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  • Title: Diabetic ketoalkalosis: misnomer or undiagnosed variant of diabetic ketoacidosis.
    Author: Nanavati S, Kumar V, Melki G, Singhal M.
    Journal: BMJ Case Rep; 2018 Oct 02; 2018():. PubMed ID: 30279254.
    Abstract:
    Usually, hyperglycaemia crisis presents with acidotic pH, but ketoalkalosis is a rare and unheard entity presenting in diabetic ketoacidosis. We describe three unique cases where the patients present with hyperglycaemia >250 mg/dL, normal or alkalotic pH, and bicarbonate >20 meq/L, which does not meet criteria for diabetic ketoacidosis. However, once these patients were supplemented with intravenous fluids, diagnosis of diabetic ketoacidosis was evident in laboratory analysis. These case series provide a learning opportunity in diagnosing and management of this rare phenomenon.
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