ArticleThe American journal of case reports2019
Starvation Ketoacidosis due to the Ketogenic Diet and Prolonged Fasting - A Possibly Dangerous Diet Trend.
Article in The American journal of case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05225467 (Development of Ketoacidosis During the Perioperative Period), which is not on this map. Cited by 23 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development of Ketoacidosis During the Perioperative Period: an Observational Study 'The DKAP Study'
Who cites it
23 citing papers in PubMed.
- A Case of Euglycemic Diabetic Ketoacidosis With Tirzepatide Use and Severe Calorie Restriction.JCEM case reports · 2026Article
- The Impact of Ketogenic Nutrition on Obesity and Metabolic Health: Mechanisms and Clinical Implications.Nutrition reviews · 2025Review
- Article
- Effects of the ketogenic diet on skin-potential benefits and risks.Frontiers in nutrition · 2025Review
- New insights into metabolism dysregulation after TBI.Journal of neuroinflammation · 2024Review
- The Ketone Bridge Between the Heart and the Bladder: How Fast Should We Go?International neurourology journal · 2024Article
- Connection between nutrition and oncology in dogs and cats: perspectives, evidence, and implications-a comprehensive review.Frontiers in veterinary science · 2024Review
- Ketogenic diet in clinical populations-a narrative review.Frontiers in medicine · 2024Review
- Starvation Ketoacidosis on the Acute Medical Take: An Easily Missed Complication of the Keto Diet.European journal of case reports in internal medicine · 2024Article
- Enhancing cognitive function in older adults: dietary approaches and implications.Frontiers in nutrition · 2024Review
- Article
- Article
- Review
- Is Fasting Good When One Is at Risk of Liver Cancer?Cancers · 2022Review
- A Liraglutide Injection Superimposing a Starvation Acidosis: a Case Report.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2022Article
- Ketoacidosis in a non-diabetic lactating woman: A case report and literature review.European journal of clinical nutrition · 2022Review
- Euglycemic Diabetic Ketoacidosis after Discontinuing SGLT2 Inhibitor.Case reports in endocrinology · 2022Article
- Acute esophageal necrosis as a complication of diabetic ketoacidosis: A case report.World journal of clinical cases · 2021Article
- Review
- Euglycemic Diabetic Ketoacidosis Precipitated by a Keto Diet: Importance of Dietary History in Diagnosis.Cureus · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND The low-carbohydrate, high-fat ketogenic diet has been popularized in the press recently, touting multiple health benefits such as weight loss and increased energy. In this diet, participants intentionally push themselves into a state of ketosis and usually do not develop metabolic complications or illness unless put under certain circumstances such as stress and prolonged fasting. CASE REPORT We report a case of starvation ketoacidosis in a 60-year-old male with well-controlled diabetes mellitus type II following a strict ketogenic diet who then underwent prolonged fasting. CONCLUSIONS Although the ketogenic diet with or without periods of fasting might yield short-term weight loss, it has potentially dangerous side effects, including ketoacidosis. It is recommended that people, especially those with comorbidities such as diabetes mellitus type II, consult their physicians before initiating this diet. Clinicians must keep a broad differential when evaluating acute metabolic acidosis.
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Registered trials
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