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Record W4408685125 · doi:10.1210/jcemcr/luaf021

Euglycemic Ketoacidosis Postsleeve Gastrectomy in 2 People With Type 1 Diabetes Using Automated Insulin Delivery

2025· article· en· W4408685125 on OpenAlexaff
W. Aboznadah, Michael A. Tsoukas, Xiaowen Hu, Melissa‐Rosina Pasqua

Bibliographic record

VenueJCEM Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicDiabetes Management and Research
Canadian institutionsMcGill UniversityMcGill University Health Centre
Fundersnot available
KeywordsMedicineDiabetic ketoacidosisKetoacidosisHypoglycemiaType 1 diabetesInsulinDiabetes mellitusType 2 diabetesPopulationIntensive care medicineSurgeryInsulin deliveryPediatricsInternal medicineEndocrinologyEnvironmental health

Abstract

fetched live from OpenAlex

As the prevalence of obesity rises in those with type 1 diabetes, there are more people with this condition undergoing bariatric surgery. Unfortunately, there is an increased risk of diabetic ketoacidosis, especially with euglycemia, in the postoperative period of bariatric surgery in this population. Automated insulin delivery is becoming increasingly popular as a form of intensive insulin therapy with major benefits such as reducing hypoglycemia, but the risk of ketoacidosis remains. We describe 2 cases of mild euglycemic ketoacidosis in the postoperative period after sleeve gastrectomy in adults with type 1 diabetes on commercial automated insulin delivery. Ketoacidosis postbariatric surgery is an ongoing risk, despite advancements in diabetes therapies; the information provided from technologies, however, can better inform and prevent this risk.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.231
Threshold uncertainty score0.633

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.013
GPT teacher head0.289
Teacher spread0.276 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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