SGLT2 inhibitors help manage type 2 diabetes but carry a risk of euglycemic diabetic ketoacidosis (euDKA)-a dangerous condition that can occur even with normal blood sugar. Learn the symptoms, risk factors, and how to stay safe.
When your body runs out of insulin, it starts breaking down fat for energy—and that’s when euDKA, a dangerous metabolic condition caused by extreme insulin deficiency that leads to high blood sugar and toxic acid buildup. Also known as diabetic ketoacidosis, it’s not just a lab result—it’s a medical emergency that can strike fast, especially in type 1 diabetes, but also in type 2 under stress, illness, or missed insulin doses. You don’t need to be diabetic to get it. People newly diagnosed, those skipping insulin due to cost, or even those with infections or heart attacks can slip into euDKA without warning.
What makes euDKA dangerous isn’t just high blood sugar—it’s the acid. When fat breaks down, ketones flood your blood, making it too acidic. Your body tries to flush it out with fast, deep breathing, nausea, vomiting, confusion, and eventually coma. The insulin deficiency, the core trigger of euDKA, occurs when the pancreas can’t produce enough insulin or when the body can’t use it properly. Without quick treatment—IV fluids, insulin, and electrolyte correction—it can kill. And it’s not rare. Studies show nearly 1 in 4 type 1 diabetes patients will experience euDKA at least once in their life, often because they didn’t recognize the early signs.
It’s not just about insulin. hyperglycemia, the dangerously high blood sugar levels that accompany euDKA, often starts slowly but spikes under stress, infection, or medication changes. Many people think their sugar is "just high" and wait it out—until they collapse. That’s why knowing the red flags matters: fruity breath, extreme thirst, frequent urination, fatigue, and abdominal pain aren’t just inconveniences—they’re alarms. And while hospitals treat euDKA successfully most of the time, the real problem is prevention. Most cases happen because patients didn’t know how to adjust insulin during illness, or couldn’t afford it.
What you’ll find below is a collection of real, practical posts that dig into the causes, treatments, and overlooked risks tied to euDKA. You’ll see how it connects to insulin pricing, medication errors, infection triggers, and why some patients end up in the ER again and again. These aren’t theory pieces—they’re based on patient stories, clinical data, and what actually works in emergency rooms and homes. Whether you’re managing diabetes yourself, caring for someone who is, or just trying to understand why this condition keeps showing up in headlines, this list gives you the facts you need to act—before it’s too late.
SGLT2 inhibitors help manage type 2 diabetes but carry a risk of euglycemic diabetic ketoacidosis (euDKA)-a dangerous condition that can occur even with normal blood sugar. Learn the symptoms, risk factors, and how to stay safe.