Kelsie, been there. I stopped testing for YEARS.
a) It was a hassle to keep the strips on hand before they expired. A tip I learned from a friend here on TuD was to buy the foil-wrapped individual sticks (they come in boxes of 20 or so and you can find them online at places like Edgepark) so that you would have them when you needed them and not waste a whole bottle just because you opened it. So that’s what I do now. And I only test for ketones when I’m above 250, but that’s fairly rare at this point in my life. Like you, it used to be daily for me. For over 15 years.
b) I stopped testing because, as I told my doc, I could feel when I have ketones. No doc ever took me by the shoulders and shook me and called me a complacent idiot, but I probably could have used it. Yes, I could often feel when I was sick with ketones, and yes, I knew that ketones could bring on DKA (I was diagnosed in a coma from DKA). But we can have ketones even when we’re not aware of it - such as when we’re ill, when we’re pre-menstrual, or when we’re unaware of a problem with our insulin. And people really do die of DKA - we’ve lost members here on TuD to DKA. That fact alone was sobering for me.
So while I know you’re not going to run out and pee on a stick right this second, is there a baby step you could take toward putting ketone testing back into your routine at all? Like the foil-wrapped strips? Or maybe just agreeing to test with your first morning bathroom trip as a new habit?
I don’t want you to feel chastised. I’ve just been there. It’s SO easy to backburner it. When it’s hard enough to deal with the blood sugar swings, the testing, the shots/pump, etc., peeing on a stick is just one more thing to tick you off and say “to hell with.” But you’re admitting you don’t do it and you know the risks. I hope you find a way to add it back into your lifestyle - even occasionally.