Mellbye Fredrik Brustad, Pedersen Mette Glavind Bülow
Ugeskr Laeger. 2020 Jul 20;182(30).
Elevated ketone bodies are usually present in patients, who have Type 1 diabetes with ketoacidosis but may also be seen in healthy persons during long-lasting exercise, fasting or on low-carb diets. Intermittent fasting and low-carb diets are popular with people wanting to lose weight. This is a case report of a healthy 51-year-old woman, who admitted with a five-day history of abdominal pain with sudden worsening. She had recently initiated an intermittent fasting regime and followed a low-carb diet. She was diagnosed with diet-induced euglycaemic ketoacidosis, normal level of glycated haemoglobin and normal kidney function. She required isotone glucose infusions for 48 hours.
酮体升高通常见于患有1型糖尿病并伴有酮症酸中毒的患者，但在健康人进行长时间运动、禁食或低碳水化合物饮食期间也可能出现。间歇性禁食和低碳水化合物饮食在想要减肥的人群中很受欢迎。本文报告了一例健康的51岁女性病例，该患者因腹痛5天且突然加重入院。她最近开始了间歇性禁食方案并遵循低碳水化合物饮食。她被诊断为饮食诱导的正常血糖性酮症酸中毒，糖化血红蛋白水平正常，肾功能正常。她需要输注等渗葡萄糖48小时。
