See also [[DKA]] see: [Euglycemic diabetic ketoacidosis: Etiologies, evaluation, and management.](bookends://sonnysoftware.com/ref/DL/277557) **Management** - 10% dextrose 100mL/ hour - balanced crystalloids (avoid hyperchloraemic NAGMA from saline) - hour 2 insulin 0.05-0.1 units/kg/h if K > 3.5 **Mechanism** - SGLT2 inhibitors - loss urinary glucose exacerbating carbohydrate deficit and fluid loss - directly stimulate glucagon - carbohydrate deficiency → ↓ insulin and ↑ glucagon, adrenalien, cortisol - ↑ glucagon/insulin ratio leads to lipolysis, increased free fatty acids, and ketosis