J. Sexe, C. Mayes and P. Tofts (2020). Euglycemic Diabetic Ketoacidosis in a Lung Cancer Patient Using Empagliflozin. Case reports in critical care, 2020, 7437892. https://doi.org/10.1155/2020/7437892

PubMed 32695525

[Abstract]
Diabetic ketoacidosis is a leading cause of morbidity and mortality in diabetic patients, and its diagnosis should be timely and accurate. SGLT2 inhibitors are a new class of antidiabetic medications that increase the renal excretion of glucose. It is thought that increased urinary excretion of glucose will mask hyperglycemia during DKA. This can lead to a delayed diagnosis of DKA and worsen outcomes. In this report, we detail a case of euglycemic DKA in a patient who presented to the Emergency Department meeting criteria for septic shock.