Postoperatory Euglycemic Diabetic Ketoacidosis: A Not So Rare Complication of Sglt2 Inhibitors

Diabetic ketoacidosis is one of the most well-known complications diabetes mellitus and potentially fatal. It characterized by a state hyperglycemia (glycemic levels >300mg/dL), associated with metabolic ketoacidosis. has been described that up to 3% diabetic can occur blood glucose below 250 mg/dL, an incidence increased since introduction SGLT2-i. We report case female patient in her seventies, history hypertension, dyslipidemia, ischemic heart disease type 2 treated insulin, metformin canagliflozin. During post-operative period elective surgery, she presented decreased level consciousness acidosis. She was admitted ICU required invasive mechanical ventilation vasopressors. Euglycemic diagnosed after treatment, discharged no sequelae.