Keto-Mojo Meters Sets the Standard for Accuracy | KETO-MOJO https://keto-mojo.com/testing-basics/accuracy/ Tue, 07 Nov 2023 01:31:50 +0000 en-US hourly 1 https://wordpress.org/?v=6.4.1 Health Experts Trust Keto-Mojo https://keto-mojo.com/health-experts-trust-keto-mojo-accuracy/ Wed, 17 Feb 2021 19:49:12 +0000 https://keto-mojo.com/?page_id=14509 The post Health Experts Trust Keto-Mojo appeared first on KETO-MOJO.

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The Experts Trust Keto-Mojo

The Keto-Mojo meter and testing strips utilize the most advanced technology in in-vitro glucose and ketone testing. We take healthcare seriously which is why our meter exceeds all FDA standards for accuracy and the more exacting ISO International standards. We stand behind our meter with a lifetime warranty!

Researchers, hospitals, clinics, doctors, and other healthcare professionals make Keto-Mojo their glucose and ketone meter of choice. Join the community! 

The Experts Trust Keto-Mojo

The Keto-Mojo meter and testing strips utilize the most advanced technology in in-vitro glucose and ketone testing. We take healthcare seriously which is why our meter exceeds all FDA standards for accuracy and the more exacting ISO International standards. We stand behind our meter with a lifetime warranty!

Researchers, hospitals, clinics, doctors, and other healthcare professionals make Keto-Mojo their glucose and ketone meter of choice. Join the community! 

Testimonials From Healthcare Professionals

Dr. Paul Kolodzik

“I’ve helped my patients achieve dramatic improvements with their health using the MyMojoHealth platform.”

This device and platform, with its simplicity of use and remote monitoring capability, is a remarkable tool that I use to guide my patients into ketosis, and keep them there. In doing so they reverse their insulin resistance and metabolic syndrome, along with many of their associated chronic medical conditions. It is not an understatement to say this platform dramatically improves my patients health and lives.

Paul Kolodzik, MD, FACEP, FASAM, MBA
Medical Director, Metabolic MD

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Dr. Boz

“I used MyMojoHealth monitoring with patients on my 21 day course and the results were phenomenal.”

It would have taken me a year to make that big of a difference in their metabolic health using the traditional approach.

Annette Bosworth, M.D.

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Dr. Tro

“It Will Let Us Monitor Patients’ Progress from Afar”

After testing several devices, we decided to move to the Keto Mojo exclusively. It’s a real game-changer and will let us monitor patients’ progress from afar — something we have come to value even more in the wake of COVID-19 concerns. I’m proud to be one of the first offices using this system for our patients.

Dr. Tro Kalayjian, MD

Dr. Tro’s Medical Weight Loss & Direct Primary care
LowCarbMD Podcast

Dr. Cywas

“One of the 7 Essential Medical Devices”

The Keto-Mojo GK+ meter is one of the 7 essential medical devices I have at home. It’s an excellent, excellent meter!

Dr. Robert Cywes, MD,PhD

Bariatric and General Surgeon
@CarbAddictionDoc

Dr. Sonners

“This is hands down our favorite monitor and we couldn’t run our online programs without it.”

Having objective data in real-time helps us know where we need to make adjustments in our patient’s plan. It is an integral part of our ability to provide individualized support. It also gives them great feedback and motivation to stay with the plan. We definitely recommend this product, and their customer service is 5-star!”

Dr. Melissa Sonners, DC, DACCP, CACCP

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Dr. Palmer

“Exceptional Partner in Implementing the Ketogenic Diet as a Treatment for Serious Psychiatric Disorders”

Keto-Mojo has been an outstanding and exceptional partner in my work implementing the ketogenic diet as a treatment for serious psychiatric disorders. Measuring and tracking therapeutic ketone levels is an essential tool in this treatment. Importantly, this company has been a champion for promoting ketogenic therapies and supporting education and research on this important, sometimes life-changing treatment. Thank you, Keto-Mojo!

Dr. Chris Palmer, M.D.

Director, Dept. of Postgraduate and Continuing Education, McLean Hospital
Assistant Professor of Psychiatry, Harvard Medical School

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Dr. Yamane

“Any healthcare provider who is looking to increase patient or client compliance on low carb food plans will benefit from using this product!”

The meter has significantly increased patient compliance on the personalized nutrition & supplement programs we provide and holds them accountable in staying motivated towards improving their own health. It has given us the information we need to make the best recommendations possible. We are very satisfied with the Keto-Mojo meter and all the support we receive from the company.

Dr. Ian Yamane, DC, IFMCP, CFMP

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Dr. Nasha Winters

“The MyMojoHealth platform delivers on a fundamental principal of treatment…Test, Assess, Address!”

Keto-Mojo has created a powerful platform for practitioners to keep patients on track with their nutritional therapies, which can be a life enhancing tool for cancer patients.

Dr. Nasha Winters, ND, FABNO

Naturopath, oncology specialist, and author of The Metabolic Approach to Cancer.

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KM-Kelly Mathews

“Enhancing the Coaching Experience”

Throughout our 12-week education program, our members collect glucose and ketone data with the Keto-Mojo device. Having real-time access to their data via My Mojo Health enables our coaches to provide individualized support and education.  This data closes the feedback loop and helps create better somatic awareness and long-term success.

Kelly Matthew, Program Director for Well-Being A Tribe Planted with Purpose and Certified Health Coach.

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Miriam Kalamian, Edm, MS, CNS

“You can’t know if you are ketogenic unless you’re testing.”

You can know if you’re low carb by what you’re taking in but not if you’re in ketosis. My general recommendation for testing is Keto-Mojo. I love that they are supportive of our low-carb community. They have an FDA approved device and have developed an amazing website for information, not just about cancer but all other uses for keto. It’s a great resource.

Miriam Kalamian, Edm, MS, CNS
Nutrition consultant, educator, speaker, and author of Keto for Cancer.

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Keto-Mojo Lisa Brooks

“The MyMojoHealth platform gives me a way to stay connected to our study participants.”

Working on the Efficacy of Diet for Quality of Life in Multiple Sclerosis (EDQ-MS), I appreciate the capability the MyMojoHealth platform gives me to stay connected with our participants who follow the Time Restricted Olive Oil Based Ketogenic (TROO Keto) Diet. It allows me to monitor their diet adherence through graphs, trends and running averages of their ketone levels, and support them throughout the study which contributes to their overall engagement and commitment to the study protocol. I can even email participants directly through the platform and that gives more emphasis to the messages I send individual participants. In addition, I can write brief assessments and patient reported information in the Notes section of the platform.

Lisa Brooks, MA, RDN, LD | MS Diet Study Team
University of Iowa – College of Medicine, Department of Internal Medicine

Dr. Melanie Tidman

“I collaborated with this incredible company on a research endeavor and will continue to do so”

Keto Mojo provided invaluable assistance for the design and implementation of my research on the applications of low carbohydrate nutritional therapy for neurodegenerative diseases like Parkinson’s. I utilized many of the videos and educational materials on the Keto-Mojo website for the education and training of my research participants. They are committed to supporting research and are a high-quality resource.

Dr. Melanie Tidman DHSc, MA, OTR/L, MHP

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Tammie Laubacher

“MyMojoHealth is an indispensable tool for managing metabolic health.”

In our program, numbers matter and the MyMojoHealth platform gives us the visibility we need to coach our clients to success. Numbers don’t lie and the graphs paint a convincing picture of what is going on. It’s a gamechanger and makes trouble shooting a breeze for a coach. I use the Keto-Mojo monitoring system and MyMojoHealth platform personally, as a cancer survivor, to track my own health and I have my clients use it as well so I can coach them to better health.

Tammie Laubacher, Dr. Boz Coach

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Dr. Nicole Laurent

“I highly recommend this free tool for healthcare practitioners.”

Using Keto-Mojo’s MyMojoHealth platform for health practitioners has really improved my ability to help my clients. I use a ketogenic diet to help my patients with mood disorders and neurological issues. It very important for me to see client data in near real-time to troubleshoot important factors in recovery. It’s an invaluable service for the practitioner community and I highly recommend you take advantage of it. Your patients will benefit by your enhanced insights into their metabolic state and your improved ability to provide care.

Nicole Laurent, LMHC, Brain Fog Recovery Program

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Dr. Kesslering

“As a physician who has fully embraced the benefits of using a metabolic approach to health, I find the Keto-Mojo meter and MyMojoHealth app invaluable.”

I work with many cancer patients and the literature shows that diet can impact the hormones that drive cancer growth. With the Keto-Mojo device and platform, I can see real-time how my recommendations are impacting my patient’s metabolism which allows me to make additional recommendations along the way. There is no one-size-fits-all. Keto-Mojo helps me optimize diet recommendations for each person.

Dr. Christy M. Kesslering, MD

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Donna Webb, RDN, LD, CDCES

“The Keto-Mojo meter has been a game changer for me and my clients. ”

My clients are mostly women who are insulin resistant and struggling to lose weight. I finally have a tool that can help me help my clients learn about their metabolism and what changes they need to make to meet their nutrition goals. I am a much better clinician because of the Keto-Mojo.

Donna Webb, RDN, LD, CDCES

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Dr. Norwitz

“The Monitor is Impressively User Friendly”

I’ve kept a Keto-Mojo monitor in my back pocket for years, and it has been among my most invaluable tools. I first used Keto-Mojo for my own purposes, as a patient. I struggled with several inflammatory conditions, including severe ulcerative colitis, and discovered that a ketogenic diet put my diseases into what has become a lasting remission. The Keto-Mojo monitor gave me insight into how diet interacted with my metabolism and, thereby, gave me the power to engage in experiments to optimize my ketogenic diet for my particular biology.

Dr. Nicholas G. Norwitz, PhD, MHP, MD Candidate

LinkedIn

Dr. Gioffre

“My Favorite Device to Measure Metabolic Health”

What you INSPECT, you RESPECT. That’s why I’m a huge fan of Keto-Mojo, the only ketone and glucose meter I trust for my family, my patients, and myself. It’s easy to use, gives me instant results, and is second to none in accuracy. This is my favorite device to measure my metabolic health.

Dr. Daryl Gioffre, DC

Celebrity Nutritionist and Anti-Inflammation expert

Clinical Trials & Studies Using The Keto-Mojo Meter

Cedars-Sinai

Ke-to Liver Health Study

Effects of a 28-day Ketogenic Dietary Intervention on Nonalcoholic Fatty Liver Disease Progression

Other Trusted Professionals Recommend the Keto-Mojo Meter 

Virta Health Logo

Virta Health

Reversing Type 2 diabetes through personalized dietary guidance and health coaching. Keto-Mojo meters are placed in patient’s starter kits.

Jumpstart MD Logo

JumpStartMD

Helping thousands of people lose weight and live healthier lives through personalized and medically supervised wellness programs.

Oncology Nutrition Institute

Oncology Nutrition Institute

An online school providing educational certification and training programs in the emerging field of oncology nutrition.

Cleveland Clinic
Center for Functional Medicine

Offering programs to identify genetic, lifestyle, and environmental factors affecting health. Using food and nutrition as a first-line therapy.

Charlie Foundation

The Charlie Foundation
For Ketogenic Therapies

Raising awareness of the ketogenic diet as a metabolic treatment for epilepsy.

Fasting Method

The Fasting Method
Online Program

Dr. Jason Fung and Megan Ramos’s intermittent fasting program for improving diet and weight loss.

Valhalla Wellness & Medical Center

A Multi-Disciplinary approach to Wellness inclusive of Functional Medicine, Naturopathic, Body Sculpting, Chiropractic, and Massage.

Opt Health

Opt Health

A telehealth platform with one mission: to reconnect men with health, wellness, strength, and sexual vitality through the science of preventive medicine.

Dr. Terry Wahls, M.D.

Dr. Terry Wahls, M.D.

Clinical professor of medicine at the University of Iowa Carver College of Medicine and author of The Wahls Protocol.

Dr. Angela A Stanton, Ph.D

Dr. Angela A Stanton, Ph.D.

Stanton Migraine Protocol and author of Fighting the Migraine Epidemic: A Complete Guide: How To Treat & Prevent Migraines Without Medicine

Dr. Dan Pompa, PSc.DD

Dr. Dan Pompa, PSc.DD

Trained as a chiropractor, Dr. Pompa teaches cellular detox and therapeutic applications of the ketogenic diet and fasting. He is a podcaster and author of The Cellular Healing Diet.

Thomas DeLauer

Thomas DeLauer

Author, health expert, and performance coach.

Dr. Darren Schmidt, DC.

Dr. Darren Schmidt, DC.

Founder of the Nutritional Healing Center of Ann Arbor. Treating patients globally with their Long Distance Patient Program and personally in their Ann Arbor, Michigan office.

Dr. Georgia Ede, M.D.

Dr. Georgia Ede, M.D.

Nutritional psychiatrist, speaker, and contributor to Psychology Today. Offers clinician training in ketogenic diets for mental health.

Test, Don’t Guess!

Track your ketone and glucose levels using our FREE  APP. Compares your readings over time and automatically calculates your GKI. Sign up for MyMojoHealth in the app and get even more insight into your metabolic state, and sync with other health apps.

The post Health Experts Trust Keto-Mojo appeared first on KETO-MOJO.

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How Accurate are Glucose & Ketone Meters? https://keto-mojo.com/testing-how-accurate-are-glucose-ketone-meters/ Wed, 17 Feb 2021 02:19:44 +0000 https://keto-mojo.com/?page_id=14641 Blood glucose and ketone meters are extremely valuable tools if you have diabetes, follow the ketogenic diet, or simply want to improve your metabolic health.

The post How Accurate are Glucose & Ketone Meters? appeared first on KETO-MOJO.

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FDA Approved Stamp

How Accurate are Glucose & Ketone Meters?

Blood glucose and ketone meters are extremely valuable tools if you have diabetes, follow the ketogenic diet, or simply want to improve your metabolic health.

While at-home meters aren’t as accurate as “gold standard” lab tests, they’re still accurate enough to ensure you make safe decisions about glucose management–and they’re also strictly regulated by the FDA and other governing bodies as medical devices.

If you’re feeling doubtful about the accuracy of your meter, this guide has the facts to help put your mind at ease.

But just as importantly, you’ll also learn how to check your meter for accuracy using a control solution if necessary, as well as the most common factors that can cause inaccurate readings (and how to prevent that from happening).

Keep reading to learn the truth about meter accuracy, how accuracy is defined, how at-home meters compare to lab tests, how to test accuracy, and more.

5 Facts to Know About Glucometer and Ketone Meter Accuracy

[1]

Accuracy Is a Technical Term Defined and Regulated by the FDA

 

In the United States and most other countries (including those in the European Union), over-the-counter glucose meters are regulated as medical devices and have to meet strict requirements before going to market.

Under FDA regulations, all blood glucose meters must meet or exceed the following accuracy standards to meet a 510k certification:

  • 99% of all results must be within +/- 20% of a validated laboratory-based glucose measuring method
  • 95% of all results must be within +/- 15% of a validated laboratory-based glucose measuring method

 

As an example, if the laboratory reference test for blood glucose showed a result of 100 milligrams per deciliter (mg/dL), then a self-monitoring glucose meter would need to show 99% of results between 80-120 mg/dL and 95% of results between 85-115 mg/dL for the same sample.

The FDA also requires manufacturers to demonstrate precision (repeatability of results) for different glucose concentrations between 30-400 mg/dL to help ensure the meter performs adequately across the entire spectrum of possible results (from dangerously low, to normal, to dangerously high).

Along with testing meters, manufacturers also have to show their glucose strips are accurate, and must test strips from all batches and also keep an archive of strips in case a problem comes to light into the future.

In other words, by the time you purchase a glucometer and strips, the manufacturer has done everything possible to guarantee their products are safe and effective for the purpose of monitoring your blood glucose and using the results to make decisions.

On the other hand, stand-alone blood ketone meters are not strictly regulated in the same way as glucometers, but combination glucose and ketone meters must meet higher standards than ketone meters.

Therefore, if you want the most accurate blood ketone readings possible, be sure to choose a 510k approved FDA-compliant glucose-ketone meter rather than a non-regulated meter that only reads ketone levels. Generally, ketone only meters do not need to meet the same stringent 510k FDA standards for glucometers so using a glucose-ketone meter ensures greater levels of assurance.

[2]

No Meter Is as Accurate as a Lab Test or Venous Blood Draw

 

Keep in mind that the strict regulations for glucose meters (and strips) ensure they’re accurate enough to help you make the correct decisions, safely and consistently, based on your blood glucose levels.

That said, no self-monitoring blood glucose test system is as accurate as a lab test, for several reasons.

First of all, glucose meters use very small samples of your blood that come from a fingerstick blood droplet. This blood is called capillary blood because it comes from your capillaries.

Your capillaries are responsible for delivering blood directly to the tissues in your body, and your metabolism can more readily affect the glucose content of capillary blood compared to other sources.

Unlike home glucometers, medical lab tests use venous blood drawn directly from a vein. Venous blood is more representative of your body’s circulating glucose levels and is typically lower than glucose levels from capillary blood.

The sample size also makes a significant difference in accuracy and precision. A glucose strip reservoir is typically less than one microliter, or under one thousandth of a milliliter.

In contrast, lab tests analyze blood samples around 0.5 milliliters, 500 times larger than the capacity of a glucose strip reservoir.

And as with any measurement, a larger sample size yields more reliable results. The contents of your blood (including blood sugar) are not 100% uniform, but are distributed somewhat unevenly, meaning that a smaller sample is more likely to show a difference from your average levels compared to a larger sample.

Finally, there’s a huge difference between home equipment and lab equipment.

Glucose meters cost approximately as much as an oil change for your car (and report results in 5 seconds), while the “gold standard” test, gas chromatography-mass spectrometry (GCMS), uses instruments that cost between $80,000-$400,000 (and takes at least 15 minutes to report results).

The next step down in lab equipment used to measure glucose, like the YSI bench analyzer used in FDA 510k submissions, costs approximately $25,000.

GCMS tests or bench analyzers also require a phlebotomist or nurse to draw your blood, as well as a lab technician to process the blood sample and interpret the results.

[3]

High Quality Consumer Glucose & Ketone Meters Are Accurate Enough

 

It would be wonderful if consumer-grade glucose meters could rival the accuracy of lab-grade GCMS equipment.

In reality, though, they’re still accurate enough for their intended purposes.

The most important role of a glucose meter is risk management by assisting acute care decisions around blood sugar, such as detecting dangerously low or dangerously high levels that require immediate attention. It’s also used in assessing ongoing needs for exogenous insulin to maintain healthy blood glucose levels.

And by virtue of meeting the FDA risk management standards for making critical decisions, home glucose meters are also accurate enough for:

  • Tracking trends in glucose over time (for example, fasting morning glucose) to measure your metabolic health,
  • Understanding your response to a meal or specific food by testing pre and postprandial glucose for people with diabetes or who are on the ketogenic diet, and
  • Calculating your glucose-ketone index (GKI) to ensure you’re in a state of therapeutic ketosis for managing medical conditions.

 

And finally, unlike lab instruments that occupy an area the size of a large closet and require specially trained personnel to operate, glucometers are portable and easy to use–you can keep them nearby and use them in situations where a lab test would never work.

[4]

Comparing Results from Different Brands of Meters

 

If you own more than one type of meter, or have friends or family members who own their own glucometers, you may be tempted to compare results from different brands of meters.

Unfortunately, this practice is not a reliable way to compare accuracy.

It’s not widely discussed, but at Keto-Mojo, we’ve discovered through internal testing that some brands of glucose meters provide lower results than lab results in general, even if the results are still technically within the FDA’s acceptable accuracy range. That is, they skew measurably and consistently towards the very bottom of that range.

You can view the actual data by reading down to the bottom of this article, click here.

While meters with a tendency to read low are still considered accurate enough for making appropriate care decisions (since they meet the accuracy standards), they sometimes cause problems, such as:

    • when people switch from a meter that skews low to one that doesn’t, they may worry that their glucose management strategies aren’t effective, or
    • sometimes people switch from or compare meters, then assume the higher reading of the two must be inaccurate or defective.

It’s generally true that people prefer low readings to high ones for a lot of reasons, especially because lower readings suggest effective blood glucose management and good metabolic health. The tendency to accept data or results that fit our preferences is known as confirmation bias, and no one is completely immune to this form of bias.

However, just because one meter consistently reads lower than another doesn’t make it more accurate, valid, or useful than another meter. On average, the meter that doesn’t skew low may actually be more likely to give an accurate reading.

Overall, what matters the most is staying with one trustworthy meter, making the right short-term glucose management decisions, and monitoring your metabolic health trends over time.

[5]

Comparing Back-to-Back Results

 

Intuitively, it may seem that comparing back-to-back results from the same glucose or glucose-ketone meter would be a helpful way to determine its accuracy or to receive more accurate readings, but that’s actually not the case.

(If you want to know the best way to validate the accuracy of your glucose-ketone meter, that’s covered in the section directly below this one.)

First, as we’ve discussed previously in this article, keep in mind that expected variations in readings will occur:

    • +/- 15% variation compared to baseline lab results, 95% of the time
    • +/- 20% variation compared to baseline lab results, 99% of the time

 

Therefore, for example, a repeat reading of a lab-validated glucose sample that’s 100 mg/dL would be expected to range from 85-115 mg/dL with a home glucometer.

Beyond that, performing back-to-back readings at home further decreases accuracy for these reasons:

    • If you use a single sample (blood droplet), prolonged exposure to air skews readings because glucose oxidizes (reacts to oxygen).
    • Blood glucose levels can change rapidly in your body, so even samples taken close to one another in time can be different.
    • Taking readings using samples from different fingers may result in differences because the glucose content of fluids from different body areas can be different.

 

In other words, just because back-to-back readings may differ, it doesn’t mean your meter is inaccurate.

If you’re concerned about the accuracy of your glucose meter, keep reading for tips on how to conduct an accuracy test and learn about other factors that could affect accuracy.

How to Check the Accuracy of Your Glucose-Ketone Meter

If you suspect your meter of giving incorrect readings or you think you may have damaged the meter, conduct a control solution test for peace of mind. It will tell you if your meter is working properly, and meets FDA accuracy standards.

At Keto-Mojo, all our meters come standard with glucose and ketone control solutions for testing meter accuracy.

Before using the control solution to test your meter’s accuracy, ensure that you:

    • double-check the expiration date (our control solutions have a shelf life of 12-18 months unopened, and must be used within 6 months after opening)
    • only use test strips that have been properly stored and are not expired, and
    • never use other brands of control solutions with Keto-Mojo meters.
Control Solutions and Meter

Here’s how to perform the test, or watch the video below:

    1. Prepare 1 glucose strip or 1 ketone strip (depending on which test you’re performing), or both.
    2. Shake the control solution before use, but very gently to avoid creating lots of air bubbles.
    3. Place a drop of the control solution(s) onto a clean, non-porous surface such as a ceramic plate.
    4. Place the strip in the meter and wait for the beep. Place the tip of the strip to the appropriate control solution and wait for your reading.
    5. Compare the meter reading to the ranges printed on your meter kit box (if that’s where the strips came from) or your test strip box.
    6. If you’ve misplaced your box with the control solution ranges, you can look them up here.
    7. If your reading falls within the range, your meter is meeting the FDA standards of accuracy.

Note: Take care when disposing of the control solution sample, as our control solutions contain dye that may stain clothing or surfaces.

How to Use Keto Mojo Control Solutions for the GK+ Blood Glucose and Ketone Meter

If you’re still concerned, you can perform a 5-strip test.

  1. Prepare 5 glucose strips or 5 ketone strips (depending on which test you’re performing), or both.
  2. Shake the control solution before use, but very gently to avoid creating lots of air bubbles.
  3. Place a drop of the control solution onto a clean, non-porous surface such as a ceramic plate.
  4. Perform back-to-back tests with all 5 glucose or ketone strips using the single drop, noting each reading. (It’s normal and expected to notice a variation in readings.)
  5. Calculate the average of the 5 tests by adding up all of the readings, then divide the total by 5.
  6. Compare the average reading to the ranges printed on your meter kit box (if that’s where the strips came from) or your test strip box.
  7. An ideal or “perfect” test result is when the reading average is in the middle of the control range, but as long as the reading average falls anywhere within the control range, your meter is accurate and is not defective.

As we’ve discussed already in this guide, usually the meter itself isn’t the problem as far as reliability and accuracy.

In the next section, we’ll cover the other factors that can affect the accuracy of at-home glucose and ketone readings.

Common User Errors & Other Variables

If you want your readings to be as accurate and useful as possible, you’ve got to account for the various factors that can affect the reliability and variance of readings.

All of these factors can affect glucose and ketone readings, but unlike glucose readings, ketone readings aren’t usually a matter of life and death. (Although diabetic ketoacidosis (DKA) can be life-threatening, most ketone meters max out at 8 mmol/L, and true ketoacidosis occurs around 16 mmol/L. DKA is also typically accompanied by high glucose levels and symptoms like lethargy, thirst, and excessive urination.)

Here’s a list of things that can affect the accuracy of your readings:

    • Sweat, oil, sugar, water, or other substances on your hands (always ensure your hands are clean and dry each time you take a reading).
    • Temperature, humidity, and altitude can affect readings, especially at extremes (something to keep in mind if you are in a very cold, very hot, or very humid environment).
    • Improper storage of strips (store them in the original container and keep them away from moisture, light, and extreme temperatures).
    • Out-of-date strips are more likely to give inaccurate readings (always check the expiration date).
    • Improper handling or abuse of your meter can affect its functioning and accuracy.


And the following factors don’t directly affect the accuracy or performance of your meter, but could account for unexpected changes in your readings:

    • Hydration status (dehydration can raise blood glucose).
    • Time of day makes a difference in glucose and ketone levels.
    • Protein consumption (high protein intake may temporarily reduce blood sugar).
    • Exercise (lower intensity aerobic exercise can temporarily lower blood glucose, while more intense anaerobic exercise, such as sprinting or resistance exercise, can briefly raise it).
    • Fasting or intermittent fasting can rapidly alter your insulin sensitivity, affecting glucose levels.
    • Psychological stress can increase glucose and ketone levels.
    • “Hidden” carbs or other non-keto ingredients can increase blood sugar levels on the keto diet.
    • Dietary supplements can raise or lower blood sugar, especially in people who take medications, as can medication adjustments (always speak to your doctor before adding a new supplement if you have a medical condition or take prescription medication).
    • Taking exogenous ketones, as some people do for therapeutic purposes, is designed to elevate ketone levels.

Paying close attention to all the factors that could affect your glucose and ketone levels can help you obtain more consistent, useful readings.

Next, we’ll review a study that compares the accuracy of the Keto-Mojo GK+ Glucose-Ketone meter to other popular glucose meters.

Study: Blood Glucose Meter Accuracy Comparison

Earlier, we made reference to some popular meters skewing glucose readings low.

The reason we know this is because we make a point of understanding as much as possible about the science of blood glucose and ketone meters, and that includes competitor brands.

We recently conducted a glucometer accuracy study that compared our meter GK+ Blood Glucose & Ketone meter against two other brands of meters that are generally considered to be among the best available meters, the Abbott Precision Xtra and the Accu-Chek Performa

Below, you’ll find a summary of our findings. You can also get a PDF of the full study here.

 

The graphs below for each meter are called Difference Plots. They are used to compare the results of each meter in relation to the lab results. The dotted lines represent the limits of the FDA accuracy standards, the solid line in the middle is the glucose laboratory test result, and the red dots represent the meter readings in relation to the lab result.

The difference plot essentially shows how close the meter reading was to the actual lab result across a range of readings from low to high, and identifies if there is a tendency toward a meter reading higher or lower than the lab results.

KM GK+ DifferencePlot

Keto-Mojo GK+

Notice that the GK+ meter readings hover relatively close to the lab results.

2. ABBOTT PRECISION XTRA

Abbott Precision Xtra

            Notice that the Precision Xtra meter readings have a strong tendency to skew lower than the lab results.

Accu-Chek Performa

            Notice that the Performa meter readings have a slight tendency to skew lower than the lab results.

As you can see, all three meters meet the FDA accuracy standards, but two of them tend to skew lower than lab results. The GK+ is calibrated for a more even trend line with lab results, making it a more reliable and “accurate” meter.

One more thing, we talked earlier about confirmation bias—the tendency to believe what you want the reading to be, regardless of whether it is the most accurate.

Here is a case in point. In the full study, there is a chart with all of the sample results taken for each monitor. In one sample, the results were as follows:


At a reading of 435 mg/dL, the Keto-Mojo GK+ reading was higher than the other two meters and the other two readings were closer together. Confirmation bias would suggest that a person taking these readings would assume that the Keto-Mojo GK+ was least accurate. But compared to actual lab results, it was the most accurate. The GK+ was only 4.1% off of the lab result where the other meters were 17.2% and 10% off.

Study takeaways:

    • All three meters tested were within FDA accuracy standards.
    • All three meters skew lower than the lab trend line.
    • The Keto-Mojo GK+ meter trend line is closest to actual lab results, with more representative readings as opposed to skewing low.

Final Thoughts

Blood glucose meters are medical devices that can have life or death outcomes, which is why manufacturers take the FDA accuracy standards very seriously.

At Keto-Mojo, we back up the confidence in our meter with a lifetime warranty.

That’s why experts trust Keto-Mojo meters and we have the honor of providing meters for clinical studies at UCSF, Cedars-Sinai, Stanford University, Duke University, and other esteemed institutions.

If you’re concerned that your meter is inaccurate or defective, please be sure to check the accuracy with a control solution as well as making sure you know all the factors that can affect the accuracy and variance of glucose readings.

Thank you for taking the time to learn about meter accuracy. You can purchase a Keto-Mojo GK+ meter here.

Test, Don’t Guess!

The Keto-Mojo meter is the most reliable and accurate glucose & ketone meter on the market and we back that up with a lifetime warranty. Test your level of ketosis with confidence so you can dial in your health goals. Our meter comes with a free MyMojoHealth app to make tracking easier than ever!

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Continuous Glucose Monitoring (CGMs) vs. Blood Glucose Monitoring (Finger Stick): What’s the Difference? https://keto-mojo.com/article/testing-basics-cgm-vs-blood-glucose-monitoring/ Tue, 16 Feb 2021 05:36:25 +0000 https://keto-mojo.com/?post_type=article&p=16930 According to scientific research, monitoring blood glucose and ketone levels can result in measurably better health outcomes for people who are overweight or who have...

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According to scientific research, monitoring blood glucose and ketone levels can result in measurably better health outcomes for people who are overweight or who have diabetes or metabolic syndrome.

But if you want to start keeping track of your metabolic health, you have the option of several different types of monitoring devices available on the market. 

Two of the most popular systems today are continuous glucose monitors (CGMs) and blood glucose-ketone meters.

This guide has all the information you need to make an informed decision on which one is right for you, including explanations of how each system works, which one is the most accurate, cost comparisons, and peer-reviewed research on treatment outcomes.

How Continuous Glucose Monitors Work: Pros and Cons 

Continuous glucose monitors (CGMs) are a relatively new technology, first approved by the FDA in 1999, that allow users to receive frequent updates on their blood glucose levels. 

The technology consists of a tiny implantable sensor, a connected transmitter, and a wireless receiver. 

The CGM sensor is inserted under the user’s skin, typically in the upper arm or belly area, where it measures glucose levels in interstitial fluid (the fluid found in tissues between cells) every few minutes.

The transmitter communicates wirelessly with the receiver to provide data from the sensor, which then allows the user to review glucose data on the receiver readout. In some cases, the receiver can be replaced with a compatible smartphone. 

The most popular CGM systems currently in use are the Dexcom G7, the Abbott Freestyle Libre, and the Medtronic Guardian Sensor 3. Most models automatically measure glucose levels every 5 minutes for a total of 288 readings per day.

Although it’s sometimes said that CGMs provide “real-time” updates on glucose levels, this is not quite correct. There’s about a 10-20 minute delay (depending on your device) with interstitial glucose vs instant readings from capillary blood glucose, which makes CGMglucose less reliable for treatment decisions compared to finger stick glucometers (or glucose-ketone meters).

It’s extremely important for people with type 1 diabetes to understand that CGMs should not replace finger stick glucose meters. The National Institutes of Health and other diabetes management experts recommend using finger stick glucose readings to confirm treatment decisions (such as administering insulin), double-check CGM results whenever necessary for safety, and for some models that may need calibration.

Who Should Use Continuous Glucose Monitors?

While research into the use of continuous glucose monitoring for people with type 2 diabetes is ongoing, most people who use CGMs today have type 1 diabetes.

Some patients feel that CGMs are easier or more convenient, but current research suggests that continuous monitoring does not result in better outcomes for diabetic patients compared to frequent self-monitoring of blood glucose using a finger stick glucometer.

Pros of Continuous Glucose Monitoring

  • CGMs make it easy to establish trends: Establishing glucose trends over time allows people with diabetes to learn a lot about how their meals, medications, and lifestyle decisions affect their health. While it’s also easy to do this with glucose meters or glucose-ketone meters, especially those that sync to an app like Keto-Mojo, the automatic and frequent nature of CGM readings simplifies this task.
  • Measures time in range: Time in range is the amount of time a person spends in the target blood sugar range compared to the time the times they’ve been high (hyperglycemia) or low (hypoglycemia). This data is helpful in finding out which types of foods and what activity level causes blood sugar to rise and fall. The more time a person spends in range, the less likely they are to develop certain diabetes complications.
  • Fewer finger sticks and easier for some users: Although CGMs shouldn’t completely replace finger stick glucose readings, some users rely on them to decrease the number of finger pricks required. They may also be easier or more agreeable for young children or people with cognitive impairment or sensory issues (at least if someone else helps set the equipment up).
  • There may be fewer supplies to keep up with: For some users, continuous glucose monitors may cut down on supplies patients need to keep track of (such as lancets and glucose strips), though this isn’t entirely the case. (For example, most CGM sensors need to be replaced every 7-10 days.)
  • CGMs paired with an insulin pump are convenient for some patients: This combination, also called a sensor-augmented pump, works well for some patients with type 1 diabetes. You can ask your physician if this type of device would suit your needs.

Cons of Continuous Glucose Monitoring

  • Cost and affordability: The most accurate CGMs require a prescription, depending on your location. In the US, people can expect to pay anywhere between $150-$450 for the receiver and $200-$374 a month for the sensors without Medicare, and $75-90 a month for sensors with Medicare. Costs may be lower depending on your health insurance and coverage.
  • No ketone readings: There are currently no CGMs that measure ketone levels, which means they can’t be used to confirm a state of ketosis on the ketogenic diet. They also can’t warn people with diabetes when dangerous ketoacidosis may be occurring.
  • Water-resistant but not waterproof: CGM sensors are considered water-resistant but not waterproof which means they can fall off prior to expiring if exposed to too much water.
  • Most continuous glucose monitors aren’t FDA-approved for treatment decisions: Instead of relying on CGMs for treatment decisions, experts recommend confirming the CGM reading first using a finger stick glucose reading before proceeding.
  • CGMs don’t provide real-time blood glucose readings: CGM readings measure interstitial glucose which lags blood glucose by 10-20 minutes.  
  • CGMs don’t entirely replace the need for finger sticks: According to the National Institute of Health, experts recommend using finger pricks readings to confirm any treatment decisions, and to double-check CGM readings whenever necessary.

How Glucose & Ketone Meters Work: Pros and Cons

Glucose-ketone meters are consumer devices that work by measuring both your blood glucose levels and your blood ketone levels

This style of meter works by analyzing a very small blood sample taken from your fingertip (also called a finger stick or finger prick) and sending an electrical current through the sample to test its resistance.

Based on the electrical resistance of a sample, the meter is then able to determine blood glucose levels in real-time within 15% accuracy (and sometimes greater accuracy), which the FDA deems to be sufficiently accurate for blood glucose management decisions for people with diabetes.

The process of measuring blood ketone levels works on the same principles as testing blood glucose, and combination glucose-ketone meters must also meet the same FDA-mandated accuracy standards for ketone testing.

After taking a blood test, the glucose or ketone reading is available for review in 10 seconds or less. The latest meter technology allows users to review their glucose and ketone data on the meter readout, on their paired devices using an app, and on a secure cloud interface.

Who Should Use Glucose-Ketone Meters?

Most people who use glucose-ketone meters fall into one or more of the following categories:

As an illustration of the considerable benefits of using glucose-ketone monitors for metabolic health, a two-year clinical trial conducted by diabetes reversal pioneers Virta Health provides excellent insight.

In the study, 359 patients with type 2 diabetes enrolled to either follow the ketogenic diet with remote monitoring or usual care for people with diabetes.

The results were unprecedented: at the two-year mark, over half of patients in the monitored keto group had completely reversed type 2 diabetes, two-thirds discontinued all of their diabetes prescriptions, and the group had an 81% average decrease in insulin dosage.

But people without diabetes can also benefit from blood glucose-ketone monitoring. 

Research demonstrates that the ketogenic diet is highly effective for weight loss and offers other significant health benefitsAnd monitoring your ketone levels ensures you’re actually in a state of ketosis, which is necessary to achieve the full benefits of keto.

 

Even if you’re not on the keto diet, healthy glycemic control (keeping blood sugar toward the bottom of the healthy range) is correlated with a lower risk of diabetes, greater longevity, less risk of gaining unwanted weight, and a healthier metabolism. That’s why athletes and health enthusiasts often monitor their glucose levels.

Pros of Glucose-Ketone Meters

  • Accuracy: All glucose meters must meet FDA 510k standards for accurately monitoring glucose levels, meaning a high degree of accuracy is guaranteed. Glucose-ketone meters must also be FDA-approved for accuracy, which is not the case for standalone ketone meters. (Learn more about the accuracy of Keto-Mojo’s meters and how they compare to other glucose-ketone meters here.)
  • Affordability: At around $45 for the meter and less than $15 for a week’s worth of strips (with twice daily testing of both glucose and ketones), glucose-ketone monitoring is much more economical than continuous glucose monitors (typically between $1000-$2000, with ongoing costs of up to several hundred dollars per month).
  • For people on the ketogenic diet, monitoring blood ketone levels is the only accurate way to confirm you’re in a state of ketosis, which is required to achieve the full health and weight loss benefits of keto.
  • Glucose-ketone monitors allow remote patient monitoring of diet and metabolic health by healthcare providers, which is useful for people who are overweight or obese, have diabetes, or are using a therapeutic keto diet strategy for conditions like epilepsy, cancer, or dementia.
  • For people with diabetes, monitoring blood ketone levels provides an early warning of metabolic ketoacidosis, a dangerous condition that sometimes affects people with diabetes (but not to be confused with a healthy state of ketosis).

Cons of Glucose-Ketone Meters

  • Checking your glucose or ketone levels with a meter does require a “finger stick” using a lancet, a type of small, 30-gauge needle (for reference, that’s around 0.32 mm in diameter). The finger stick process is easy and close to painless, and most people of all ages (including children) have no problem with it. But it’s very important to observe hygiene procedures (such as handwashing) and to never, ever share a lancet with someone else as this may expose both of you to bloodborne pathogens.
  • While glucose-ketone meters and supplies are by far the least expensive option for monitoring glucose and ketone levels, they still may not be affordable for everyone. Here are some potential solutions to this issue:
    • Your health insurance may cover a glucose-ketone meter.
    • Your healthcare provider may be able to prescribe you a glucose-ketone meter to ensure it’s covered by insurance.
    • Most health spending accounts (HSAs) and flexible spending accounts (FSAs) allow pre-tax purchases of glucose-ketone meters.

CGMs vs. Blood Meters: How to Decide

If you’re having trouble deciding between a CGM and a glucose-ketone meter, this section compares both types of devices head-to-head so you can learn which is best for your needs.

Accuracy and Safety 

As we’ve already touched on a few times in this guide, interstitial glucose readings from CGMs slightly lag actual blood glucose levels which make them slightly less accurate than real-time blood glucose readings from a blood glucose meter. 

And strong evidence also suggests that continuous glucose monitors are especially inaccurate during episodes of hypoglycemia (low blood sugar), meaning relying on CGMs during a hypoglycemic episode may increase the risk of death or serious harm.

They’re also slower, meaning they tend to lag behind your real blood glucose levels.

As a result of these shortcomings, it may not be safe to rely on a CGM all by itself for significant treatment decisions.

That’s not to say that CGMs are 100% unreliable, or that they don’t sometimes help people with glucose management. However, they’re simply not accurate enough to do the job alone.

Finally, as far as safety, CGMs have another major downside compared to glucose-ketone monitors. Because they don’t measure your blood ketone levels, they aren’t helpful for detecting metabolic ketoacidosis, a potentially fatal condition that sometimes affects people with type 1 diabetes.

WINNER: A high-quality glucose-ketone meter is the clear winner for accuracy and safety. They’re not only more accurate than any CGM, but also provide insight into ketone levels, which can alert users to ketoacidosis.

For the Keto Diet, Weight Loss, and Metabolic Health

If you follow the keto diet and want to achieve weight loss or improve your metabolic health, a glucose-ketone monitor is better suited for your goals than a CGM.

For one thing, CGMs don’t provide blood ketone readings, so they’re only showing you half of the picture of how your metabolism is working. 

Therefore, CGMs aren’t as helpful as glucose-ketone meters for discovering trigger foods, and they don’t allow you to explore the interplay between glucose and ketone levels after meals.

You also can’t tell whether or not you’re in a state of ketosis using a CGM, which makes them far less useful on keto.

Finally, the amount of glucose data CGMs provide (nearly 300 readings per day) is excessive for the vast majority of people. It doesn’t guarantee better results than a few well-timed readings each day. 

As we discussed in a previous section, the two-year Virta Health study demonstrated groundbreaking results using glucose-ketone meters and remote patient monitoring paired with the keto diet — with no need for continuous glucose monitoring.

WINNER: Blood glucose-ketone meters have distinct advantages over CGMs for the ketogenic diet, weight loss, and metabolic health.

For Diabetes Treatment Decisions

When it comes to making diabetes treatment decisions — such as timing or dosage of insulin or other medications — most CGMs are not FDA-approved for this use.

That’s why National Institute of Health experts advise CGM users to confirm their readings using a finger stick glucometer or other FDA-indicated device for treatment decisions.

WINNER: Glucose meters or glucose-ketone meters are more accurate and safer for making diabetes treatment decisions, and are also necessary to confirm readings from most CGM systems before proceeding with a treatment decision.

Accessibility and Affordability

Continuous glucose monitors require a prescription, making them inaccessible to the many people with metabolic health concerns who lack consistent access to quality medical care.

Even with a prescription, some insurance plans cover CGMs, but many do not. Without coverage, the annual cost to use CGMs can be over $$2,500-4,500.

A top-of-the-line blood glucose-ketone meter requires no prescription and costs $850 a year for twice-daily testing of both glucose-ketone levels.

In many cases, glucose monitoring systems are covered by insurance and glucose-ketone meters are always HSA or FSA-eligible.

WINNER: With or without health insurance coverage, glucose-ketone meters are much more affordable and accessible than CGMs.

Simplicity and Ease of Use

At first glance, continuous glucose monitoring may appear to be simpler or easier than finger stick blood glucose readings.

But keep in mind that it’s still recommended you have a finger stick system on hand to confirm readings before taking medication and to double-check CGM readings as needed for safety.

You can’t really get away from taking blood glucose readings, so it’s worth asking: does it truly simplify your life to use a CGM and a blood glucometer as opposed to a blood glucometer (or glucose-ketone meter) by itself?

Another factor to consider is that the CGM systems are somewhat temperamental and can be affected by movement, physical activity, and sweat. 

WINNER: In some situations, such as helping a very young person or someone with disabilities manage blood glucose levels, a CGM might make things easier. But in most cases, practically speaking, a blood glucose meter or glucose-ketone meter is likely simpler and easier.

Remote Patient Monitoring and Telehealth

Remote patient monitoring has significant advantages for healthcare practitioners as well as patients.

For example, evidence suggests that remote monitoring of blood glucose may reduce the risk of adverse events and help decrease insulin resistance more compared to conventional diabetes care.

Today, most models of commercially available CGMs and glucose-ketone meters have remote patient monitoring capabilities. 

However, of the two methods, remote blood glucose-ketone monitoring allows healthcare providers to obtain a better overall picture of patients’ metabolic health. And unlike CGMs, it’s also suited to incorporating low-carb or ketogenic diets for therapeutic purposes.

Combining the keto diet with remote patient monitoring has the potential to revolutionize diabetes care, as shown in the two-year Virta health study, in which 53.5% of participants achieved reversal of type 2 diabetes and an additional 17.6% achieved partial or complete diabetes remission.

WINNER: The combination of a therapeutic low-carb diet with remote glucose-ketone patient monitoring is extremely promising for ensuring patient compliance and improving metabolic health or treatment outcomes for a variety of conditions, including diabetes and obesity.

Conclusion: Test, Don’t Guess

When it comes to improving your metabolic health, managing diabetes, or losing weight, quantifying your blood glucose and ketone levels can make all the difference in the world. 

While continuous glucose monitors are much more expensive, less accurate, and don’t measure ketone levels, they can sometimes be a partial solution for individuals who lack the ability or willingness to self-administer finger stick tests.

Now that you know the benefits and downsides of both types of monitoring, you’re in a better position to make an informed decision as to which method best suits your needs. 

But keep in mind there’s no “one-size-fits-all” solution for metabolic health or diabetes treatment, so be sure to ask your doctor if you’re unsure.

Keto-Mojo’s GK+ Meter is trusted by experts, used in studies and clinical trials, and exceeds FDA accuracy standards

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5 Facts to Know About Glucose and Ketone Meter Accuracy https://keto-mojo.com/article/5-facts-about-glucose-ketone-meter-accuracy/ Tue, 16 Feb 2021 03:49:09 +0000 https://keto-mojo.com/?post_type=article&p=15151 Blood glucose and ketone meters are extremely valuable tools if you have diabetes, follow the ketogenic diet, or simply want to improve your metabolic health....

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Blood glucose and ketone meters are extremely valuable tools if you have diabetes, follow the ketogenic diet, or simply want to improve your metabolic health.

While at-home meters aren’t as accurate as “gold standard” lab tests, they’re still accurate enough to ensure you make safe decisions about glucose and ketone management–and they’re also strictly regulated by the FDA and other governing bodies as medical devices. READ MORE

 

Click The Infographic to Download PDF.

Keto-Mojo-Glucose-Ketone-Meter-Accuracy

 

The Keto-Mojo meter and testing strips utilize the most advanced technology in in-vitro glucose and ketone testing. We take healthcare seriously which is why our meter exceeds all FDA standards for accuracy and the more exacting ISO International standards. We stand behind our meter with a lifetime warranty! READ MORE

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Why Keto-Mojo Is the Gold Standard for Testing Blood Ketones https://keto-mojo.com/video/why-keto-mojo-is-the-gold-standard-for-testing-blood-ketones/ Fri, 17 May 2019 20:05:14 +0000 http://ketocheck.wpengine.com/?post_type=video&p=1398 Why Keto-Mojo Is the Gold Standard for Testing Blood Ketones. As consumers we have so many different options that we can choose from when it...

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Why Keto-Mojo Is the Gold Standard for Testing Blood Ketones.

As consumers we have so many different options that we can choose from when it comes down to buying products. When it comes down to a ketone blood meter, there’s only one name that you truly need to remember, and that is the Keto-Mojo meter. I’m Thomas DeLauer with Keto-Mojo, and I’m going to give you the breakdown on why the Keto-Mojo meter is the best on the market.

First off, it’s highly accurate. The Keto-Mojo meter not only exceeds FDA standards, but also meets the more stringent ISO 15197:2013 international standards. This is a pretty stringent guideline, and it makes it so that you know what you’re seeing on the meter is truly what’s happening within your body. Now whenever you’re testing your blood ketones, it’s important to test somewhat frequently. This way, you can truly know where you are at different times of the day, and if the ketone strips are cost-prohibitive, this can be kind of tough. Keto-Mojo got ahead of the curve, and we realized that if you have more affordable ketone strips, you’re more likely to test frequently. Therefore, you’re going to get a better result out of your ketogenic protocol. We made sure that our ketone test strips are some of the most affordable that are available on the market.

Keto-Mojo is also the only meter that offers a lifetime warranty. Couple that with our best in-class customer service that is available by phone, email or live chat, and you’ve got a perfect recipe for the ultimate ketogenic experience. Our customer care representatives are also experienced in the ketogenic lifestyle and practice the keto diet themselves. When you’re buying a Keto-Mojo meter, you’re not just buying a meter, you’re buying a meter from people that understand what you’re going through and understand the keto lifestyle. This is so imperative, especially when you’re starting out with something that might be a little bit scary at first. For the most easy to use, reliable and accurate ketone blood meter, make sure you check out the Keto-Mojo meter.

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