Precipitants-diabetic ketoacidosis

1+2+2+2 = 7 素炎缺毒

(the I’s)

• Insulin defic. (ie, failure to take enough insulin);

炎

• Infection (pneumonia, UTI) or
• Inflammation (pancreatitis, cholecystitis)

缺血

• Ischemia or
• Infarction (myocardial, cerebral, gut);

外物

• Iatrogenesis (glucocorticoids; SGLT2 inhibitors—can be w/o marked hyperglycemia; Diabetes Care 2016;39:532)

參考➡️ Diabetic ketoacidosis with canagliflozin, a sodium–glucose cotransporter 2 inhibitor, in patients with type 1 diabetes

• Intoxication (alcohol, drugs)

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