{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:12:29Z","timestamp":1777896749940,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Diabetic ketoacidosis (DKA) is a life-threatening condition arising in individuals with insulin-dependent diabetes mellitus, associated with hyperglycaemia and hyperketonaemia. While drugs such as methadone, cocaine and certain prescription medications may precipitate DKA, the potential effect of methamphetamine is unclear. Analysis of autopsy and toxicology case files at Forensic Science SA, Adelaide, South Australia, was therefore undertaken from 1 January to 31 December 2019 of all cases where methamphetamine was detected in post-mortem blood samples. There were 94 cases with 11 diabetics ( n\u2009=\u20096 type 1 and n\u2009=\u20095 type 2). Four of the six decedents with type 1 diabetes had lethal DKA (66.7%; age range 30\u201354 years; average age 44.6\u2009\u00b1\u200910.5 years; M:F ratio 1:1). This incidence of DKA was higher than that of the general insulin-dependent diabetic population (6%) and also significantly higher than in medico-legal cases (13%; p\u2009&lt;\u20090.05). The clinical and autopsy assessment of insulin-dependent diabetics presenting with DKA should therefore include specific screening for methamphetamine. The increase in both insulin-dependent diabetes and methamphetamine abuse in the community may lead to increases in such cases in medico-legal and health contexts.<\/jats:p>","DOI":"10.1177\/00258024211020936","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T03:51:13Z","timestamp":1623210673000},"page":"39-42","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Methamphetamine use and the risk of diabetic ketoacidosis"],"prefix":"10.1177","volume":"62","author":[{"given":"Daniel","family":"Lewis","sequence":"first","affiliation":[{"name":"Adelaide Medical School, The University of Adelaide, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna","family":"van den Heuvel","sequence":"additional","affiliation":[{"name":"Forensic Science SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Kenneally","sequence":"additional","affiliation":[{"name":"Forensic Science SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0524-5942","authenticated-orcid":false,"given":"Roger W","family":"Byard","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, The University of Adelaide, Australia"},{"name":"Forensic Science SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,9]]},"reference":[{"key":"bibr1-00258024211020936","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-595X(83)80043-7"},{"key":"bibr2-00258024211020936","doi-asserted-by":"publisher","DOI":"10.2337\/db12-1363"},{"key":"bibr3-00258024211020936","unstructured":"Ghimire P, Dhamoon AS. 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