Euglycemic diabetic ketoacidosis in a patient with type 2 diabetes mellitus 3 days after initiating sodium‐glucose cotransporter 2 inhibitor while on an extremely low carbohydrate diet: A case report

Ayumi Inoue; Akihiro Katayama; Mihiro Sue; Momoka Hasegawa; Megumi Maeda; Masaki Matoba; Takahiro Ishii; Remi Kuribayashi; Masafumi Tenta; Yuichi Matsushita; Masaya Takeda; Izumi Iseda; Toshiyuki Wakatsuki; Kazuyuki Hida

doi:10.1002/ccr3.6572

Clinical Case Reports (Nov 2022)

Euglycemic diabetic ketoacidosis in a patient with type 2 diabetes mellitus 3 days after initiating sodium‐glucose cotransporter 2 inhibitor while on an extremely low carbohydrate diet: A case report

Ayumi Inoue,
Akihiro Katayama,
Mihiro Sue,
Momoka Hasegawa,
Megumi Maeda,
Masaki Matoba,
Takahiro Ishii,
Remi Kuribayashi,
Masafumi Tenta,
Yuichi Matsushita,
Masaya Takeda,
Izumi Iseda,
Toshiyuki Wakatsuki,
Kazuyuki Hida

Affiliations

Ayumi Inoue: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Akihiro Katayama: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Mihiro Sue: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Momoka Hasegawa: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Megumi Maeda: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Masaki Matoba: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Takahiro Ishii: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Remi Kuribayashi: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Masafumi Tenta: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Yuichi Matsushita: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Masaya Takeda: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Izumi Iseda: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan
Toshiyuki Wakatsuki: Department of Gastroenterology National Hospital Organization, Okayama Medical Center Okayama Japan
Kazuyuki Hida: Department of Diabetology and Metabolism National Hospital Organization, Okayama Medical Center Okayama Japan

DOI: https://doi.org/10.1002/ccr3.6572
Journal volume & issue: Vol. 10, no. 11
pp. n/a – n/a

Abstract

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Abstract This paper presents a case with type 2 diabetes mellitus on a very‐low‐carbohydrate diet who developed euglycemic diabetic ketoacidosis (EDKA) 3 days after starting sodium‐glucose cotransporter 2 inhibitors (SGLT2i). When initiating SGLT2i, healthcare providers should confirm the implementation of a low‐carbohydrate diet and provide intensive guidance to prevent EDKA.

Published in Clinical Case Reports

ISSN: 2050-0904 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Medicine (General)
Website: https://onlinelibrary.wiley.com/journal/20500904

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Abstract

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