Poor Adherence to Ketone Testing in Patients With Type 1 Diabetes

Diabetic ketoacidosis (DKA) is an acute, still common, and preventable complication of type 1 diabetes (T1D) associated with increased health care costs, morbidity, and mortality (1,2). Clinical recommendations advise self-monitoring of ketones in people with T1D during hyperglycemia and illness to allow for early diagnosis of ketonemia or ketonuria and to reduce the risk of DKA (3,4). The potential benefits of self-monitoring of ketones can only be realized if ketone monitoring and management are conducted as advised. The purpose of this study was to characterize ketone monitoring behaviors in both children and adults with T1D who completed an online questionnaire during October and November 2015 as part of the T1D Exchange Clinic Registry. Participants were asked a number of questions about ketone …