Open AccessProlonged glucosuria and relapse of diabetic ketoacidosis related to SGLT2‐inhibitor therapy
Author(s) -
Westcott Gregory P.,
Segal Alissa R.,
Mitri Joanna,
Brown Florence M.
Publication year - 2020
Publication title -
endocrinology, diabetes and metabolism
Language(s) - English
Resource type - Journals
ISSN - 2398-9238
DOI - 10.1002/edm2.117
Subject(s) - diabetic ketoacidosis , medicine , ketoacidosis , diabetes mellitus , ketone bodies , endocrinology , type 1 diabetes , metabolism
SGLT2 inhibitors (SGLT2i) are glucose‐lowering medications which increase the renal threshold for glucose reabsorption and promote glucosuria. Treatment with these agents raises serum ketone levels, and cases of diabetic ketoacidosis (DKA) during therapy have been reported. The duration of glucosuria and inpatient course of SGLT2i‐related DKA, however, is not well‐characterized. We report 11 inpatient cases of SGLT2i‐related DKA, including a subset of patients who experienced prolonged glucosuria and relapse of DKA during their hospitalization.