title: Lesson of the month 1: Diabetic ketoacidosis in established renal failure.
abstract: Diabetic ketoacidosis (DKA) is a common medical emergency. The pathophysiology of DKA in patients with advanced chronic kidney disease differs significantly from patients with preserved renal function. We describe a patient with pre-dialysis renal failure who presented with DKA. This case highlights the importance of tailoring the established management guidelines appropriately.
authors.affiliation: Norfolk and Norwich University Hospital, Norwich, UK ravi.varma@hotmail.co.uk.
authors.forename: Ravi
authors.initials: R
authors.lastname: Varma
authors.affiliation: Norfolk and Norwich University Hospital, Norwich, UK.
authors.forename: Mahzuz
authors.initials: M
authors.lastname: Karim
mesh_terms: D000368:Aged; D016883:Diabetic Ketoacidosis; D005260:Female; D006801:Humans; D051437:Renal Insufficiency
keywords: Diabetic ketoacidosis; dialysis; renal failure