Causes precipitating DKA/HHS in a Diabetic

Five I’s

  • Infection – UTI,pneumonia,Cellulitis,Diabetic foot
  • Inflammation – Pancreatitis
  • Ischaemia – myocardial,cerebral,mesenteric
  • Insulin noncompliance
  • Ingestion/Iatrogenic – alcohol,steroids,antipsychotics