Euglycemic diabetic ketoacidosis following traumatic brain injury
- Authors
- Jang, Sung Woo; Lee, Haekyung
- Issue Date
- Mar-2024
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- Euglycemic diabetic ketoacidosis; Sodium-glucose cotransporter 2 inhibitors; Traumatic brain injuries
- Citation
- AMERICAN JOURNAL OF EMERGENCY MEDICINE, v.77, pp 232e1 - 232e3
- Journal Title
- AMERICAN JOURNAL OF EMERGENCY MEDICINE
- Volume
- 77
- Start Page
- 232e1
- End Page
- 232e3
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26288
- DOI
- 10.1016/j.ajem.2024.01.006
- ISSN
- 0735-6757
1532-8171
- 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 lifethreatening 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 reporta 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. (c) 2024 Elsevier Inc. All rights reserved.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26288)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.