Further stratification of the selected cases showed that NDKA was most commonly reported in chronic alcoholics (5 case reports including 9 patients) and LCD users (5 cases).2,6,7,9,11,17, , , , 21 Only 3 cases were reported in pregnancy and lactation each.12,13,15 It is interesting to note that the pregnant and lactating patients had overriding starvation or low-carbohydrate intake as precipitating factors for ketoacidosis. Here, NME1 is linked to type 2 diabetes mellitus.