EUGLYCAEMIC DIABETIC KETOACIDOSIS (DKA) IN A 21-YEAROLD PATIENT ON SGLT-2 INHIBITO

Authors

  • Khai Tong Tan Mount Elizabeth Medical Centre, Singapore

Keywords:

ketoacidosis, sglt-2 inhibitor, diet

Abstract

INTRODUCTION
 A 21-year-old lady with Type 2 Diabetes Mellitus for 2 years was on Empagliflozin, Linagliptin and Metformin for 10 months. She developed Euglycaemic Ketoacidosis after voluntarily going on a low carbohydrate diet for 3 days.

CASE
The patient was diagnosed to have Type 2 Diabetes Mellitus in 2016. She was well but not compliant with diet control. In Dec 2018, she was noted to have HbA1c of 9.3% and fasting Triglyceride was 13.06 mmol/L. For 3 days she decided to have a strict low calorie and low carbohydrate diet. She developed nausea and vomiting and was found to be in ketoacidosis. Euglycaemic Ketoacidosis was confirmed by blood glucose of 6.3 mmol/L; urine ketone positive 3+; blood ketone high; lactic acid normal; bicarbonate less than 10 mmol/L. She recovered after treatment with dextrose / insulin infusion.

CONCLUSION
More vigilance is required for patients on SGLT-2 inhibitors who may have to undergo fasting or periods of reduced food intake eg after surgery or procedures.

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Published

2022-06-08

How to Cite

Tan, K. T. (2022). EUGLYCAEMIC DIABETIC KETOACIDOSIS (DKA) IN A 21-YEAROLD PATIENT ON SGLT-2 INHIBITO. Journal of the ASEAN Federation of Endocrine Societies, 34(2), 53. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/2037

Issue

Section

Abstracts of Case Reports | Prediabetes, Diabetes, Hypoglycemia