Ketoacidosis in Euglycemic Patients With Type 2 Diabetes After Abdominal Surgery.
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.
PMID: 30997672 [PubMed - as supplied by publisher]
Source: JPEN Journal Of Parenteral And Enteral Nutrition - Category: Nutrition Authors: Segebrecht R, Moncure M, Bennett A, Geehan D, Van Way CW, Weide L Tags: JPEN J Parenter Enteral Nutr Source Type: research
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