Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication

Table 2

Major differences between hyperglycemic DKA and euglycemic DKA.

Hyperglycemic DKA	Euglycemic DKA
Blood glucose > 250 mg/dL, arterial pH < 7.3, and serum bicarbonate < 18 mEq/L	Blood glucose < 200 mg/dL, arterial pH < 7.3, and serum bicarbonate < 18 mEq/L
Insulin deficiency and increased counter regulatory hormones causing hyperglycemia	Insulin deficiency and increased counter regulatory hormones causing hyperglycemia and starvation from any cause euglycemia
Triggered by infections, concurrent illnesses, and dehydration	As a result of decreased circulating glucose in starvation, cirrhosis, exogenous insulin use, SGLT-2 inhibitors, pancreatitis, depression, and so forth