Ketogenic Diet-Induced Diabetic Ketoacidosis in a Young Adult with Unrecognized Type 1 Diabetes

Table 1

Initial laboratory investigations.

Lab	Value	Reference	Units
Hemoglobin	13.7	12.0–14.3	g/dL
Hematocrit	41	36.0–47.7	%
White blood cells	15.8	4.60–10.60	k/mm^3
Neutrophils	82	43.7–70.9	%
Platelets	294	173–383	k/mm^3
Sodium	144	136–145	mEq/L
Potassium	3.6	3.5–5.0	mEq/L
Chloride	115	98–106	mEq/L
Bicarbonate	4.8	23–30	mEq/L
Anion gap	24.2	3–11	—
BUN	3.8	6.0–20.0	mg/dL
Creatinine	0.49	0.51–0.95	mg/dL
Glucose	390	70–99	mg/dL
Hemoglobin A1C	14	4.6–6.5	%
Lactate	1.2	0.4–2.0	mmol/L
Serum ketones	6.65	0–3	mmol/L
Urine glucose	4+	Negative	—
Urine ketones	2+	Negative	—
Arterial pH	7.15	7.35–7.45	—