Published: 2019-09-25

Euglycemic diabetic ketoacidosis: another masquerader!

Bhargavi Kumar, Saravanan Thangavelu, Rajgokul Prabhakar


Euglycemic ketoacidosis is defined by the triad of euglycemia, metabolic acidosis and ketonemia or ketonuria. In the current era of diabetic management, it is a serious concern with the usage of sodium glucose co-transporter 2 (SGLT2) inhibitors potentiated by a number of precipitating agents. Empagliflozin though a novel oral hypoglycemic agent in this category may also lead to this potential complication. Here we report a 59 year old male, type 2 diabetic who was on empagliflozin and presented with euglycemic ketoacidosis after a binge of alcohol.



Empagliflozin, SGLT2 inhibitor, Type 2 diabetes, Euglycemic ketoacidosis

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