Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients
We report a case of a 29-year-old woman admitted twice to our hospital with diabetic ketoacidosis (DKA) within 45 days following her bariatric surgery. The first admission required intensive care during her postoperative days after bariatric surgery. Subsequently, she continued to report high level...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-06-01
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| Series: | Journal of Laboratory Physicians |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731139 |
| _version_ | 1818440958089363456 |
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| author | Philip Moseley Mohamed H Ahmed Henry Owles |
| author_facet | Philip Moseley Mohamed H Ahmed Henry Owles |
| author_sort | Philip Moseley |
| collection | DOAJ |
| description | We report a case of a 29-year-old woman admitted twice to our hospital with diabetic ketoacidosis (DKA) within 45 days following her bariatric surgery. The first admission required intensive care during her postoperative days after bariatric surgery. Subsequently, she continued to report high level of ketones on a daily basis. At her second admission, she presented with all three criteria of DKA. She was treated with a standard protocol for DKA, but ketones plasma level remained high despite significant improvement in pH and glycemic control. The administration of thiamine replacement was associated with normalization of the hyperketonemia. Thiamine deficiency can be associated with bariatric surgery and can lead to high ketone level in individuals with type 1 diabetes. |
| first_indexed | 2024-12-14T18:20:37Z |
| format | Article |
| id | doaj.art-66967383163a4d4594c7b44115f8bc5a |
| institution | Directory Open Access Journal |
| issn | 0974-2727 0974-7826 |
| language | English |
| last_indexed | 2024-12-14T18:20:37Z |
| publishDate | 2021-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Laboratory Physicians |
| spelling | doaj.art-66967383163a4d4594c7b44115f8bc5a2022-12-21T22:52:05ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262021-06-01130328028210.1055/s-0041-1731139Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of MicronutrientsPhilip Moseley0Mohamed H Ahmed1Henry Owles2Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United KingdomDepartment of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United KingdomDepartment of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United KingdomWe report a case of a 29-year-old woman admitted twice to our hospital with diabetic ketoacidosis (DKA) within 45 days following her bariatric surgery. The first admission required intensive care during her postoperative days after bariatric surgery. Subsequently, she continued to report high level of ketones on a daily basis. At her second admission, she presented with all three criteria of DKA. She was treated with a standard protocol for DKA, but ketones plasma level remained high despite significant improvement in pH and glycemic control. The administration of thiamine replacement was associated with normalization of the hyperketonemia. Thiamine deficiency can be associated with bariatric surgery and can lead to high ketone level in individuals with type 1 diabetes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731139thiaminebariatric surgerydiabetes |
| spellingShingle | Philip Moseley Mohamed H Ahmed Henry Owles Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients Journal of Laboratory Physicians thiamine bariatric surgery diabetes |
| title | Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients |
| title_full | Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients |
| title_fullStr | Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients |
| title_full_unstemmed | Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients |
| title_short | Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients |
| title_sort | recurrent diabetic ketoacidosis following bariatric surgery the role of micronutrients |
| topic | thiamine bariatric surgery diabetes |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731139 |
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