Question

A 29-year-old with suspected euglycemic DKA on SGLT2 inhibitor after minor surgery presents with normal glucose 180 mg/dL, anion gap 20, positive ketones. Which management is appropriate?

Accepted Answer

Give fluids and insulin infusion despite modest glucose

Answer

Hold insulin due to glucose <250 mg/dL

Answer

Give bicarbonate in all cases

Answer

Continue SGLT2 inhibitor to enhance diuresis

Answer

Treat with oral glucose only

Practice question

A 29-year-old with suspected euglycemic DKA on SGLT2 inhibitor after minor surgery presents with normal glucose 180 mg/dL, anion gap 20, positive ketones. Which management is appropriate?