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- W4296162503 abstract "Euglycaemic diabetic ketoacidosis is a serious but rare adverse effect of treatment with sodium-glucose cotransporter-2 (SGLT-2) inhibitors. A man in his 60s with type 2 diabetes mellitus underwent total hip replacement for an intracapsular neck of femur fracture. His SGLT-2 inhibitor was continued perioperatively and blood glucose levels were normal throughout the admission. A diagnosis of severe euglycaemic diabetic ketoacidosis was made in the operating theatre which required treatment in a critical care unit. This resulted in increased morbidity due to decreased postoperative mobilisation and a new requirement for subcutaneous insulin. This case highlights the need for withholding SGLT-2 inhibitors in patients admitted for emergency surgery and a need for regular ketone monitoring in these patients, even in the context of normoglycaemia." @default.
- W4296162503 created "2022-09-18" @default.
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- W4296162503 date "2022-09-01" @default.
- W4296162503 modified "2023-09-23" @default.
- W4296162503 title "SGLT-2 inhibitor associated euglycaemic diabetic ketoacidosis in an orthopaedic trauma patient" @default.
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- W4296162503 doi "https://doi.org/10.1136/bcr-2022-250233" @default.
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