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• W2155805224 abstract "True euglycemic diabetic ketoacidosis [blood glucose <200 mg/dl (11.1 mmol/l)] is relatively uncommon and in type 1 diabetes can be caused by starvation of any cause in conjunction with an intercurrent illness. We report a case of euglycemic diabetic ketoacidosis precipitated by starvation resulting from severe depression in a patient with type 1 diabetes. He was acidotic with ketonuria, but his blood glucose was only 105 mg/dl (5.8 mmol/l). He was rehydrated, the acidosis was corrected, and his depression was later treated. This case involves the complex interplay among type 1 diabetes, depression, ketoacidosis, and starvation physiology resulting in glucose concentrations in keeping with euglycemic diabetic ketoacidosis. The case also highlights that even in the absence of hyperglycemia, acid/base status should be assessed in an ill patient with diabetes, and in cases of euglycemic diabetic ketoacidosis, the diagnosis of depression should be considered as a cause for suppressed appetite and anorexia." @default.
• W2155805224 created "2016-06-24" @default.
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• W2155805224 date "2008-10-31" @default.
• W2155805224 modified "2023-10-12" @default.
• W2155805224 title "Starvation-induced True Diabetic Euglycemic Ketoacidosis in Severe Depression" @default.
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• W2155805224 doi "https://doi.org/10.1007/s11606-008-0829-0" @default.
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