文章基本信息

标题：Ketoacidosis in a non-diabetic woman who was fasting during lactation
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作者：Sarah K. Hudak ; Dietrich Overkamp ; Robert Wagner 等
期刊名称：Nutrition Journal
印刷版ISSN：1475-2891
电子版ISSN：1475-2891
出版年度：2015
卷号：14
期号：1
页码：117
DOI：10.1186/s12937-015-0076-2
语种：English
出版社：BioMed Central
摘要：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.
关键词：Diabetic Ketoacidosis ; Normal Blood Glucose ; Prolonged Fasting ; Severe Metabolic Acidosis ; Relevant Family History