http://www.nejm.org/doi/full/10.1056/NEJMc052709We report on a 51-year-old white woman who does nothave diabetes but had ketoacidosis while consuming“no-carbohydrate” diet.The patient strictly adhered to a low-carbohydratediet for four years, with an estimated carbohydrateintake that was often less than 20 g per day.