2019Unpublished venueRequires access

Euglycaemic diabetic ketoacidosis associated with sodium-glucose cotransporter-2 inhibitors: New drugs bring new problems

Venkatesan Thiruvenkatarajan, Emily Jane Meyer, Nagesh Nanjappa, Jane Currie, Roelof M.A.W. van Wijk, David R. Jesudason

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Abstract

Diabetes is a chronic condition affecting approximately 1.2 million Australians (6%) and it is projected that 3.3 million Australians will have diabetes by 2031. Type 2 Diabetes (T2D) accounts for nearly 90% of all cases. The prevalence of diabetes among hospital in-patients is even greater (15-35% in Victoria), and it is estimated that 15% of all surgical patients have diabetes. Metformin is the first-line choice for the pharmacological treatment of T2D, but in time with progressive beta cell destruction and insulin resistance many patients require a second- and third-line medication.

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What this paper is about

Diabetes is a chronic condition affecting approximately 1.2 million Australians (6%) and it is projected that 3.3 million Australians will have diabetes by 2031. Type 2 Diabetes (T2D) accounts for nearly 90% of all cases. The prevalence of diabetes among hospital in-patients is even greater (15-35% in Victoria), and it is estimated that 15% of all surgical patients have diabetes. Metformin is the first-line choice for the pharmacological treatment of T2D, but in time with progressive beta cell destruction and insulin resistance many patients require a second- and third-line medication.

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Available abstract

Diabetes is a chronic condition affecting approximately 1.2 million Australians (6%) and it is projected that 3.3 million Australians will have diabetes by 2031. Type 2 Diabetes (T2D) accounts for nearly 90% of all cases. The prevalence of diabetes among hospital in-patients is even greater (15-35% in Victoria), and it is estimated that 15% of all surgical patients have diabetes. Metformin is the first-line choice for the pharmacological treatment of T2D, but in time with progressive beta cell destruction and insulin resistance many patients require a second- and third-line medication.

Key concepts: Diabetic ketoacidosis, Medicine, Metformin, Diabetes mellitus, Type 2 diabetes, Internal medicine, Insulin resistance, Insulin

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