Clinical Study
Newer Perspectives of Mechanisms for Euglycemic Diabetic Ketoacidosis
Table 1
Clinical features of 4 cases of EDKA.
| | | Blood glucose | Urine ketone | β-HDB | PH | TG | Scr | Precipitating factors | Effective remedy |
| | Case 1 | Type 1 DM | 10.4 | 3+ | / | 7.12 | 0.94 | 42 | Reduced insulin dose, poor appetite, sufficient drinking of water | Insulin along with supply of glucose | | Case 2 | Type 2 DM (new onset) | 9.0 | 3+ | / | 7.15 | 1.71 | 78 | Clozapine, poor food intake | Insulin along with increased intake of carbohydrate | | Case 3 | Type 2 DM in pregnancy | 6.7 | 4+ | 4.2 | 7.31 | 0.62 | 45 | Pregnancy | Insulin along with supply of glucose | | Case 4 | Type 2 DM with UGIH | 9.7 | 3+ | 3.1 | 7.25 | 1.50 | 65 | Intercurrent illness, discontinuation of insulin pump therapy | Insulin along with supply of glucose |
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Blood glucose (mmol/l). β-HDB: β-hydroxybutyric (mmol/l); TG: plasma triglyceride (mmol/l); Scr: serum creatinine (μmol/l); UGIH: upper gastrointestinal hemorrhage.
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