6 Best Ketone Strips Review (2019's Top Urine Testing Sticks)

Ketone Strip Reviews 
Which Keto Urine Sticks Are the Best?

keto strips header

Some keto dieters say that staying in ketosis can be as difficult as actually getting there in the first place. Simple mistakes can quickly increase glucose levels, and you’re stuck with figuring out your mistakes.

My own experience was very similar. After about 4 days I got to ketosis, and within a week some supplements kicked me out again.

But how are you actually able to tell whether you’re in or out of ketosis?

The simplest solution I have found are ketone strips that test your urine. In a matter of seconds, you’ll be able to tell what your ketone levels are.

I strongly recommend having some of these at home all the time, whether you’re just starting out or are already a seasoned pro. Regular testing can help you identify much earlier if your ketone levels are dropping dangerously low.

Over the years I have tested dozens of different products, with some of them just being utterly useless. To help you avoid such errors, I’ve put together this list of best ketone strips.

Our Reviews of the Top 6 Ketone Strips




Perfect Keto Strips
perfect keto
  • check
    Made specifically for keto
  • check
    Accurate and easy testings
  • check
    Has 100 strips in the package
  • check
    Easy to use instructions
  • check
    Lab-grade quality
One Earth Health
One Earth Health for ketone levels
  • check
    Professional grade
  • check
    Lifetime guarantee
  • check
    Comes with a free book
Smackfat Ketosis Tester
  • check
    Made specifically for keto
  • check
    Accurate testings
  • check
    Has 100 strips in the package
 Precision Xtra
precision xtra
  • check
    Fast results
  • check
    Easy to use
  • check
Ketobars Strips
ketobars strips as ketone meters
  • check
    Made specifically for keto
  • check
    Accurate and easy testings
  • check
    Has 100 strips in the package
Nurse Hatty
Nurse Hatty
  • check
  • check
    Fast results
  • check
    Includes a PDF on ketosis

There are many different keto strips available, and you’d think that they all just do the same thing. But unfortunately, there are some frustratingly bad products out there.

The last thing you want is a false reading that forces you to make changes to your diet, only to make things worse.

That is why we reviewed the most popular ketosis strips to get an idea of the types you should try.

1. Perfect Keto Strips

If you've been using ketogenic supplements, then you must have already heard of Perfect Keto. They made a splash with their great-tasting products, and few other companies can rival them when it comes to ketogenic supplements.

They started out with the different types of keto related supplements but they quickly dipped their toes into other products as well. This was when they started their line of urine testing strips.

If you know the company then you know that they always take their products to the next level. Their keto sticks aren't any different. They're very easy to use because of the guide that is included, and you're guaranteed to get accurate results from them.

It's a product that we found to be completely reliable when it comes to ketone testing which is why it lands the number one spot on our list.

2. One Earth Health

One Earth Health Test Strips are proudly manufactured in the United States and come backed with a lifetime guarantee. Regardless of when you purchased the strips, if they aren’t working, you will get a refund and a replacement.

This illustrates both the faith that One Earth has in their product, as well as their incredible customer service.

New to ketones and their role in weight loss? This product comes with a complimentary eBook, featuring an introduction to this diet, as well as a 7-day meal plan with recipes. This helps users get the motivation and knowledge they need to get their body into that state if it is not already there. 

Each order contains 150 strips and they are very cheap. This means that you can test your urine every day, especially for the first few months when you’re still trying to adjust and balance your diet.

3. Smackfat 

Looking for a reliable, fuss-free way to determine whether you’ve achieved that coveted state? Smackfat Strips may be one of the best ways to do it.

As the company name suggests, their goal is to help you smack fat, and with this particular product, they do that by helping you find out whether you’re on track with your diet, or whether you need to work on increasing your levels.

Like with any of these urine ketone strips, all you need to do is dip the strip in a cup of freshly produced urine, compare the resulting color (after giving it a few minutes to develop) to the color chart provided and voila!

Made to read ketones for the Atkins, keto and paleo diets, we found these keto urine strips to be both accurate and reliable. Besides, the results of your test are practically instantaneous.

Smackfat doesn’t stop there though. They also provide motivational support through resources to help you get the most out of your efforts.

With their video demonstration and educational resources regarding this diet and its process, paired with their lifetime guarantee on their products and incredible customer support, Smackfat Strips are an excellent choice to find out if your body has reached that elevated state.

4. Precision Xtra

One of the more popular products on this list is Precision Xtra from Abbott. It's a very multi-function product as it can also be used for other things like glucose-checking for people that have diabetes.

If what you’re after is a hassle-free way to test your ketone levels without having to pee on a strip then Precision Xtra may be for you.

We liked how easy it was to use it and how accurate its readings were compared to most brands. These are the reasons why it has landed a spot on our list of best keto urine strips despite being priced so high.

So, if what you want is a test strip that will give you fast and accurate results then Precision Xtra is your go-to product. It won't disappoint you, as long as you have the cash to go along with it.

5. Ketobars Strips

Ah, one of our favorite brands when it comes to urine strips. If you have been in the keto diet circle for a while, then you must have heard of the fantastic keto-friendly pastries that the company has been making as of late.

Well now, they have decided to release their own line of testing sticks, and we gave it a try just for you!

What amazes us is that the product is easy to use and it works just like any other ketone strip would, except better. If there is a company that knows how to work their way around ketosis, it would be these guys.

We also added a link going to their official website on the left side where they have great deals and discounts happening for both their ketone testing strips and protein bars.

6. Nurse Hatty 

Looking for a ketone strip set you can rely on? Coming in a set of 150 strips, Nurse Hatty’s will last you for quite a while and give you the assurance that you are or aren’t in ketosis time and time again.

They are made of exceptional quality and are also made in the USA. Their new and improved, professional grade build yields results that leave little room for questions.

These test strips are primarily sold to the medical community, including hospitals, labs, and pharmacies, due to their reliable results and high-quality ingredients.

With its new stabilized reagent that lasts for 90 days, this product has earned U.S. FDA 510k clearance, and they are also OTC Approved, as well as CE Marked and CLIA Waived.

Finally, with 4.2-inch-long ketosis sticks, you can ensure that’s you can keep your fingers far away from your urine to avoid little accidents. If you’re looking for high quality, reliable test strips then Nurse Hatty has them for you.

What are the Benefits of Using Keto Sticks?

The theory is simple: you cut out the carbs, and after a few days, your body will switch from glucose to ketone as a source of energy.

But how do you know that you’re on the right track and not making mistakes with your diet?

The simple solution is a urine test to check your ketone levels. It certainly beats pricking your finger every day or going to a doctor to have blood tests done.

loose jeans

Just pick a time of day, pee on a strip, and keep a record of the results.

Now, it’s not going to give you a pinpoint accurate number like a glucometer or blood test will, but that’s not really what you need. All you want is an early indication that your ketone levels are moving to or staying in the right range.

When I went through my first attempt at keto, I found these tests incredibly motivating. After about 3 days I started to notice changes on the strips, and they eventually showed full-on ketosis.

If you’re heading for your first attempt, then you might struggle to interpret the signs and symptoms. And these simple urine strips will help provide some clarity, as well as motivation.

How to Read Ketone Strips

The process really couldn’t be any simpler. You should pick a time of day (ideally not first thing in the morning after fasting) and either pee in a cup or directly onto a strip.

It’s kind of like a pregnancy test really, in that the strip will react to the presence of ketone.

In most cases you need to wait from 1 to 3 minutes for the developing process to complete, but always check the instructions. 

keto urine strips

Also, any time you buy a new set, check that the instructions haven’t changed. This happened to me once, and I did have a moment of panic when the results were very different from what I expected.

From there, reading the results is as simple as comparing the color of your stick to the color chart provided with your pack. Hold up your sample next to the provided chart and locate the color it most closely matches. 

The result that corresponds with colors represents your current state and the range that you fall in regarding the different levels of this diet.

Frequently Asked Questions

When Should I Test my Urine for Ketosis?
The main reason being that these are the times during the day that your ketone levels are the highest.

Also, it must be noted that you should avoid testing your urine right after a workout as it will be inaccurate due to many different factors.

What is a Normal Ketone Level in Urine?
A normal level of ketone for someone in ketosis is between 1.5 and 3 mmol/L. Technically you can be in the induction phase of ketosis when you hit about 1.0 mmol/L, but it’s best to aim for at least 1.5.

If you stick to a lower value, then it can happen a lot easier that you accidentally get kicked out of ketosis.

Are Keto Urine Strips Accurate?
Yes, keto urine strips are accurate enough to help you tell whether you’re in ketosis or not.

You will also be able to tell what range you are in, with many of the above products giving you 4 to 5 bands of ketone levels. It’s not the exact level, but it is good enough to use for dietary guidance. And it beats pricking your finger every day.

Best Time To Test Ketones In Urine?
The best time to test ketones in your urine is after you have eaten a meal. You should always avoid measuring first thing in the morning after you have been fasting. And the same is the case after exercising. At these times you will get misleading readings.

Ketone Strips Color Chart
The following color chart is an example of what you will find with these urine strips. As you can see, all you have to do is match the color to the chart and take a reading.

What is a Normal Ketone Level in Urine?

Which One is the Best In the Market?

As you can see, there are a lot of ketone test strips available on the market to choose from. With many high-quality solutions that can reliably tell you whether your body is in that state, it can be challenging to select the manufacturer and product that are best for your needs.

However, we’re confident that any of the test strips listed above will provide you with the accuracy and reliability you need to ensure you’re on the keto diet straight and narrow.

Users and we often prefer Perfect Keto Strips for their quick and reliable results. They are easy to use, and the strips produce accurate and dependable results time after time.

However, you still cannot go wrong with the other brands on our list. These are all excellent options that can quickly and reliably assist you in determining whether your body has entered a state of ketosis and the efforts of your diet are paying off.

Whatever option you choose to go with, what’s most important is ensuring that you are getting accurate results that will guide you throughout your diet.