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DKA common after bariatric surgery in high-risk patients with type 1 diabetes, obesity

DKA common after bariatric surgery in high-risk patients with type 1 diabetes, obesity
February 11, 2016

Patients with type 1 diabetes, obesity and poor glycemic control undergoing bariatric surgery are at risk for developing diabetic ketoacidosis, particularly those experiencing postoperative infection, prolonged poor oral intake and severe dehydration, according to recent findings.

Ali Aminian, MD, bariatric surgeon at Cleveland Clinic's Digestive Disease Institute, and colleagues analyzed data from 12 patients who developed diabetic ketoacidosis (DKA) within 90 days after bariatric surgery at an academic center between 2005 and 2015 (10 women; mean age, 49 years; mean preoperative BMI, 43.1 kg/m²; eight with type 1 diabetes).

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