COVID-19 Precipitating Euglycaemic Diabetic Ketoacidosis with SGLT2 Inhibitor Use

  • Jiali Fang Department of Medicine, University of Illinois at Chicago, Chicago, USA
  • Matthew Genco Department of Medicine, University of Illinois at Chicago, Chicago, USA
  • Rachel Caskey Department of Medicine, University of Illinois at Chicago, Chicago, USA

Abstract

Objective: To describe a patient who developed euglycaemic diabetic ketoacidosis (DKA) in the setting of SGLT2 inhibitor use precipitated by COVID-19.
Patient and methods: A 52-year-old male with type II diabetes on empagliflozin and no history of DKA presented with symptoms of COVID-19 as well as laboratory findings consistent with euglycaemic DKA. His hospital course was complicated by recurrent episodes of euglycaemic DKA as well as hyperglycaemic DKA. 
Conclusion: SGLT2 inhibitors should be held as early as possible in COVID-19 cases due to the risk of euglycaemic DKA. These patients should also have more intense glucose monitoring.

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References

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Published: 2020-10-26

Issue: Vol 7 No 11 (view)

Section: Articles

How to cite:
1.
Fang J, Genco M, Caskey R. COVID-19 Precipitating Euglycaemic Diabetic Ketoacidosis with SGLT2 Inhibitor Use. EJCRIM 2020;7 doi:10.12890/2020_001943.