Clinical Management of Euglycemic Ketoacidosis in a Cat With Congenital Diabetes Mellitus Treated With Insulin and Dapagliflozin

With the introduction of sodium-glucose linked cotransporter 2 inhibitors, clinicians should be aware of EDKA and its management. This case report describes how the treatment of EDKA in cats, similar to treatment in people, may require proactive, aggressive glucose supplementation, treatment with short-acting soluble insulin, and vigilant electrolyte and acid-base monitoring. It also showcases the possibility of dapagliflozin having effect days beyond drug cessation.

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Publication Details

Journal
Journal of Veterinary Emergency and Critical Care
Published
2025-03-01
DOI
https://doi.org/10.1111/vec.13458
Citations
1
Primary Topic
Diabetes Treatment and Management
Type
article
Field-Weighted Citation Impact
1.29
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article

Clinical Management of Euglycemic Ketoacidosis in a Cat With Congenital Diabetes Mellitus Treated With Insulin and Dapagliflozin

Maria Joana Dias, Stijn Niessen, Rodolfo Oliveira Leal, Beatriz Mendoza et al.
1 citations
Journal of Veterinary Emergency and Critical Care
Diabetes Treatment and Management
1.29
article

Clinical Management of Euglycemic Ketoacidosis in a Cat With Congenital Diabetes Mellitus Treated With Insulin and Dapagliflozin

Maria Joana Dias, Stijn Niessen, Rodolfo Oliveira Leal, Beatriz Mendoza, Miguel Carvalho, Patricia Lunet Marques
article en
1 citations

Abstract

With the introduction of sodium-glucose linked cotransporter 2 inhibitors, clinicians should be aware of EDKA and its management. This case report describes how the treatment of EDKA in cats, similar to treatment in people, may require proactive, aggressive glucose supplementation, treatment with short-acting soluble insulin, and vigilant electrolyte and acid-base monitoring. It also showcases the possibility of dapagliflozin having effect days beyond drug cessation.

Journal of Veterinary Emergency and Critical CareVol. 35(2)
Royal Veterinary College (GB), University of Lisbon (PT), Centre for Research in Anthropology (PT)
Good health and well-being
Openalex Percentile: Top 20%
Diabetes Treatment and Management
1.29
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