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 keto...

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

Answer

Give bicarbonate in all cases

Answer

Continue SGLT2 inhibitor to enhance diuresis

Answer

Treat with oral glucose only

us-usmle-step-2 MCQ (SBA): Euglycemic DKA

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?