metabolic health"}
Key facts at a glance
- LOINC
- 110635-0
- Short code
- ACETONE-U
- Synonyms
- Acetone Msmt Ur
- Category
- chemistry
- Sample
- urine
- Container
- Sterile urine collection container (plastic or glass)
- Units
- N/A
- Ref low
- 0
- Ref high
- 1
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- Enzymatic (beta-hydroxybutyrate dehydrogenase) or Colorimetric (Dinitrophenylhydrazine) method
- CPT
- 80378
- SNOMED
- 271510001
- Specimen volume
- 5-10 mL preferred, minimum 1 mL
- Stability
- Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C): 2 weeks. Protect from light if using colorimetric method.
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 1–24 hours
- Order
- routine
What is this test?
The urine acetone test measures the amount of acetone, a type of ketone body, in your urine. Ketones are produced when your body breaks down fat for energy instead of using glucose. This test is commonly used to monitor people with diabetes and check for a potentially serious condition called diabetic ketoacidosis (DKA).
Why is it ordered?
Your doctor may order this test if you have diabetes and experience symptoms like frequent urination, excessive thirst, or nausea. It is also used to monitor metabolic conditions, evaluate unexplained weight loss, or check for complications during pregnancy (gestational diabetes). The test helps determine if your body is properly using insulin or if dangerous ketone buildup is occurring.
How is the test done?
A urine sample is collected in a sterile container. You may be asked to clean your genital area before collection to avoid contamination. For a clean-catch sample, you will begin urinating into the toilet, then stop, then collect the mid-stream urine into the container. The sample is sent to a laboratory for analysis. No fasting or special preparation is typically required, but follow your doctor's specific instructions.
Understanding your results
Results are typically reported as negative, small, moderate, or large amounts of acetone. A negative or trace result is generally normal. Moderate to large amounts of acetone in urine may indicate diabetic ketoacidosis, starvation, a very low-carbohydrate diet (like the keto diet), or other metabolic disorders. Your doctor will interpret results based on your overall health, symptoms, and other test findings.
Reference range
Negative or <1 mg/dL (depends on laboratory method)N/A
No special preparation required. Patient does not need to fast. Collect random urine specimen in clean container. Inform patient that certain medications and metabolic conditions 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 test?
What do high acetone levels mean?
Is the test painful?
How often should I have this test?
Sources
- 1
- 2
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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 16, 2026. · Read our editorial policy