| CASE REPORT |
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| Year : 2017 | Volume
: 8
| Issue : 3 | Page : 92-93 |
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Closing anion gap without insulin in euglycaemic diabetic ketoacidosis
Resham Raj Poudel1, Nisha Kusum Kafle2
1 Department of Internal Medicine, Western Reserve Health Education, Youngstown, OH, USA
2 Department of Public Health, Institute of Medicine, Kathmandu, Nepal
Correspondence Address:
Resham Raj Poudel
Department of Internal Medicine, Western Reserve Health Education, Youngstown, OH
USA
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jod.jod_26_17
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Euglycaemic diabetic ketoacidosis (euDKA) occurs in patients with poor carbohydrate intake who continue to take insulin. For these patients are not truly in the insulin-deficient state, intravenous fluid resuscitation alone can correct the ketoacidosis without any risk of hypoglycaemia. Diagnosis of euDKA can be missed in inexperienced settings; therefore, calculating anion gap and measuring ketone levels should be practiced in every sick diabetic patient regardless of glucose levels.
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