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Ketones are created when your body does not have insulin to glucose into energy. Typically we have enough stored glucose to continue to function, and you can replenish your glucose stores as you eat during the day. However when you can not add carbs that will turn into glucose. Your body will use a different source known as ketones. Where your liver turns fat into ketones. However your body must be trained to do make this efficient. Therefore measuring ketone levels is important to know when you are producing these ketones. Many endurance athletes use keto strips to measure where they are in ketosis.