Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication
Joint Authors
Hamza, Muhammad
Awab, Ahmed
Abu-Abed Abdin, Asma
Khan, Muhammad
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Diabetic ketoacidosis (DKA) is characterized by elevated anion gap metabolic acidosis, hyperglycemia, and elevated ketones in urine and blood.
Hyperglycemia is a key component of DKA; however, a subset of DKA patients can present with near-normal blood glucose, an entity described as “euglycemic DKA.” This rare phenomenon is thought to be due to starvation and food restriction in insulin dependent diabetic patients.
Cocaine abuse is considered a trigger for development of DKA.
Cocaine also has anorexic effects.
We describe an interesting case of euglycemic DKA in a middle-aged diabetic female presenting with elevated anion gap metabolic acidosis, with near-normal blood glucose, in the settings of noncompliance to insulin and cocaine abuse.
We have postulated that cocaine abuse was implicated in the pathophysiology of euglycemic DKA in this case.
This case highlights complex physiological interplay between type-1 diabetes, noncompliance to insulin, and cocaine abuse leading to DKA, with starvation physiology causing development of euglycemic DKA.
American Psychological Association (APA)
Abu-Abed Abdin, Asma& Hamza, Muhammad& Khan, Muhammad& Awab, Ahmed. 2016. Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication. Case Reports in Critical Care،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100433
Modern Language Association (MLA)
Abu-Abed Abdin, Asma…[et al.]. Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication. Case Reports in Critical Care No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100433
American Medical Association (AMA)
Abu-Abed Abdin, Asma& Hamza, Muhammad& Khan, Muhammad& Awab, Ahmed. Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication. Case Reports in Critical Care. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100433
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100433