“…In two independent studies, homozygous and heterozygous SLC16A1 loss-of-function gene mutations were linked to recurrent, severe ketoacidosis in humans (van Hasselt et al, 2014;Balasubramaniam et al, 2016). Ketoacidosis is caused by excess circulating ketone bodies in the face of insulinopenia and is generally a severe complication of diabetes (Nuttall, 1965;Winegrad and Clements, 1971). Targeted exome sequencing in an index patient and her family members revealed nine rare SLC16A1 variants (van Hasselt et al, 2014).…”