I was able to correct ot by giving dextrose containing fluids. In your case interesting that the beta hydroxybutrate is negative. Do you have any other information as to why this would be. Save my name, email, and website in this browser for the next time I comment. Follow ASNKidney. Read Later Share. As a child growing up in India, I have seen several family members performing ritual fasting. Fasting is a ubiquitous religio-cultural practice that is found, in varying forms, across the world. The month-long Ramadan and Buddhist Lent fasts are examples of religious observances practiced by followers of Islam, and Buddhism, respectively. These fasts are characterized by a documented impact on metabolic health, which can be minimized by well-known management strategies.
Our patient was started on a D5-half NS drip. This might implicate a precaution on the long-term use of the ketogenic diet. We present a case of severe metabolic ketoacidosis after a week of low carbohydrate diet. Elsevier Science. Low carbohydrate diets became popular in the US during the s. Journal of Inherited Metabolic Disease. Discussion Different low carbohydrate diets such as Atkins Diet, the South Beach Diet, and the Zone Diet have been tried effectively for weight loss [ 3 ]. Obesity increases the risk for cardiovascular diseases, diabetes mellitus, hyperlipidemia and some cancers such as of esophagus, colon, breast, endometrium, and kidney.
Alessandra et al. This usually occurs with missed insulin doses, illness, dehydration or adherence to a low-carbohydrate diet while taking the medication. Latif, Zidni I. Different low carbohydrate diets such as Atkins Diet, the South Beach Diet, and the Zone Diet have been tried effectively for weight loss [ 3 ]. These changes are consistent with an improved lipid profile despite potential increases in total cholesterol level. GENERAL ketoacidosis is a high anion gap metabolic acidosis due to an excessive blood concentration of ketone bodies keto-anions. Rashidian, Y. Introduction Metabolic acidosis is a potentially life-threatening condition that can occur due to ketoacidosis caused by diabetes mellitus, starvation, alcohol ingestion or lactate acidosis, renal failure or ingestion of substances that is, methanol, ethylene glycol or salicylate. Elevated blood ketone levels are most often caused by accelerated ketone production but may also be caused by consumption of exogenous ketones or precursors. SGLT2 inhibitor medications have been associated with cases of euglycemic ketoacidosis – a rare state of high ketones causing a metabolic acidosis with normal blood glucose levels. Download other formats More.