Cureus

Normal Blood Sugar Ketoacidosis Linked to Online Tirzepatide Prescription

Updated

Abstract

A 61-year-old woman developed euglycaemic ketoacidosis after six weeks of tirzepatide therapy for weight loss.

  • Euglycaemic ketoacidosis occurred despite the patient having normal blood glucose levels.
  • The patient showed significant ketonaemia and metabolic acidosis during the episode.
  • Resolution of the condition was achieved with intravenous fluid resuscitation and replacement.
  • This case highlights the need for awareness of potential adverse effects associated with tirzepatide.
  • It raises concerns regarding the safety of prescribing tirzepatide through online consultations with less monitoring.

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Funding

Competing interests

Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
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