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Ketoacidosis in a non-diabetic woman who was fasting during lactation.
Nutr. J. 14:117 (2015)
Ketoacidosis is a potential complication of type 1 diabetes. Severe ketoacidosis with a blood pH below 7.0 is only rarely seen in other diseases.Three weeks after delivery, a young woman was admitted because of tachypnoe and tachycardia. Blood gas analysis showed a severe metabolic acidosis with a high anion gap. Further workup revealed the presence of ketone bodies in the urine with normal blood glucose and no history of diabetes. The patient reported that she had not eaten for days because of abdominal pain. After initial treatment in the ICU and immediate re-feeding, the patient's condition rapidly improved.While under normal circumstances fasting causes at most only mild acidosis, it can be dangerous during lactation. Prolonged fasting in combination with different forms of stress puts breast feeding women at risk for starvation ketoacidosis and should therefore be avoided.
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Publication type
Article: Journal article
Document type
Scientific Article
ISSN (print) / ISBN
1475-2891
Journal
Nutrition Journal
Quellenangaben
Volume: 14,
Issue: 1,
Article Number: 117
Publisher
BioMed Central
Publishing Place
London
Non-patent literature
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Reviewing status
Peer reviewed