Diabetes;
Drugs;
endocrine system;
Medical management;
INHIBITORS;
D O I:
10.1136/bcr-2021-247921
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Sodium glucose cotransporter-2 (SGLT2) inhibitors are glucose-lowering drugs with proven efficacy in treating type 2 diabetes mellitus, and more recently, have been shown to improve heart failure outcomes in patients without diabetes. A rare complication of SGLT2 inhibitor use is the development of euglycaemic diabetic ketoacidosis (EDKA), characterised by euglycaemia (blood glucose level <250 mg/dL), metabolic acidosis (arterial pH <7.3 and serum bicarbonate <18 mEq/L), and ketonaemia. Given patients with EDKA do not present with the typical manifestations of diabetic ketoacidosis, including marked hyperglycaemia and dehydration, the diagnosis of EDKA may be missed and initiation of treatment delayed. We present the case of a man with recent SGLT2 inhibitor use and multiple other risk factors who developed EDKA.
机构:
CHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USA
Creighton Univ, Med Ctr, CHI Creighton Hlth, Univ Campus, Omaha, NE USACHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USA
Latif, Azka
Gastelum, Aheli Arce
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h-index: 0
机构:
CHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USACHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USA
Gastelum, Aheli Arce
Sood, Akshat
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h-index: 0
机构:
CHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USACHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USA
Sood, Akshat
Reddy, Joseph Thilumala
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h-index: 0
机构:
CHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USACHI Hlth Creighton Univ Med Ctr Bergan Mercy, Internal Med, Omaha, NE 68124 USA
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Calcada, Marta Brandao
Fernandes, Luis
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Fernandes, Luis
Soares Costa, Rita
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h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Soares Costa, Rita
Montezinho, Sara
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Montezinho, Sara
Martins Duarte, Filipa
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h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Martins Duarte, Filipa
Frutuoso, Luisa
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Surg Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
Frutuoso, Luisa
Freitas, Ana Raquel
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h-index: 0
机构:
Ctr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, PortugalCtr Hosp Entre Douro & Vouga, Internal Med Dept, P-4520211 Santa Maria Feira, Portugal
机构:
King Faisal Specialist Hosp & Res Ctr, Dept Med, PO 3354, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, Dept Med, PO 3354, Riyadh 11211, Saudi Arabia
Albugami, Muneerah M.
Ahmed, Mohammed
论文数: 0引用数: 0
h-index: 0
机构:
King Faisal Specialist Hosp & Res Ctr, Dept Pharm, Riyadh, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, Dept Med, PO 3354, Riyadh 11211, Saudi Arabia
Ahmed, Mohammed
Alobaid, Dhari
论文数: 0引用数: 0
h-index: 0
机构:
King Faisal Specialist Hosp & Res Ctr, Dept Med, PO 3354, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, Dept Med, PO 3354, Riyadh 11211, Saudi Arabia
Alobaid, Dhari
[J].
SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES,
2020,
8
(03):
: 241
-
242