Potential higher risk factors of euglycemic diabetic ketoacidosis and their mechanisms
| Risk factor | Mechanism |
|---|---|
| History of prior diabetic ketoacidosis | Indicates significant insulin deficiency |
| Hemoglobin A1c > 10% | Suggests insulin deficiency |
| Bicarbonate < 18–20 mmol/L | Preexisting acidosis |
| Creatinine < 0.5 mg/dL | Low muscle mass with reduced ability to metabolize ketones |
| Chronic creatinine > 1.5 mg/dL | Acidosis risk higher |
| Acute renal injury | Preexisting acidosis |