ß-Hydroxybutyrate (β-HBUT) belongs to the group of ketone bodies, serving as energy supplier in insulin deficiency and resistance. Increased β-HBUT levels occur in metabolic acidosis related to diabetes, congenital metabolic diseases, alcoholism and fasting.

Reference Ranges

Fasting:0.02 – 0.27 mmol/L0.21 – 2.81 mg/dL
Each laboratory should check if the reference ranges are transferable to its own patient population and determine own reference ranges if necessary. For diagnostic purposes, the results should always be assessed with the patient’s medical history, clinical examinations and other findings.

Increased in

  1. Diabetes mellitus
  2. Congenital metabolic diseases
  3. Alcoholism
  4. Fasting


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