Article ; Online: Euglycemic diabetic ketoacidosis following traumatic brain injury.
The American journal of emergency medicine
2024 Volume 77, Page(s) 232.e1–232.e3
Abstract: Sodium-glucose cotransporter 2 (SGLT2) inhibitors lower glucose levels by reducing glucose reabsorption in the kidneys, which can lead to ketogenesis. Euglycemic diabetic ketoacidosis (DKA) is a rare but potentially life-threatening complication of SGLT2 ...
Abstract | Sodium-glucose cotransporter 2 (SGLT2) inhibitors lower glucose levels by reducing glucose reabsorption in the kidneys, which can lead to ketogenesis. Euglycemic diabetic ketoacidosis (DKA) is a rare but potentially life-threatening complication of SGLT2 inhibitors that can be triggered by trauma. However, the absence of significant hyperglycemia can delay its diagnosis and treatment, which may lead to detrimental consequences. Herein, we report a case of euglycemic DKA following traumatic brain injury in a patient with type 2 diabetes who was taking an SGLT2 inhibitor. Delayed recognition of euglycemic DKA in this case led to progressive metabolic deterioration. This report emphasizes the importance of promptly suspecting, diagnosing, and treating euglycemic DKA in patients with traumatic injuries who exhibit high anion-gap metabolic acidosis, ketonuria, and glucosuria-even if they do not have significant hyperglycemia. |
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MeSH term(s) | Humans ; Diabetic Ketoacidosis/diagnosis ; Diabetes Mellitus, Type 2/complications ; Sodium-Glucose Transporter 2 Inhibitors ; Hyperglycemia/complications ; Brain Injuries, Traumatic/complications ; Glucose |
Chemical Substances | Sodium-Glucose Transporter 2 Inhibitors ; Glucose (IY9XDZ35W2) |
Language | English |
Publishing date | 2024-01-09 |
Publishing country | United States |
Document type | Case Reports |
ZDB-ID | 605890-5 |
ISSN | 1532-8171 ; 0735-6757 |
ISSN (online) | 1532-8171 |
ISSN | 0735-6757 |
DOI | 10.1016/j.ajem.2024.01.006 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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