Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis
Open accessAbstract
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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Metabolic ketoacidosis with ketogenic diets is a hazard, particularly with sodium−glucose cotransporter 2 (SGLT2) inhibitors.
“Metabolic ketoacidosis with ketogenic diets is a hazard, particularly with sodium−glucose cotransporter 2 (SGLT2) inhibitors [82–87].”
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References 9 · Cited by 10
- Authors
- Shaikh, S., Mohamed, M. M., Mujeeb, A., Shaikh, F., & Harris, B.
- Affiliations
- Jinnah Postgraduate Medical Center (PK)
- Corresponding author
- Shaikh, Safia
- Venue
- Cureus
- Published
- 2020-09-02
- Volume
- 12
- Issue
- 9
- Pages
- e10199-e10199
- ISSN
- 2168-8184 (ISSN-L)
- PMC
- PMC7532873
- OpenAlex
- W3082405000
- Cited by
- 10
- References
- 9
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 2 · 2021: 5
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Cureus (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Physiology › Diet and metabolism studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- euglycemic diabetic ketoacidosis, ketogenic diet, type 1 diabetes, dietary history, anion gap metabolic acidosis, plasma ketones, abdominal pain, nutrition counseling
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