What Does “0.5-3.0 mmol/L Ketones” Mean?
mmol/L stands for millimoles per litre, which is just a scientific way to measure the concentration of ketones (those fat-derived energy molecules) in your body fluids.
The 0.5-3.0 range is the sweet spot for “nutritional ketosis,” the level most people on a keto diet aim for to lose weight naturally, boost energy, and reap health benefits without going overboard.
– Below 0.5 mmol/L: You’re not really in ketosis yet—your body might still be relying on carbs for fuel.
– 0.5-3.0 mmol/L: Optimal for everyday keto. At this level, you’re efficiently burning fat, appetite is often suppressed, and mental clarity kicks in. For weight loss, many find 1.0-2.0 mmol/L works best.
– Above 3.0 mmol/L: This can happen with deeper ketosis (like during extended fasting), but it’s not necessary for most people and might signal dehydration or other issues. Stick to under 5.0 to avoid risks like ketoacidosis (rare in healthy folks but serious for diabetics).
This range comes from experts like Dr. Stephen Phinney and Dr. Jeff Volek, who pioneered keto research – it’s backed by studies showing it’s safe and effective for sustainable fat loss.
How to Test: Urine vs. Blood Methods

Urine Tests (Easiest and Cheapest)
Use ketone test strips (like Ketostix, available at pharmacies or online for under $10 a pack).
How it works: Dip a strip in your urine mid-stream or in a cup, wait 15-30 seconds, and compare the color to the chart on the package.
What it measures: Acetoacetate (one type of ketone). Colors range from negative (no ketosis) to trace/moderate/large (indicating higher levels).
It’s quick, no equipment needed, great for beginners
Blood Tests (Most Accurate)
Use a blood ketone meter (like Keto-Mojo or Abbott’s Precision Xtra—costs $20-50 for the device, plus strips at $1-2 each).
How it works: Prick your finger (like a glucose test), put a drop on a strip, insert into the meter, and get a digital reading in seconds.
What it measures: Beta-hydroxybutyrate (BHB), the main ketone in your blood and a direct indicator of ketosis depth.
Precise and reliable, especially long-term; tracks exactly in mmol/L.
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