Euglycaemic Ketoacidosis Due to Extremely Low-Calorie Intake and Dehydration After Laparoscopic Sleeve Gastrectomy in a Patient with Type 2 Diabetes.

Zhaoxiang Liu Luqi XiaoChenxi JinJianzhong XiaoWenhui Zhao

Published in: Diabetes, metabolic syndrome and obesity : targets and therapy (2022)

We report an extremely rare case of T2DM in which the patient developed EKA after laparoscopic sleeve gastrectomy owing to extremely low-calorie intake and dehydration. Physicians should be on alert for ketoacidosis in patients with T2DM after bariatric surgery with an euglycaemic status, even without the use of SGLT2 inhibitors or the presence of stresses, such as infection.Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

Keyphrases

rare case
case report
weight loss
primary care
weight gain
cross sectional
glycemic control
emergency department
metabolic syndrome
adipose tissue
body mass index
clinical decision support
case control