Shaikh Safia, Mohamed Mohamed Mg, Mujeeb Abdul, Shaikh Faizan, Harris Benjamin
Internal Medicine, SSM Health St. Mary's Hospital, St. Louis, USA.
Urology, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Cureus. 2020 Sep 2;12(9):e10199. doi: 10.7759/cureus.10199.
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.
糖尿病酮症酸中毒（DKA）是糖尿病尤其是1型糖尿病的严重并发症之一。它由高血糖（>250mg/dL[>13.9mmol/L]）、高阴离子间隙代谢性酸中毒和血浆酮体增加三联征定义。正常血糖性酮症酸中毒的特征是患有酮症酸中毒但无高血糖。我们报告一例罕见病例，一名28岁的1型糖尿病男性，在开始生酮饮食一周后出现腹痛、疲劳和头晕。他被诊断为正常血糖性DKA，按照DKA治疗方案进行管理，并给予详细的饮食咨询，以避免今后采用生酮饮食。
