Euglycemic Diabetic Ketoacidosis with Persistent Diuresis Treated with Canagliflozin

Intern Med. 2017;56(2):187-190. doi: 10.2169/internalmedicine.56.7501. Epub 2017 Jan 15.

Abstract

Diabetic ketoacidosis is characterized by hyperglycemia, anion-gap acidosis, and increased plasma ketones. After the resolution of hyperglycemia, persistent diuresis is rare. We herein report the case of a 27-year-old Asian woman with type 2 diabetes who was treated with a sodium-glucose cotransporter 2 (SGLT2) inhibitor (canagliflozin) who developed euglycemic diabetic ketoacidosis and persistent diuresis in the absence of hyperglycemia. Physicians should consider euglycemic diabetic ketoacidosis in the differential diagnosis of patients treated with SGLT2 inhibitors.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Canagliflozin / administration & dosage*
  • Canagliflozin / adverse effects
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetic Ketoacidosis / blood
  • Diabetic Ketoacidosis / chemically induced
  • Diabetic Ketoacidosis / diagnosis*
  • Diagnosis, Differential
  • Diuresis
  • Female
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Hypoglycemic Agents / adverse effects*
  • Sodium-Glucose Transporter 2 Inhibitors*

Substances

  • Hypoglycemic Agents
  • Sodium-Glucose Transporter 2 Inhibitors
  • Canagliflozin