6 Best Urine & Blood Ketone Test Strips 2022 Review | KetoVale
best ketone test strips

Best Ketone Test Strips To Measure Your Ketosis Level

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Staying in ketosis is an important part of the ketogenic diet. After all, ketosis is the metabolic state in which you burn the most fat and keep it off, among many other health benefits.

If you’re new to the diet, or even if you’ve been doing it for a while, it can be hard to know whether or not you’re truly in ketosis. There are some signs of ketosis. However, it’s important to find a reliable way to measure your ketone levels.

This article discusses how to test ketone levels and reviews the best ketone test strips out there so you can stay in fat-burning mode for as long as possible.

How To Test Your Ketone Levels

There are 3 primary ways to test your ketone levels. You can test your blood, urine, or breath. You’ll get the most accurate readings from a blood test, but many people use breathalyzers or urine strips because they are cheaper and don’t involve needles.

For more information on how to measure your ketone levels using these three methods, see our article here.

If you’re looking for the best way to test your ketone levels without carrying around a handheld breathalyzer device, then we recommend using urine or blood strips. They fit right in your purse or gym bag, and you can use them to test your ketone levels multiple times a day.

  • Testing urine levels

If convenience is your thing, then we recommend going with urine strips. They work by measuring the levels of acetoacetate in your urine. This is an unused ketone body that is excreted in your urine when your ketone levels are high.

Unlike glucose, excess ketones are excreted in the urine instead of being stored in your fatty tissues. This is one of the many reasons why the ketogenic diet is so effective at helping you lose weight.

  • Testing blood levels

Things get a little more complicated when using blood strips. This is because, in addition to buying blood strips, you also need to purchase a compatible blood reading meter.

Blood strips work by measuring the amount of beta-hydroxybutyrate or BHB ketones in the body, which is one of the main types of ketones used for energy.

How To Use Urine Strips

You can either pee in a cup then dip the strip in it or pee directly on a strip. After waiting for a few seconds (depending on the product you use), you can compare your result with the colour guide on the bottle to see where your ketone level is at.

Note: Any color above negative means ketosis. Darker or lighter doesn’t matter that much as long as you’re in ketosis. Don’t stress over the numbers.

Before you pick out a good blood ketone meter, you might want to price out how expensive the replacement blood strips are. For many people, this could be a determining factor when you decide on a blood ketone measuring system. 

Below, we’ve reviewed the best urine and blood ketone strips to help you make an informed decision and stay on top of your keto game.

Best Urine Ketone Testing Strips

#1. Perfect Keto

These Perfect Keto Urine Strips offer several key features. First, they are professional grade yet they are easy to use and read.

Perfect Keto Test Strips

Where to buy: Check Best Price!

Results show up in 40 seconds, so you won’t have to wait around to see where your ketone levels are at. You get 100 urine strips for under eight dollars, which is a great value.

If you’re curious, especially in the beginning, you might want to test several times a day to see how certain foods affect your ketosis, it’s important to invest in a stash of urine strips.

Plus, there is a color guide printed on the side of the bottle so you can easily hold up your strip and measure your ketones right away.

Here are some pros and cons.


  • Great value if you want to stock up
  • Doctor-formulated, professional grade strips
  • Color guide listed on the side of the bottle for easy measuring
  • Results available in 40 seconds
  • Convenient to travel with
  • You can test your levels every time you use the bathroom
  • Perfect Keto is a very reputable brand


  • It’s hard to say anything bad about these strips! They are high quality and easy to travel with. The results take a little longer than a blood meter and they won’t be as accurate, but then again, these strips don’t require you to prick yourself with a needle.

#2. So Nourished

So Nourished ketone strips

Where to buy: Shop Now!

So Nourished offers a brand of urine keto strips, and we are so here for it. These strips are great for keto dieters and diabetics alike.

Results show up in 15 seconds, which is much quicker than the first product. You’ll get 100 strips per bottle, which is good because like we said above, you’ll be testing a lot, so you want to have a lot of strips available at all times.

Keep them in your gym bag, desk or car, and make sure to keep a few in the bathroom, too.

Here’s what we like and don’t like about it.


  • The company offers a 100 percent money back guarantee if you aren’t happy with these strips
  • Results are available in 15 seconds, which is faster than the first product we listed
  • Suitable for keto dieters and people with diabetes
  • As with the first product, there is a color guide listed on the side of the bottle so you can easily read your results. Just remember to bring the color guide with you when you go to the bathroom!
  • Comes with 100 strips with an excellent price


  • It’s hard to say anything bad about these test strips! They have everything you need, including faster than normal results. They are a little more expensive than the first brand, but not by much. You’ll want to make sure you bring the bottle with you in the bathroom as the color guide is listed on the side so you can measure your results on the spot. If you forget, you might have to carry a used strip out of the bathroom, and no one wants to see that.

#3. Smackfat

Smackfat Ketone Strips

Where to buy: Shop Now!

First, Smackfat is reasonably priced for 100 strips, and it comes with a color guide on the side of the bottle (just like the other two products). Plus, these strips have a lifetime warranty, so you can return them anytime you’re not happy.

They’re really easy to use. You just dip the stick in your urine and read after 40 seconds.

You can buy these off Amazon or find them at Walmart.


  • Good value at 100 strips for less than eight dollars
  • You can buy them online or at Walmart
  • Lifetime warranty included
  • Handy color chart listed on the side of the bottle
  • The company provides a demonstration video for how to use this product on its website
  • Travels well and is convenient to use


  • Although the product doesn’t say how fast the results are available, we doubt it takes longer than a minute or so. Still, it would be nice to know how long you’ll have to wait after using.

Best Blood Ketone Strips

Now that we’ve told you all about the best urine strips, it’s time to move on to the blood strips. These will give you a much more accurate reading than urine strips will, but keep in mind that you’ll need to buy a compatible meter along with the strips.

For example, if you buy the Precision Xtra strips that we mention in the number one spot, then you’ll also need to buy the Precision Xtra meter.

You can learn more about which blood reading meter to buy in our article Best Ketone Meters Review.

#1. Precision Xtra

Precision Xtra is a well-known brand among keto followers, and we like it because of its high-quality products and accuracy. These blood strips are top of the line, just like the blood meter that this company offers. Keep in mind that these strips are pricey, but again, you are paying for accuracy.

You’ll get 30 strips that are sold on Amazon, but make sure you also purchase the Abbott Precision Xtra Blood Glucose and Ketone Monitoring System when using these strips.


  • High-quality test strips from a reputable brand
  • Accurate test results guaranteed
  • Can be used to check glucose or ketone levels
  • Ideal for diabetics and keto diet followers
  • Doesn’t require much blood at all


Where to buy: Shop Now!

#2. Keto Mojo

These Keto Mojo strips are tested for accuracy by the FDA and EU, which means that they meet the strictest standards. The company also claims that they are tested by doctors, trainers, and researchers, so you get the feeling that this is a very high-quality product.

We like this company because they offer a lot of handy tools on their website, such as customer support and YouTube videos explaining how to use their product.

Keep in mind that these strips are only compatible with the Keto-Mojo Blood Meter System, so you’ll have to buy that, too.


  • FDA and EU approved
  • Meets strict standards
  • Comes with 50 strips in a box, so you can go longer without reordering
  • Tests ketone and glucose levels
  • Only requires one drop of blood
  • Company comes with customer support and YouTube videos explaining how to use the product


  • Again, these strips are only compatible with the Keto-Mojo Blood Meter System, so you’ll have to buy that, too. It can be an expensive setup, but well worth the investment if you ask us.

Where to buy: Shop Now!

#3. Care Touch Ketone Test Strips

The Care Touch ketone test strips have a longer than average expiration date of up to one year or more. They also only require a very small drop of blood.

These strips are only compatible with the Care Touch blood glucose and ketone monitoring system, but they offer fast results that are available within 10 seconds.


  • Good value at $36 for 50 strips
  • Strips do not expire for a full year
  • You only need a small amount of blood to test your ketone levels
  • This product qualifies for free shipping on Amazon 
  • Results are available within 10 seconds 


  • These strips are only compatatible with the Care Touch glucose and ketone monitoring system

Where to buy: Shop Now!


Measuring your ketone levels is a good way to make sure you’re staying in ketosis, but which method is best? Using a blood meter is the most accurate way to read your ketone levels, but many people use urine strips because they are cheaper and convenient. Plus, you can test several times a day without feeling like you’re spending a dollar per strip (like you would with a blood strip).

In this article, we’ve broken down the pros and cons of several urine and blood strips. The primary difference between the two is accuracy. You’ll want to remember that if you buy blood strips, you’ll also need to buy the compatible meter to go with them. This can be expensive, but consider it an investment for your health. These are great options if you’re trying to monitor your glucose and ketone levels at the same time. We recommend staying on top of your ketosis game with one of the high-quality products mentioned in this article!

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