A new class of diabetes medications is masking the potentially dangerous condition of ketoacidosis at the time of surgery. Testing for acid load in the blood of diabetes sufferers who are taking gliflozin medications is needed in order to avoid complications associated with ketoacidosis—a potentially lethal build-up of acid in the blood.
source https://www.lifetechnology.com/blogs/life-technology-news-blog/diabetes-medications-masking-surgical-complication