The Diagnostic Difficulties of DKA

Patients in DKA don't always have hyperglycemia, do they James Yates? No Rob Fenwick, they don't. There are a couple of theories and thankfully I don't think they're too complicated. If there is increasing amounts of glucose in the bloodstream that might be filtered out by the kidney and then not reabsorbed if you're on these SGLT2 inhibitors. So two things there that can cause euglycemic decay. The first thing we need to focus on is obviously as we always do is a good history because actually we need to pay really good attention to the history that this patient is giving us. We also need to look for those physiological stresses