Stereotypical diagnostic bias for alcohol‐induced ketoacidosis could lead to death: Normal blood sugar levels in SGLT2 blocker‐induced severe diabetic ketoacidosis

Even with normal or near-normal blood sugar levels in a patient with suspected AKA, missing the possibility of euDKA can be fatal. Therefore, psychiatrists should remain vigilant for euDKA, especially in patients using SGLT2 inhibitors, by conducting frequent blood gas examinations.

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Publication Details

Journal
Psychiatry and Clinical Neurosciences Reports
Published
2025-12-01
DOI
https://doi.org/10.1002/pcn5.70279
Primary Topic
Diabetes and associated disorders
Type
article
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article

Stereotypical diagnostic bias for alcohol‐induced ketoacidosis could lead to death: Normal blood sugar levels in SGLT2 blocker‐induced severe diabetic ketoacidosis

Hiroyuki Uchida, Satoyuki Ogino, Takao KATAHIRA, Masaru Mimura et al.
Psychiatry and Clinical Neurosciences Reports
Diabetes and associated disorders
article

Stereotypical diagnostic bias for alcohol‐induced ketoacidosis could lead to death: Normal blood sugar levels in SGLT2 blocker‐induced severe diabetic ketoacidosis

Hiroyuki Uchida, Satoyuki Ogino, Takao KATAHIRA, Masaru Mimura, Michitaka Funayama, Takuto Ishida, Masayoshi Makio, Sho Endo, Shun Kudo, Yasushi Nemoto, Yurina Nanahara, Akihiro Koreki, Mikiko Yamauchi
article en

Abstract

Even with normal or near-normal blood sugar levels in a patient with suspected AKA, missing the possibility of euDKA can be fatal. Therefore, psychiatrists should remain vigilant for euDKA, especially in patients using SGLT2 inhibitors, by conducting frequent blood gas examinations.

Psychiatry and Clinical Neurosciences ReportsVol. 4(4)
Keio University (JP), Tokyo Metropolitan Matsuzawa Hospital (JP), Ashikaga Red Cross Hospital (JP), Saitama Municipal Hospital (JP), Kyorin University Hospital (JP)
Zero hunger
Openalex Percentile: Top 24%
Diabetes and associated disorders
DOIOpen Access PDFOpenAlex
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Stereotypical diagnostic bias for alcohol‐induced ketoacidosis could lead to death: Normal blood sugar levels in SGLT2 blocker‐induced severe diabetic ketoacidosis — Hiroyuki Uchida, Satoyuki Ogino, et al. · Psychiatry and Clinical Neurosciences Reports (2025) | TGRS Research Map | TGRS