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Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Less prevalent is euglycemic DKA (eDKA)-DKA with serum glucose less than 200 mg/dL; however, it is increasing in frequency with the introduction of sodium glucose cotransporter 2 (SGLT-2) inhibitors for treatment of type 2 diabetes. We report a case of SGLT-2 inhibitor-associated eDKA presenting with concurrent acute pericarditis. Our case suggests that the cause of eDKA can be multifactorial when decreased oral intake occurs in the setting o
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