Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in patients with Type I Diabetes (T1DM).A hyperosmolar state also presents in patients presenting as DKA due to increased glucose production and limited glucose utilisation. A hyperglycaemic state will lead to hyponatremia due to osmotic diuresis. Although mild hypernatremia could be present in patients who also exhibit as severely dehydrated DKA, the severe degree of hypernatremia is rarely presented.^[1]Hereby we report a case of Type I Diabetes presenting as DKA having hypernatremia.

Keywords: Diabetic ketoacidosis, Type I Diabetes, hypernatremia.

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Yash Khanvilkar

2nd year Junior  Resident ,Department of  Medicine ,

Adichunchanagiri Institute of Medical Sciences Balagangadharanatha Nagara,

Nagamangala, mandya-571448, Karnataka, India