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Updated: Dec 14, 2025

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Published on: July 21, 2018
Euglycemic Diabetic Ketoacidosis in a Lung Cancer Patient Using Empagliflozin
Jordan Sexe1, Chadwick Mayes2, Peter Tofts2
1William Carey University College of Osteopathic Medicine, Hattiesburg, MS, USA.
Abstract:
Diabetic ketoacidosis is a leading cause of morbidity and mortality in diabetic patients, and its diagnosis should be timely and accurate. SGLT2 inhibitors are a new class of antidiabetic medications that increase the renal excretion of glucose. It is thought that increased urinary excretion of glucose will mask hyperglycemia during DKA. This can lead to a delayed diagnosis of DKA and worsen outcomes. In this report, we detail a case of euglycemic DKA in a patient who presented to the Emergency Department meeting criteria for septic shock.
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