Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis

Diabetic ketoacidosis (DKA) is one of the serious complications of diabetes, especially type 1. It is defined by the triad of hyperglycemia (>250 mg/dL [>13.9 mmol/L]), high anion-gap metabolic acidosis, and increased plasma ketones. Euglycemic ketoacidosis is characterized by DKA without hype...

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Autores principales: Shaikh, Safia, Mohamed, Mohamed MG, Mujeeb, Abdul, Shaikh, Faizan, Harris, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532873/
https://www.ncbi.nlm.nih.gov/pubmed/33033677
http://dx.doi.org/10.7759/cureus.10199
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author Shaikh, Safia
Mohamed, Mohamed MG
Mujeeb, Abdul
Shaikh, Faizan
Harris, Benjamin
author_facet Shaikh, Safia
Mohamed, Mohamed MG
Mujeeb, Abdul
Shaikh, Faizan
Harris, Benjamin
author_sort Shaikh, Safia
collection PubMed
description Diabetic ketoacidosis (DKA) is one of the serious complications of diabetes, especially type 1. It is defined by the triad of hyperglycemia (>250 mg/dL [>13.9 mmol/L]), high anion-gap metabolic acidosis, and increased plasma ketones. Euglycemic ketoacidosis is characterized by DKA without hyperglycemia. We present a rare case of a 28-year-old type 1 diabetic male, presenting with abdominal pain, fatigue, and dizziness after one week of starting a keto diet. He was diagnosed with euglycemic DKA, managed with DKA protocol and given detailed dietary counselling to avoid the keto diet in future.
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spelling pubmed-75328732020-10-07 Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis Shaikh, Safia Mohamed, Mohamed MG Mujeeb, Abdul Shaikh, Faizan Harris, Benjamin Cureus Endocrinology/Diabetes/Metabolism Diabetic ketoacidosis (DKA) is one of the serious complications of diabetes, especially type 1. It is defined by the triad of hyperglycemia (>250 mg/dL [>13.9 mmol/L]), high anion-gap metabolic acidosis, and increased plasma ketones. Euglycemic ketoacidosis is characterized by DKA without hyperglycemia. We present a rare case of a 28-year-old type 1 diabetic male, presenting with abdominal pain, fatigue, and dizziness after one week of starting a keto diet. He was diagnosed with euglycemic DKA, managed with DKA protocol and given detailed dietary counselling to avoid the keto diet in future. Cureus 2020-09-02 /pmc/articles/PMC7532873/ /pubmed/33033677 http://dx.doi.org/10.7759/cureus.10199 Text en Copyright © 2020, Shaikh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Shaikh, Safia
Mohamed, Mohamed MG
Mujeeb, Abdul
Shaikh, Faizan
Harris, Benjamin
Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title_full Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title_fullStr Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title_full_unstemmed Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title_short Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
title_sort euglycemic diabetic ketoacidosis precipitated by a keto diet: importance of dietary history in diagnosis
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532873/
https://www.ncbi.nlm.nih.gov/pubmed/33033677
http://dx.doi.org/10.7759/cureus.10199
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