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Some consider alcoholic ketoacidosis as a subtype of euglycemic DKA, and both are associated with increased glucagon/insulin ratio.[1][7][12] The differentiating factors are that alcoholic ketoacidosis patients do not have diabetes or using diabetic medications, more commonly present with hypoglycemia, and after a severe alcohol binge.[22] Similarly, excessive alcohol consumption in a person with diabetes can destroy pancreatic beta cells, decreased gluconeogenesis, and decreased glycogen stores