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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Autores principales: Clara M. Gomez-Sanchez, MD, Bian X. Wu, MD, Jeffrey E. Gotts, MD, Robert W. Chang, MD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/3006de9df1f84acda593c0de6bbb7600
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Peripheral artery disease
Diabetic acidosis
SGLT-2 inhibitors
Postoperative complication
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
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