Evidence map›Paper›PMID 41917428›Full record

ArticleEuropean journal of clinical nutrition2026

Sugar-sweetened beverages and acute metabolic crises in type 2 diabetes mellitus: a report of two cases.

Abhinay Jain, Ankitesh Kumar, Pooja Alipuria, Pragya Mangla, Nishant Raizada, S V Madhu

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Article in European journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Abhinay JainDepartment of Endocrinology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Delhi, India.ORCID http://orcid.org/0000-0002-7660-1000
Ankitesh KumarDepartment of Endocrinology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.ORCID http://orcid.org/0009-0003-5306-100X
Pooja AlipuriaDepartment of Internal Medicine, Yashoda Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India.
Pragya ManglaDepartment of Endocrinology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
Nishant RaizadaDepartment of Endocrinology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
S V MadhuDepartment of Endocrinology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India. drsvmadhu@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic ketoacidosis (DKA) is an uncommon but serious complication in patients with type 2 diabetes mellitus (T2DM). Excessive intake of sugar-sweetened beverages (SSBs) may represent an underrecognized trigger for DKA in individuals with T2DM. We present two male patients with T2DM who developed ketosis following excessive consumption of SSBs (aerated drinks). The first patient, aged 33 years, reported consuming 2.5 litre/day of SSBs and developed ketosis without acidosis. The second, aged 18 years, reported daily intake of 4 litre/day of SSBs and presented with frank DKA. Both patients were managed with insulin therapy, which was successfully tapered off post-discharge. At follow-up, glycemic control was maintained with oral antidiabetic therapy or lifestyle modification alone. Both patients exhibited clinical signs of insulin resistance and were negative for anti-glutamic acid decarboxylase antibodies. These cases underscore the potential role of SSBs in precipitating ketosis in T2DM patients.

Indexed as

Diabetes Mellitus, Type 2Diabetic KetoacidosisSugar-Sweetened BeveragesAdolescentAdultBlood GlucoseHumansHypoglycemic AgentsInsulinInsulin ResistanceMaleBlood GlucoseHypoglycemic AgentsInsulin

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.