"Higher levels of ketones in the urine indicate that the body is using fat as the major source of energy." -- from
en.wikipedia.org/wiki/KetonuriaThe Paleo Diet and many similar diets, such as the Candida Diet and the Lyme Diet, can be ketogenic because they seek to reduce or eliminate carbohydrate-rich foods.
There are also other causes of Ketonuria...see the above link for more info.