Starvation Induced Euglycaemic Diabetic Ketoacidosis in a Postoperative Diabetic Patient
Ashish Bangaari, Kalaiyarasi Periyasamy, Senthil Kumar Ravichander, Sridev Maheshwari Babu
Asian Journal of Case Reports in Medicine and Health · pp. 123–128 · Published 16 Jul 2021
Abstract
Peri-operative euglycaemic diabetic ketoacidosis is under-recognized and difficult to diagnose due to variable triggers and absence of hyperglycaemia. We report a case of a 58 years old type -2 diabetic female who developed refractory post-operative metabolic acidosis caused by starvation and euglycaemic diabetic ketoacidosis. Recent surgery, major illness, carbohydrate restriction, and a relative insulin deficiency were the contributing factors leading to it. This report highlights the importance of nutrition and appropriate insulin usage in sick peri-operative diabetic patients presenting with unexplained keto acidosis.
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