• Clinical case reports · May 2019

    Case Reports

    Euglycemic diabetic ketoacidosis in association with dapagliflozin use after gastric sleeve surgery in a patient with type II diabetes mellitus.

    • Iouri Banakh, Ross Kung, Sachin Gupta, Kati Matthiesson, and Ravindranath Tiruvoipati.
    • Pharmacy Department Frankston Hospital Frankston Victoria Australia.
    • Clin Case Rep. 2019 May 1; 7 (5): 1087-1090.

    AbstractSodium-glucose cotransporter 2 inhibitors (SGLT2Is) can be associated with euglycemic diabetic ketoacidosis (eDKA). Severe metabolic acidosis with extreme electrolyte abnormalities can occur with nonsignificant blood glucose elevations in SGLT2I-treated patients. Additional risk factors for eDKA include prolonged fasting, major illness, large weight loss, and reductions in insulin doses.

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