Starvation Induced Euglycaemic Diabetic Ketoacidosis in a Postoperative Diabetic Patient
Published: 2021-07-16
Page: 123-128
Issue: 2021 - Volume 4 [Issue 1]
Ashish Bangaari *
Department of Anaesthesia (Solid Organ Transplant), MIOT International, Chennai, India.
Kalaiyarasi Periyasamy
Department of Anaesthesia, MIOT International, Chennai, India.
Senthil Kumar Ravichander
Department of Surgical Oncology, MIOT International, Chennai, India.
Sridev Maheshwari Babu
Department of Surgical Oncology, MIOT International, Chennai, India.
*Author to whom correspondence should be addressed.
Abstract
Peri-operative euglycaemic diabetic ketoacidosis is under-recognized and difficult to diagnose due to variable triggers and absence of hyperglycaemia. We report a case of a 58 years old type -2 diabetic female who developed refractory post-operative metabolic acidosis caused by starvation and euglycaemic diabetic ketoacidosis. Recent surgery, major illness, carbohydrate restriction, and a relative insulin deficiency were the contributing factors leading to it. This report highlights the importance of nutrition and appropriate insulin usage in sick peri-operative diabetic patients presenting with unexplained keto acidosis.
Keywords: Euglycaemia, ketoacidosis, diabetic, insulin, starvation