{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:57:57Z","timestamp":1761562677992,"version":"3.41.2"},"reference-count":13,"publisher":"The Endocrine Society","issue":"10","license":[{"start":{"date-parts":[[2020,8,22]],"date-time":"2020-08-22T00:00:00Z","timestamp":1598054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Diabetic ketoacidosis (DKA) is an acute complication of type 1 diabetes (T1DM) with a high morbidity and mortality. Diabetic ketoacidosis is usually triggered by metabolic stressors that increase insulin requirements like infection, trauma, surgery, or some medications. Ketogenic diets are nutritional regimes that drastically reduce the intake of carbohydrates in order to increase circulating ketones and reduce appetite. Intermittent fasting diets similarly aim to impact appetite and body weight, but through the restriction of feeding to specific periods of time or days. A 58-year-old woman with T1DM and no prior episodes of DKA since her diagnosis 16 years ago was admitted to the emergency room with severe metabolic acidosis, ketosis, dehydration, and back pain after 9 days of practicing a ketogenic, intermittent fasting diet on the advice of a friend. The standard management of DKA led to the resolution of the symptoms and metabolic alterations, but this might not be the case in other patients. This case highlights the relevance of close professional monitoring of dietary and insulin schemes in patients with T1DM, and of the adequate nutritional education of patients in order to avoid having them follow fashionable dietary trends without knowledge of their implications.<\/jats:p>","DOI":"10.1210\/jendso\/bvaa126","type":"journal-article","created":{"date-parts":[[2020,8,22]],"date-time":"2020-08-22T19:46:58Z","timestamp":1598125618000},"source":"Crossref","is-referenced-by-count":5,"title":["Intermittent Fasting as a Trigger of Ketoacidosis in a Patient With Stable, Long-term Type 1 Diabetes"],"prefix":"10.1210","volume":"4","author":[{"given":"Alejandra","family":"Fern\u00e1ndez-Cardona","sequence":"first","affiliation":[{"name":"Department of Geriatrics, Universidad de Caldas, Manizales, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3378-2312","authenticated-orcid":false,"given":"Deyanira","family":"Gonz\u00e1lez-Devia","sequence":"additional","affiliation":[{"name":"Section of Endocrinology, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5546-4206","authenticated-orcid":false,"given":"Carlos O","family":"Mendivil","sequence":"additional","affiliation":[{"name":"Section of Endocrinology, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, Colombia"},{"name":"School of Medicine, Universidad de los Andes, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"80","published-online":{"date-parts":[[2020,8,22]]},"reference":[{"issue":"1","key":"2020100310532250800_CIT0001","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.atherosclerosis.2019.11.021","article-title":"The ketogenic diet: Pros and cons","volume":"292","author":"O\u2019Neill","year":"2020","journal-title":"Atherosclerosis."},{"issue":"3","key":"2020100310532250800_CIT0002","doi-asserted-by":"crossref","first-page":"e0194987","DOI":"10.1371\/journal.pone.0194987","article-title":"Low-carbohydrate diets for type 1 diabetes mellitus: a systematic review","volume":"13","author":"Turton","year":"2018","journal-title":"Plos One."},{"issue":"4","key":"2020100310532250800_CIT0003","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11892-020-1295-2","article-title":"Intermittent fasting as part of the management for T2DM: from animal models to human clinical 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advanced glucose monitoring","volume":"10","author":"Al-Ozairi","year":"2019","journal-title":"Front Endocrinol (Lausanne)."},{"issue":"26","key":"2020100310532250800_CIT0012","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1056\/NEJMra1905136","article-title":"Effects of intermittent fasting on health, aging, and disease","volume":"381","author":"de Cabo","year":"2019","journal-title":"N Engl J Med."},{"article-title":"\u201cEating in a 6-hour window and fasting for 18hours might help you live longer.\u201d","year":"2020","author":"Andrew","key":"2020100310532250800_CIT0013"}],"container-title":["Journal of the Endocrine 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