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[DOI] [PMC free article] [PubMed] [Google Scholar] 34.Mojsov S

The authors declared that there are no conflicts of interest
doi.org/10.1056/NEJMoa2032183 2 Look M, et al

So, why exactly does this connection exist

The Double Mechanism of Risk Increased Ketogenesis from Lower Insulin When insulin levels drop: Fat breakdown increases Free fatty acids are converted to ketones in the liver Blood ketone levels rise Even if glucose levels are normal or mildly elevated, ketone accumulation can lead to metabolic acidosis
