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Ugeskrift for laeger · Nov 2016
Case Reports[Life-threatening ketoacidosis in a 25-year-old woman treated with sodium-glucose cotransporter 2 inhibitor].
- Mats Jacob Hermansson Lindberg, Frans Brandt Kristensen, and Alev Yildiz.
- mli@dadlnet.dk.
- Ugeskr. Laeg. 2016 Nov 21; 178 (47).
AbstractWe report a case of atypical ketoacidosis in a patient treated with a sodium-glucose cotransporter- (SGLT) 2 inhibitor. The 25-year-old woman, who one year earlier had been prescribed dapagliflozin for presumed Type 2 diabetes, came to the emergency department in a state of severe ketoacidosis, pH 6.85, and a plasma glucose level of 14.3 mmol/l. She received standard treatment and recovered. We discuss the increasing evidence for atypical ketoacidosis being a serious side effect of the SGLT2 inhibitors.
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