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Ketoacidosis associated with low-carbohydrate diet in a non-diabetic lactating woman: a case report

Overview of attention for article published in Journal of Medical Case Reports, October 2015
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#9 of 2,570)
  • High Attention Score compared to outputs of the same age (98th percentile)

Mentioned by

news
6 news outlets
blogs
1 blog
twitter
67 tweeters
facebook
4 Facebook pages
googleplus
1 Google+ user
video
4 video uploaders

Readers on

mendeley
72 Mendeley
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Title
Ketoacidosis associated with low-carbohydrate diet in a non-diabetic lactating woman: a case report
Published in
Journal of Medical Case Reports, October 2015
DOI 10.1186/s13256-015-0709-2
Pubmed ID
Authors

Louise von Geijer, Magnus Ekelund

Abstract

Non-diabetic ketoacidosis is a rare condition which can be caused by starvation. Lack of glucose can force the body into ketogenesis causing a metabolic acidosis. As previously reported in the literature, ketoacidosis might, on rare occasions, be caused by a diet with low carbohydrate content. However, to the best of our knowledge this is the first reported case in the literature of ketoacidosis, in a non-diabetic patient, associated with a combination of low carbohydrate, high fat diet and lactation. A healthy non-diabetic, 32-year old white woman started a low carbohydrate, high fat diet when she was breastfeeding her son of 10 months of age. After 10 days she was admitted to our hospital with nausea and vomiting and a serum pH of 7.20 and base excess of -19. Clinical signs and blood samples were compatible with ketoacidosis. She was given fluids intravenously and insulin. No anamnestic or clinical signs of diabetes were found. She recovered quickly and was discharged 3 days later. Ketogenic diets like low carbohydrate, high fat may induce ketoacidosis. Lactation might further aggravate the condition and can perhaps even be the trigger into ketoacidosis. Health services should be aware of the risks associated with ketogenic diets, and be able to recognize this serious condition when it is presented.

Twitter Demographics

The data shown below were collected from the profiles of 67 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 72 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
New Zealand 1 1%
United States 1 1%
India 1 1%
Unknown 69 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 17 24%
Student > Master 14 19%
Researcher 10 14%
Other 6 8%
Student > Ph. D. Student 4 6%
Other 8 11%
Unknown 13 18%
Readers by discipline Count As %
Medicine and Dentistry 18 25%
Nursing and Health Professions 11 15%
Agricultural and Biological Sciences 9 13%
Biochemistry, Genetics and Molecular Biology 5 7%
Social Sciences 3 4%
Other 6 8%
Unknown 20 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 103. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 June 2020.
All research outputs
#199,828
of 15,606,445 outputs
Outputs from Journal of Medical Case Reports
#9
of 2,570 outputs
Outputs of similar age
#4,534
of 252,170 outputs
Outputs of similar age from Journal of Medical Case Reports
#1
of 1 outputs
Altmetric has tracked 15,606,445 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,570 research outputs from this source. They receive a mean Attention Score of 3.2. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 252,170 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them