Open AccessClosing anion gap without insulin in euglycaemic diabetic ketoacidosis
Author(s) -
Resham Raj Poudel,
Nisha Kusum 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