Dec 29, 2017 - INTRODuCTION. Euglycaemic diabetic ketoacidosis (euDKA) (blood .... diabetic euglycemic ketoacidosis in severe depression. J Gen Intern.
[Downloaded free from http://www.journalofdiabetology.org on Friday, December 29, 2017, IP: 86.100.118.239]
Case Report
Closing Anion Gap without Insulin in Euglycaemic Diabetic Ketoacidosis Resham Raj Poudel, Nisha Kusum Kafle1 Department of Internal Medicine, Western Reserve Health Education, Youngstown, OH, USA, 1Department of Public Health, Institute of Medicine, Kathmandu, Nepal
Abstract 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. Keywords: Anion gap, euglycaemic diabetic ketoacidosis, insulin
