Ketoacidosis in Euglycemic Patients With Type 2 Diabetes After Abdominal Surgery
| Autor: | Charles W. Van Way, Ray Segebrecht, Ashley Bennett, Douglas Geehan, Michael Moncure, Lamont G. Weide |
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| Rok vydání: | 2019 |
| Předmět: |
0303 health sciences
Type 1 diabetes Nutrition and Dietetics Diabetic ketoacidosis 030309 nutrition & dietetics business.industry Medicine (miscellaneous) Anion gap Metabolic acidosis Type 2 diabetes medicine.disease Intensive care unit Ketoacidosis law.invention 03 medical and health sciences 0302 clinical medicine law Anesthesia medicine 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 43:937-940 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1002/jpen.1594 |
| Popis: | Diabetic ketoacidosis is defined as hyperglycemia >250 mg/dL with metabolic acidosis of arterial pH 10. Euglycemic ketoacidosis has been reported in patients with type 2 diabetes and in patients with type 1 diabetes. However, as a surgical complication, euglycemic ketoacidosis has not been reported. We report 2 cases from 2 teaching tertiary care centers of patients with type 2 diabetes who developed high-gap ketoacidosis in an intensive care unit while recovering from emergent abdominal surgery. Both patients developed altered mental status, metabolic acidosis with a bicarbonate level as low as 14 mEq/L, and an anion gap > 18, without hyperglycemia. Both patients had β-hydroxybutyrate levels > 5 mmol/L. |
| Databáze: | OpenAIRE |
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