In contrast, SGLT2i DKA occurs due to reduction in plasma glucose (PG) from urinary glucose losses, which reduces insulin secretion and stimulates glucagon secretion, leading to ketosis.1,2,3 Accordingly, PG levels in SGLT2i DKA are often normal or mildly elevated.2,3 The implication is that glycemia and ketosis are less closely linked than in T1D DKA. Here, INS is linked to type 1 diabetes mellitus.