Point of Care

Skip Navigation LinksHome > September 2013 - Volume 12 - Issue 3 > Case Studies of Ketosis and the Clinical Utility of β-Hydrox...
Point of Care: The Journal of Near-Patient Testing & Technology:
doi: 10.1097/POC.0b013e3182a178b4
Case Report

Case Studies of Ketosis and the Clinical Utility of β-Hydroxybutyrate

Levy, Rebecca A. MD*; Gordner, Chelsea DO; Nichols, James H. PhD*

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Abstract: Three case studies are described for patients presenting with ketosis. Patients have medical histories of type 1 diabetes and type 2 diabetes. These patients present with elevated blood and urine ketones associated with diabetic ketoacidosis (DKA), alcoholic ketosis, and starvation-induced ketosis with a possible component of DKA. The metabolism of ketones and the physiology of DKA are described, and the various laboratory methodologies for analyzing blood and urine ketone bodies are also reviewed.

© 2013 by Lippincott Williams & Wilkins


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