• SAGE Open Med Case Rep · Jan 2016

    Case Reports

    Metabolic ketoacidosis with normal blood glucose: A rare complication of sodium-glucose cotransporter 2 inhibitors.

    • Saad Ullah, Noman Khan, Hassan Zeb, and Hassan Tahir.
    • Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, Johnstown, PA, USA.
    • SAGE Open Med Case Rep. 2016 Jan 1; 4: 2050313X16675259.

    AbstractKetoacidosis is a significant and often a life-threatening complication of diabetes mellitus seen mostly in type 1 diabetes mellitus as well as occasionally in type 2 diabetes mellitus. Diabetic ketoacidosis usually manifests with high blood glucose more than 250 mg/dL, but euglycemic diabetic ketoacidosis is defined as ketoacidosis associated with blood glucose level less than 250 mg/dL. Normal blood glucose in such patients results in significant delay in diagnosis and management of diabetic ketoacidosis, thus increasing mortality and morbidity. We present a case of euglycemic diabetic ketoacidosis secondary to canagliflozin in a type 2 diabetic patient.

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