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Diabetes, Metabolic Syndrome and Obesity Volume 15, 2022 - Issue
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CASE REPORT

Euglycaemic Ketoacidosis Due to Extremely Low-Calorie Intake and Dehydration After Laparoscopic Sleeve Gastrectomy in a Patient with Type 2 Diabetes

Zhaoxiang LiuDepartment of Endocrinology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0001-7016-5917View further author information
ORCID Icon,
Luqi XiaoDepartment of Endocrinology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0003-1470-6023View further author information
ORCID Icon,
Chenxi JinDepartment of Endocrinology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, People’s Republic of ChinaView further author information
,
Jianzhong XiaoDepartment of Endocrinology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, People’s Republic of ChinaView further author information
&
Wenhui ZhaoDepartment of Endocrinology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, People’s Republic of ChinaCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-7493-8921View further author information
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Pages 2377-2380 | Published online: 06 Aug 2022

References

  • Mulla CM, Baloch HM, Hafida S. Management of diabetes in patients undergoing bariatric surgery. Curr Diab Rep. 2019;19(11):112. doi:10.1007/s11892-019-1242-2
  • American Diabetes A. 9. Pharmacologic approaches to glycemic treatment: standards of medical care in diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S111–S124. doi:10.2337/dc21-S009
  • Smith A, Holtrop J, Sadoun M. Post-operative euglycemic diabetic ketoacidosis in a patient with SGLT-2 inhibitor use and recent sleeve gastrectomy. Cureus. 2021;13(4):e14297. doi:10.7759/cureus.14297
  • Lo YT, Chen KH, Chang PC. Immediate euglycemic diabetic ketoacidosis after gastric bypass in a patient with Type II diabetes. Obes Surg. 2021;31(6):2787–2790. doi:10.1007/s11695-021-05263-7
  • Kirwan JP, Aminian A, Kashyap SR, Burguera B, Brethauer SA, Schauer PR. Bariatric Surgery in Obese Patients With Type 1 Diabetes. Diabetes Care. 2016;39(6):941–948. doi:10.2337/dc15-2732
  • Long B, Lentz S, Koyfman A, Gottlieb M. Euglycemic diabetic ketoacidosis: etiologies, evaluation, and management. Am J Emerg Med. 2021;44:157–160. doi:10.1016/j.ajem.2021.02.015
  • Dowsett J, Humphreys R, Krones R. Normal blood glucose and high blood ketones in a critically unwell patient with T1DM post-bariatric surgery: a case of euglycemic diabetic ketoacidosis. Obes Surg. 2019;29(1):347–349. doi:10.1007/s11695-018-3548-6
  • Nasa P, Chaudhary S, Shrivastava PK, Singh A. Euglycemic diabetic ketoacidosis: a missed diagnosis. World J Diabetes. 2021;12(5):514–523. doi:10.4239/wjd.v12.i5.514
  • Thiruvenkatarajan V, Meyer EJ, Nanjappa N, Van Wijk RM, Jesudason D. Perioperative diabetic ketoacidosis associated with sodium-glucose co-transporter-2 inhibitors: a systematic review. Br J Anaesth. 2019;123(1):27–36. doi:10.1016/j.bja.2019.03.028
  • Kassir R, Debs T, Blanc P, et al. Complications of bariatric surgery: presentation and emergency management. Int J Surg. 2016;27:77–81. doi:10.1016/j.ijsu.2016.01.067

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