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A series of diabetic ketoacidosis associated with the use of sodium-glucose co-transporter-2 inhibitors in secondary care

Taverner S, Eng C, Watson R, George S, Edwards A, Williams DM, Stephens JW

Diabetes & metabolic syndrome, 2022

22 participants

Abstract

BACKGROUND AND AIMS: Sodium-glucose co-transporter-2 inhibitors (SGLT-2i) are associated with diabetic ketoacidosis (DKA), however limited case series are published.

METHODS: We evaluated the characteristics of patients admitted with SGLT-2i associated DKA.

RESULTS: Over 4 months, 22 patients were identified; 45.5% of DKA was not associated with concurrent illness.

CONCLUSION: DKA is not uncommonly associated with SGLT2i with no clear patient factors associated with severity.

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 22 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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