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Euglycemic diabetic ketoacidosis in a patient with type 2 diabetes mellitus 3 days after initiating sodium-glucose cotransporter 2 inhibitor while on an extremely low carbohydrate diet: A case report.

Ayumi InoueAkihiro KatayamaMihiro SueMomoka HasegawaMegumi MaedaMasaki MatobaTakahiro IshiiRemi KuribayashiMasafumi TentaYuichi MatsushitaMasaya TakedaIzumi IsedaToshiyuki WakatsukiKazuyuki Hida
Published in: Clinical case reports (2022)
This paper presents a case with type 2 diabetes mellitus on a very-low-carbohydrate diet who developed euglycemic diabetic ketoacidosis (EDKA) 3 days after starting sodium-glucose cotransporter 2 inhibitors (SGLT2i). When initiating SGLT2i, healthcare providers should confirm the implementation of a low-carbohydrate diet and provide intensive guidance to prevent EDKA.
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