TY - JOUR T1 - Lesson of the month 1: Diabetic ketoacidosis in established renal failure JF - Clinical Medicine JO - Clin Med SP - 392 LP - 393 DO - 10.7861/clinmedicine.16-4-392 VL - 16 IS - 4 AU - Ravi Varma AU - Mahzuz Karim Y1 - 2016/08/01 UR - http://www.rcpjournals.org/content/16/4/392.abstract N2 - 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. ER -