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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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References

    1. American Diabetes Association Diagnosis and classification of diabetes mellitus. Diabetes Care (2010) 33:S62–9. 10.2337/dc10-S062 - DOI - PMC - PubMed
    1. Vellanki P, Umpierrez GE. Diabetic Ketoacidosis; a common debut of diabetes among African Americans with type 2 diabetes. Endocrine Pract. (2017) 23:971–8. 10.4158/EP161679.RA - DOI - PMC - PubMed
    1. Kitabchi AE, Miles JM, Umpierrez GE, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care (2009) 32:1335–41. 10.2337/dc09-9032 - DOI - PMC - PubMed
    1. Mingrone G, Panunzi S, Gaetano A, Guidone C, Iaconelli A, Leccesi L, et al. Bariatric surgery versus conventional medical therapy for type 2 Diabetes. N Engl J Med. (2012) 366:1577–85. 10.1056/NEJMoa1200111 - DOI - PubMed
    1. Steenkamp DW, Alexanian SM, Sternthal E. Approach to the patient with atypical diabetes. CMAJ. (2014) 186:678–84. 10.1503/cmaj.130185 - DOI - PMC - PubMed

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