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Case Reports
. 2019 Jan 15:9:812.
doi: 10.3389/fendo.2018.00812. eCollection 2018.

Diabetic Ketoacidosis Post Bariatric Surgery

Ivania M Rizo  1 , Caroline M Apovian  1
Affiliations
Case Reports

Diabetic Ketoacidosis Post Bariatric Surgery

Ivania M Rizo et al. Front Endocrinol (Lausanne). .

Abstract

In patients with type 2 diabetes, bariatric surgery can lead to significant improvements in glycemic control and diabetes remission. We present a case of a Hispanic female with type 2 diabetes phenotype who underwent bariatric surgery and post-operatively stopped her insulin therapy due to multiple reasons, including decreased oral intake and concern for hypoglycemia. Ultimately, she developed diabetic ketoacidosis. She does not fit into the classical type 2 diabetes or type 1 diabetes definition but into the heterogeneous subgroup of diabetes called ketosis-prone diabetes.

Keywords: Roux-en-Y gastric bypass; bariatric surgery; diabetic ketoacidosis; ketosis-prone diabetes mellitus; type 2 diabetes.

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