Dennis, Laurel, thank you both for your kind replies! To answer in turn:
“I agree with you that routine [at every void] testing for glucose in urine isn’t a substitute for the simple blood test which tells how you presently are managed rather that the “historic” urine test.”
I guess my question is whether having those glucose readings as well would provide any incremental benefit such as additional context about how you are managing your levels in light of food intake, exercise etc. Would that help you in terms of adjusting your routine? Sorry to ask a hypothetical question - maybe hard to answer as haven`t done before.
“<em>Well Dan, I noticed on your profile (I try to check before I reply since people are coming from different places here)that you know someone with T1D. So I’m assuming you’re thinking of developing something for the T1 community.</em>”
“So my thoughts on you’re ideas are: while automatically checking ketones would be great how would you overcome the issue of women being on their menstrual cycles and the sample being tested? As well as contamination from other “waste” (might seem crass, but just being realistic here)”
We`ve got some clever ways worked out to do this, so please assume this is not an issue.
“And which ketones would you be testing for? As far as I know there’s 3 ketone bodies that are spilled, 2 acids as well as acetone, I know the strips test for one of the acids”
Acetoacetic acid, as tested for by most ketone strips. Beta-hydroxybutryic acid and acetones are derived from acetoacetic acid so we can assume they exist if AAA is found, hence only test for one
“<em>As for the glucose readings in the urine, doesn’t really excite me, but I also obsessively check my bg readings, I know others who don’t so maybe it would be good for people who don’t, I’m just not very sure about it for myself.</em>”
Maybe it would be more helpful for Type 2 diabetics who want more information on their levels without having to prick themselves as often as Type 1s?
“<em>I think it would come down to cost vs the urine strips and here in the U.S. whether health insurance would cover it and if it were an attachment vs a separate toilet that would need to be installed.</em>”
It`s an attachment (have clear design and patents around this), so no need to purchase a new toilet. Good point re: insurance, are looking into this. Cost wise, we would aim for no more than $20 a month including glucose and ketone readings plus a software management tool for your phone/tablet. Does that feel pricey?
“Also, we would still have to test outside of the house so the strips would still be needed. Something like this would be best utilized for younger children perhaps, but being an adult, there’s a lot of situations where I’m outside of the house and need to check for ketones. If you could make something portable that was reusable and easy to test on and didn’t need disposable, separate parts then that would be great!!! (Ok, maybe I ask for a lot)”
Very true and good suggestion - as it happens we`re already doing something to enable this. How many ketone strips would you say you use a month on average? Or rather, how much money you spend on them? It seems a 50 pack is c.$7 (Walmart).