Euglycemic DKA on an SGLT2 inhibitor

Teaching case

[Insert slide gallery: case slide images. Placeholder pending assets.]

Clinical stem

[Age, CKD stage, diabetes status, medication list, volume status, key labs.]

The trap

[What clinicians might miss.]

Diagnostic reasoning

A normal glucose that hides a ketoacidosis — rare but high-risk during fasting, acute illness, perioperative periods, dehydration, or low-carbohydrate intake.

Safety pearl

[What to monitor.]

What not to overclaim

[Limits of the evidence.]

Educational only

Illustrative teaching case, not individual medical advice.