Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis
New pharmacologic advances in the treatment of diabetes include SGLT-2 inhibitors, which have been demonstrated in randomized-controlled clinical trials to reduce overall and cardiac-specific mortality and slow progression of chronic kidney disease. Euglycemic diabetic ketoacidosis is a rare but lif...
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Elsevier
2021
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oai:doaj.org-article:3006de9df1f84acda593c0de6bbb76002021-11-16T04:11:00ZEuglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis2468-428710.1016/j.jvscit.2021.10.006https://doaj.org/article/3006de9df1f84acda593c0de6bbb76002021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2468428721001805https://doaj.org/toc/2468-4287New pharmacologic advances in the treatment of diabetes include SGLT-2 inhibitors, which have been demonstrated in randomized-controlled clinical trials to reduce overall and cardiac-specific mortality and slow progression of chronic kidney disease. Euglycemic diabetic ketoacidosis is a rare but life-threatening complication associated with the use of SGLT-2 inhibitors. Here we describe a case of severe euglycemic diabetic ketoacidosis after lower extremity bypass in a patient taking an SGLT-2 inhibitor. Awareness of this potential complication is essential as these novel agents are increasingly used in patients with cardiovascular disease.Clara M. Gomez-Sanchez, MDBian X. Wu, MDJeffrey E. Gotts, MDRobert W. Chang, MDElsevierarticlePeripheral artery diseaseDiabetic acidosisSGLT-2 inhibitorsPostoperative complicationSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 778-780 (2021) |
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DOAJ |
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DOAJ |
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Peripheral artery disease Diabetic acidosis SGLT-2 inhibitors Postoperative complication Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Peripheral artery disease Diabetic acidosis SGLT-2 inhibitors Postoperative complication Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Clara M. Gomez-Sanchez, MD Bian X. Wu, MD Jeffrey E. Gotts, MD Robert W. Chang, MD Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
description |
New pharmacologic advances in the treatment of diabetes include SGLT-2 inhibitors, which have been demonstrated in randomized-controlled clinical trials to reduce overall and cardiac-specific mortality and slow progression of chronic kidney disease. Euglycemic diabetic ketoacidosis is a rare but life-threatening complication associated with the use of SGLT-2 inhibitors. Here we describe a case of severe euglycemic diabetic ketoacidosis after lower extremity bypass in a patient taking an SGLT-2 inhibitor. Awareness of this potential complication is essential as these novel agents are increasingly used in patients with cardiovascular disease. |
format |
article |
author |
Clara M. Gomez-Sanchez, MD Bian X. Wu, MD Jeffrey E. Gotts, MD Robert W. Chang, MD |
author_facet |
Clara M. Gomez-Sanchez, MD Bian X. Wu, MD Jeffrey E. Gotts, MD Robert W. Chang, MD |
author_sort |
Clara M. Gomez-Sanchez, MD |
title |
Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
title_short |
Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
title_full |
Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
title_fullStr |
Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
title_full_unstemmed |
Euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
title_sort |
euglycemic diabetic ketoacidosis following major vascular surgery is a new item on the differential for postoperative acidosis |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/3006de9df1f84acda593c0de6bbb7600 |
work_keys_str_mv |
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