{"id":555569,"date":"2026-05-16T12:30:00","date_gmt":"2026-05-16T10:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=555569"},"modified":"2026-05-16T18:16:27","modified_gmt":"2026-05-16T16:16:27","slug":"incorrect-type-2-diagnosis-and-sglt2i-led-to-dka","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/incorrect-type-2-diagnosis-and-sglt2i-led-to-dka\/","title":{"rendered":"Incorrect type 2 diagnosis and SGLT2i led to DKA"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>A patient on SGLT2 inhibitor therapy developed euglycemic diabetic ketoacidosis, which ultimately led to a diagnosis of latent autoimmune diabetes in adults (LADA). The misdiagnosis of type 2 diabetes delayed the necessary insulin therapy and increased the risk of ketoacidosis through the use of SGLT2 inhibitors, as these drugs can promote ketogenesis, especially in the presence of insulin deficiency. The case underlines the importance of early differentiation of forms of diabetes using C-peptide and antibody tests.  <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fincorrect-type-2-diagnosis-and-sglt2i-led-to-dka%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>A patient on SGLT2 inhibitor therapy developed euglycemic diabetic ketoacidosis, which ultimately led to a diagnosis of latent autoimmune diabetes in adults (LADA). The misdiagnosis of type 2 diabetes delayed&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fincorrect-type-2-diagnosis-and-sglt2i-led-to-dka%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":555572,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Incorrect type 2 diagnosis and SGLT2i led to DKA","footnotes":""},"category":[11548,11520,11508,11384,11297,11413],"tags":[91800,91799,35653,76087,91795,91793,91797,56453,91798,86754,12042],"powerkit_post_featured":[],"class_list":["post-555569","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rx-en","category-cases-en","category-education","category-endocrinology-and-diabetology","category-general-internal-medicine","category-nephrology","tag-antibody-test","tag-c-peptide-test","tag-complications","tag-diabetic-ketoacidosis","tag-insulin-deficiency","tag-islet-autoantibodies","tag-ketogenesis","tag-lada-en","tag-latent-autoimmune-diabetes-in-adults-2","tag-sglt2i","tag-type-2-diabetes","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-26 23:58:42","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":555568,"slug":"un-mauvais-diagnostic-de-type-2-et-sglt2i-ont-entraine-une-acd","post_title":"Un mauvais diagnostic de type 2 et SGLT2i ont entra\u00een\u00e9 une ACD","href":"https:\/\/medizinonline.com\/fr\/un-mauvais-diagnostic-de-type-2-et-sglt2i-ont-entraine-une-acd\/"},"it_IT":{"locale":"it_IT","id":555579,"slug":"una-diagnosi-errata-del-tipo-2-e-luso-di-sglt2i-hanno-portato-alla-dka","post_title":"Una diagnosi errata del tipo 2 e l'uso di SGLT2i hanno portato alla DKA.","href":"https:\/\/medizinonline.com\/it\/una-diagnosi-errata-del-tipo-2-e-luso-di-sglt2i-hanno-portato-alla-dka\/"},"pt_PT":{"locale":"pt_PT","id":555574,"slug":"diagnostico-incorreto-do-tipo-2-e-sglt2i-levaram-a-cetoacidose-diabetica","post_title":"Diagn\u00f3stico incorreto do tipo 2 e SGLT2i levaram a cetoacidose diab\u00e9tica","href":"https:\/\/medizinonline.com\/pt-pt\/diagnostico-incorreto-do-tipo-2-e-sglt2i-levaram-a-cetoacidose-diabetica\/"},"es_ES":{"locale":"es_ES","id":555586,"slug":"el-diagnostico-incorrecto-de-tipo-2-y-el-sglt2i-condujeron-a-la-cad","post_title":"El diagn\u00f3stico incorrecto de tipo 2 y el SGLT2i condujeron a la CAD","href":"https:\/\/medizinonline.com\/es\/el-diagnostico-incorrecto-de-tipo-2-y-el-sglt2i-condujeron-a-la-cad\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/555569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=555569"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/555569\/revisions"}],"predecessor-version":[{"id":555575,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/555569\/revisions\/555575"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/555572"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=555569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=555569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=555569"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=555569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}