Management includes reduction and spacing of carbohydrate intake throughout the day, taking acarbose if symptoms persist, and pancreatectomy for severe or refractory symptoms.

Causes of DKA

www.aafp.org/pubs/afp/iss...

Blood Beta-hydroxybutyrate may be a better indicator than urine ketone for DKA pts
diabetesjournals.org/care/article...

Lipophilic drugs (e.g. ketamine, midazolam, propofol) distribute into tissues, including adipose. In obesity, use actual body weight (ABW) for calculating loading dose 4/

Hydrophilic drugs (e.g. vancomycin, gentamicin, acyclovir, daptomycin, rocuronium) stay mainly in the blood. In obesity, use adjusted/ideal body weight to avoid potential overdosing 3/

Wow thanks for sharing your story! Yeah I havnt seen a case of that yet but that’s important to remember.

Thanks for pointing it out Minh!