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SGLT-2 inhibitor hypoglycaemic ketoacidosis

SGLT-2 Use and Hypoglycemic Ketoacidosis
Annals of Emergency Medicine · Added 22 September 2026

Case report of severe hypoglycaemic ketoacidosis in an SGLT2 inhibitor user requiring insulin — a reminder these agents can produce ketosis with atypical glucose readings that muddle the diabetic-emergencies picture

Study type
Case series
Design
Case report
Participants
1 patient
Main finding
Severe hypoglycaemic, nondiabetic ketoacidosis in an SGLT-2 inhibitor user requiring insulin treatment
Caveat
Single case, cannot establish frequency or causality
Bottom line
Context only

Why it matters in Australia (High relevance). transferability — no new drug or skill needed — pure recognition: a growing number of patients are on SGLT2 inhibitors, and a BGL that doesn't fit the picture (CMG 10) deserves a second look

Learning goal

Update my knowledge of current evidence in toxicology.

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