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CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 3  |  Page : 92-93

Closing anion gap without insulin in euglycaemic diabetic ketoacidosis


1 Department of Internal Medicine, Western Reserve Health Education, Youngstown, OH, USA
2 Department of Public Health, Institute of Medicine, Kathmandu, Nepal

Correspondence Address:
Resham Raj Poudel
Department of Internal Medicine, Western Reserve Health Education, Youngstown, OH
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jod.jod_26_17

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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.


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