What Factors Effect Ketone Urinalysis Strips?

My family has a history of Type1 diabetes so I test my blood sugar and ketones often. My blood sugar is normal(non-diabetic) but suddenly my ketone urinalysis is showing "trace" to "small" results. Are there any medications that could this? I’m taking several for acid reflux. Could it be stress? Lack of sleep? Vitamins, minerals, etc…. I opened this box two weeks ago, the expiration date is still a year away.
julie z: I’m 58

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