➤ Is a normal fasting glucose consistent with DKA, and can DKA occur with lower glucose levels?
Yes. Euglycemic DKA can occur, especially with SGLT2 inhibitor use, pregnancy, or prolonged fasting. Patients may have ketoacidosis with relatively normal or modest glucose elevations. Always assess arterial pH, bicarbonate, and ketones, not glucose alone, when diagnosing suspected DKA. This prevents missed diagnosis and delays in treatment.
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