diabetes – St. Joseph's Health Center: Emergency Medicine Residency Program

Euglycemic DKA

by Anthony CatapanoCase of the Week, Critical Care, Silk City Blog, The Tox Box October 22, 2017April 16, 2021Comments are Disabled

Hi all. I wanted to bring to your attention a great case. The case was a young woman with relative euglycemic diabetic ketoacidosis. This diagnosis used to be quite rare and associated with pregnancy or very poor PO intake. However, with the use of SGLT2 inhibitors (which this young woman was taking) the incidence is increasing. The diagnosis highlights some very important factors about the treatment of DKA.

Octreotide for sulfonylurea poisoning

by Anthony CatapanoSilk City Blog, The Tox Box April 26, 2016April 16, 2021Comments are Disabled

Newer second generation sulfonylureas are used extensively for treating type-2 diabetes mellitus (i.e. glyburide, glipizide, glimepiride and gliclazide). They are rapidly absorbed and reach peak plasma concentration typically within 2-4 hours; and have a duration of action up to 24 hours long. In 2010, the American Association of Poison Control centers reported nearly 4,000 cases …