Open AccessVery low carbohydrate diet and SGLT-2-inhibitor: double jeopardy in relation to ketoacidosis
Author(s) -
Ninna Hahn Tougaard,
Jens Faber,
Ebbe Eldrup
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-227516
Subject(s) - diabetic ketoacidosis , medicine , ketoacidosis , diabetes mellitus , adverse effect , type 2 diabetes , endocrinology , low carbohydrate , carbohydrate , type 1 diabetes , weight loss , obesity
Diabetic euglycaemic ketoacidosis is a possible adverse effect of sodium-glucose co-transporter-2 inhibitors (SGLT2i). We report a case in which the combination of SGLT2i and a strict very low-carbohydrate diet led to severe diabetic ketoacidosis in a young Caucasian man with type 2 diabetes.