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Low-carbohydrate diets are believed to work in reducing body weight. However, prolonged lacking of glucose intake can force body into keto-genesis, causing high anion gap metabolic acidosis. It is a rare condition in non-diabetic patients but we should keep high awareness on high risk populations especially chronic kidney patient since uremic status will complicate the detection of low carbohydrate diet associated ketoacidosis.

Euglycemic Ketoacidosis Induced by Low Carbohydrate Diet in a Non-diabetic Patient: A Case Report