Evidence map›Paper›PMID 37954835›Full record

ArticleJCEM case reports2023

A Case of Severe Lactation Ketoacidosis in a Nondiabetic Mother on a Ketogenic Diet.

Marisa Khatijah Borhan, Shireene Ratna Vethakkan, Tharsini Sarvanandan, Sharmila Sunita Paramasivam

Open access · diamondAbstract readCase Reports
In one paragraph

Article in JCEM case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Marisa Khatijah BorhanDepartment of Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-4053-0930
Shireene Ratna VethakkanDepartment of Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia.
Tharsini SarvanandanDepartment of Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia.
Sharmila Sunita ParamasivamDepartment of Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia.
University Malaya Medical Centre · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lactation ketoacidosis is a rare yet severe metabolic emergency that has been reported in breastfeeding mothers. Reduced carbohydrate intake during breastfeeding has been reported as a common trigger for ketoacidosis. We report the case of a 31-year-old mother without diabetes who presented with life-threatening lactation ketoacidosis after following a ketogenic diet while exclusively breastfeeding her newborn baby. She was managed in the intensive care unit with dextrose and insulin infusion to reverse ketoacidosis. With prompt treatment, the patient's ketoacidosis resolved within 24 hours, and she was discharged well 3 days later. We further discuss the underlying increased metabolic demand in lactating women that puts them at risk of ketoacidosis, underlining the importance of early recognition of lactation ketoacidosis and nutritional education for lactating women.

Indexed as

breastfeedingketoacidosisketogenic dietlactation

Identifiers

PMID37954835
PMCPMC10634626
OpenAlexW4388515797

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.