Closing anion gap without insulin in euglycaemic diabetic ketoacidosis | Zendy

ReshamRaj Poudel | Zendy; NishaKusum Kafle | Zendy

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Closing anion gap without insulin in euglycaemic diabetic ketoacidosis

Author(s) -

ReshamRaj Poudel,

NishaKusum Kafle

Publication year - 2017

Publication title -

journal of diabetology

Language(s) - English

Resource type - Journals

eISSN - 2543-3288

pISSN - 2078-7685

DOI - 10.4103/jod.jod_26_17

Subject(s) - diabetic ketoacidosis , ketoacidosis , insulin , medicine , diabetes mellitus , resuscitation , anion gap , ketone bodies , intensive care medicine , endocrinology , anesthesia , type 1 diabetes , acidosis , metabolism

Euglycaemic diabetic ketoacidosis (euDKA) occurs in patients with poor carbohydrate intake who continue to take insulin. For these patients are not truly in the insulin-deficient state, intravenous fluid resuscitation alone can correct the ketoacidosis without any risk of hypoglycaemia. Diagnosis of euDKA can be missed in inexperienced settings; therefore, calculating anion gap and measuring ketone levels should be practiced in every sick diabetic patient regardless of glucose levels

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