Evidence map›Paper›PMID 40546578›Full record

ArticleCureus2025

Sodium-Glucose Cotransporter-2 Inhibitors and Euglycemic Diabetic Ketoacidosis: A Case Series of Three Post-surgical Patients.

Daniela Z Bazan, Lauren Esqueda, Ashly Ibrahim, Lorena Gonzalez, Jeffrey J Skubic, John Reilly, Ramiro Cavazos, Rene Verduzco

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Euglycemic Diabetic Ketoacidosis: Clinical Suspicion and Diagnosis.Clinical medicine insights. Endocrinology and diabetes · 2026
    Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniela Z BazanPharmacy Practice, Texas A&M University, Edinburg, USA.
Lauren EsquedaPharmacy, Texas A&M University, Kingsville, USA.
Ashly IbrahimPharmacy, Doctors Hospital at Renaissance, Edinburg, USA.
Lorena GonzalezPharmacy, Doctors Hospital at Renaissance, Edinburg, USA.
Jeffrey J SkubicSurgical Critical Care and Trauma Surgery, Doctors Hospital at Renaissance, Edinburg, USA.
John ReillySurgery, Doctors Hospital at Renaissance, Edinburg, USA.
Ramiro CavazosPharmacy, Doctors Hospital at Renaissance, Edinburg, USA.
Rene VerduzcoPharmacy Practice, Texas A&M University, Edinburg, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sodium-glucose cotransporter 2 (SGLT2) inhibitors are a class of commonly prescribed medications used in diabetes management for both their cardiovascular and renal benefits. However, as a class, SGLT2 inhibitors have a known side effect risk for ketoacidosis, including the rarer version called euglycemic diabetic ketoacidosis (DKA). We present three cases of euglycemic DKA postoperatively, in patients who were on SGLT2 inhibitors for type 2 diabetes mellitus. A DKA protocol was initiated for all three patients, and after treatment with fluid and insulin therapy, all patients recovered. All three were restarted on their SGLT2 inhibitor upon discharge. Based on this limited experience, we recommend close monitoring of postoperative patients on SGLT2 inhibitors to allow early detection of euglycemic DKA. Larger trials are needed to determine the exact, optimal timing of restarting SGLT2 inhibitors postoperatively.

Indexed as

case seriesclinical pharmacologyeuglycemic diabetic ketoacidosisperi-operative managementsodium-glucose cotransporter 2 inhibitortype 2 diabetes mellites

Identifiers

PMID40546578
PMCPMC12182647

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.