What is DKA?
Diabetic ketoacidosis (DKA) is a serious, life-threatening condition2. It can develop when your body doesn’t have enough insulin, causing ketones to build up to dangerous levels2.
Why DKA can be hard to recognize
Glucose and ketone levels don’t always trend in the same direction3.
Ketones can be high even when your glucose looks normal.
Symptoms can look like the flu2.
Early signs of DKA can be easy to mistake for another illness.
DKA can develop quickly4.
Without timely action, rising ketones can quickly progress to DKA.
Interested in learning more about DKA?
Read our article about DKA symptoms, causes, and when to seek medical care.
Meet the Libre DUO 10 Day system.
The Libre DUO 10 Day system measures glucose and ketones together. You get the easy Libre systems experience5 you depend on with ketone monitoring6.
Get minute-to-minute glucose readings on your smartphone‡.
Ketones are monitored in the background.
If ketones rise, you’ll get a timely alert§6.
DUO does more*1 by monitoring glucose and ketones—so you can worry less†.
Libre DUO 10 Day system is coming soon.
You don’t have to wait to try a Libre sensor. Get started with a FreeStyle Libre 3 Plus sensor today.
Easily see your glucose levels with a quick glance at your smartphone‡. Your first sensor may be free♢.
Get helpful information about living with diabetes.
Visit Libre Living for articles on food, activity, well-being, and everyday life with diabetes.
Explore the Libre Resource Hub.
Find support tools, video tutorials, and ways to connect with the diabetes community.
A study was conducted to evaluate the Libre DUO 10 Day sensor wear duration. Results showed that 84.1% of sensors in the adult population and 68.8% of sensors in the pediatric population lasted the full 10 days. This means that, when the product is used according to the labeling, approximately 16% of sensors in the adult population and 31% of sensors in the pediatric population may not last for the full 10 days.
* The Libre DUO 10 Day system does more compared to continuous glucose monitoring and traditional ketone testing (urine ketone monitoring, blood ketone monitoring).
† Based on ketone alerts and readings.
‡ The Libre app is only compatible with certain mobile devices and operating systems. Please check the Support section of our website for more information about device compatibility before using the apps. Use of the Libre app may require registration with LibreView.
§ Alarm notifications will only be received when alarms settings are enabled and turned on and sensor is within 33 feet unobstructed of the reading device.
|| Based on current public available information.
♢ Eligible patients will receive one (1) FreeStyle Libre 3 Plus sensor for users with a compatible mobile phone operating system at $0 copay. The expiration date of the voucher is 60 days from the issue date. This program is available for patients with Type 1 diabetes or Type 2 diabetes or gestational diabetes. Patients ages 18 and older are eligible to sign up and receive an offer for the (1) FreeStyle Libre 3 Plus sensor. Patients ages 2–17 are eligible to receive an offer for the (1) FreeStyle Libre 3 Plus sensor through their parent or guardian. This offer is void where prohibited by law. Abbott may modify or rescind this offer at any time without notice. The discounts are not available to beneficiaries of Kaiser Permanente, Medicare, Medicaid, TRICARE, Veteran Affairs or other state healthcare programs, residents of Massachusetts, or US territories (other than Puerto Rico). The free (1) FreeStyle Libre 3 Plus sensor is provided as a sample and is limited to one sample per eligible person per product identification number. The FreeStyle Libre 3 Plus sensor cannot be re-sold, traded nor submitted to any third-party payer for reimbursement and is not provided as any inducement for future purchases. The free sample card is not health insurance.
References: 1. Dhatariya, Ketan, et al. “Continuous Ketone Monitoring for People with Diabetes: International Expert Recommendations on the Application of a New Technology.” The Lancet Diabetes & Endocrinology 14, no. 1 (2026). https://doi.org/10.1016/S2213-8587(25)00331-6. 2. American Diabetes Association. “Managing Ketones with Diabetes.” Accessed July 27, 2026. https://diabetes.org/living-with-diabetes/managing-ketones. 3. American Diabetes Association Professional Practice Committee for Diabetes. “16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026.” Diabetes Care 49, suppl. 1 (2026): S339–S355. https://doi.org/10.2337/dc26-S016. 4. American Diabetes Association. “DKA: Signs, Symptoms, and Treatment.” Accessed July 27, 2026. https://diabetes.org/living-with-diabetes/dka. 5. Alva, Shridhara, et al. “Accuracy of a 15-Day Factory-Calibrated Continuous Glucose Monitoring System with Improved Sensor Design.” Journal of Diabetes Science and Technology (2025): 19322968251329364. https://doi.org/10.1177/19322968251329364. 6. Libre DUO 10 Day system User Manual.
Important Safety Information
Failure to use the Libre Duo 10 Day system as instructed in labeling may result in missing a severe glucose and/or ketones event and/or making a treatment decision, resulting in injury. If readings and alarms (if enabled) do not match symptoms or expectations, use a fingerstick glucose value from a blood glucose meter for treatment decisions. Ketone output should be used in conjunction with glucose levels. The Urgent Low Glucose alarm and Urgent High Ketones alarm may not detect all instances of glucose less than 55 mg/dL and ketones higher than 3.0 mmol/L, so these should be used together with respective sensor readings for treatment decisions. Get medical attention when appropriate. For more information call Abbott Customer Service at 855-632-8658.
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