Open AccessKetoacidosis associated with ketogenic diet in a non-diabetic lactating woman
Author(s) -
Ali Alkhayat,
Kevin Arao,
Taro Minami,
Kamran Manzoor
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-234046
Subject(s) - medicine , ketosis , vomiting , nausea , ketogenic diet , metabolic acidosis , diabetic ketoacidosis , ketoacidosis , abdominal pain , anion gap , anesthesia , diabetes mellitus , acidosis , pediatrics , endocrinology , gastroenterology , type 1 diabetes , epilepsy , psychiatry
A 37-year-old woman who had 8 weeks post partum, breast feeding and on a low carbohydrate and high protein (ketogenic) diet, was admitted to the hospital with acute onset of nausea, vomiting and abdominal pain of 1-day duration. On admission, she was found to have high anion gap metabolic acidosis, elevated beta-hydroxybutyric acid level, normal glucose level and evidence of ketoacidosis. She was treated with lactated Ringer solution, along with dextrose 5% solution with the resolution of symptoms and metabolic derangement.