{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T13:14:56Z","timestamp":1774703696133,"version":"3.50.1"},"reference-count":15,"publisher":"Scientific Scholar","issue":"03","license":[{"start":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T00:00:00Z","timestamp":1624838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Lab Physicians"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a case of a 29-year-old woman admitted twice to our hospital with diabetic ketoacidosis (DKA) within 45 days following her bariatric surgery. The first admission required intensive care during her postoperative days after bariatric surgery. Subsequently, she continued to report high level of ketones on a daily basis. At her second admission, she presented with all three criteria of DKA. She was treated with a standard protocol for DKA, but ketones plasma level remained high despite significant improvement in pH and glycemic control. The administration of thiamine replacement was associated with normalization of the hyperketonemia. Thiamine deficiency can be associated with bariatric surgery and can lead to high ketone level in individuals with type 1 diabetes.<\/jats:p>","DOI":"10.1055\/s-0041-1731139","type":"journal-article","created":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T22:53:23Z","timestamp":1624920803000},"page":"280-282","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent Diabetic Ketoacidosis following Bariatric Surgery: The Role of Micronutrients"],"prefix":"10.25259","volume":"13","author":[{"given":"Philip","family":"Moseley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed H","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom"},{"name":"Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry","family":"Owles","sequence":"additional","affiliation":[{"name":"Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,6,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"839275","DOI":"10.1155\/2013\/839275","article-title":"Bariatric surgery as potential treatment for nonalcoholic fatty liver disease: a future treatment by choice or by chance?","volume":"2013","author":"S Hafeez","year":"2013","journal-title":"J Obes"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1056\/NEJMoa066254","article-title":"Swedish Obese Subjects Study. 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