Persistent Diuresis Associated Dapagliflozin Treatment

A. Gülmez, Tuğba Kandemir Gülmez
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Abstract

Diabetic ketoacidosis is a clinical entity characterized by high blood sugar, ketone positivity and high anion gap metabolic acidosis. In these patients; polyuria is commonly detected due to hyperglycemia. Polyuria-induced dehydration may even be seen, especially in elderly patients. Polyuria is not expected to continue after hyperglycemia has resolved. We reported in this article; a 55 years old man with type-2 diabetes mellitus who was treated with a sodium-glucose cotransporter 2 (SGLT2) inhibitor (dapagliflozin) who developed diabetic ketoacidosis and persistent diuresis in the post-treatment normoglycemic period.
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持续性利尿相关的达格列净治疗
糖尿病酮症酸中毒是一种以高血糖、酮阳性、高阴离子间隙代谢性酸中毒为特征的临床实体。在这些病人中;多尿症通常是由高血糖引起的。多尿引起的脱水甚至可以看到,特别是在老年患者中。高血糖消退后,预计不会继续出现多尿症。我们在这篇文章中报道过;1例55岁男性2型糖尿病患者,接受钠-葡萄糖共转运蛋白2 (SGLT2)抑制剂(达格列净)治疗,在治疗后血糖正常期出现糖尿病酮症酸中毒和持续性利尿。
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