1/6 DKA does not occur de novo. It is always, without exception, triggered by an identifiable STRESSOR. The classic equation of insulin deficiency+counter-regulatory hormones is necessary, but not sufficient, without a trigger. The hunt for the stressor is paramount! #MedTwitter
2/6 The take-home message is critical: 👉DKA = Stressor Present. 📷No Stressor = No DKA. Therefore, treating the DKA without hunting for the precipitating cause is a dangerous and incomplete management strategy.