Typically DKA is associated with hyperglycemia above 250 mg/dL; however, for many patients in the reported cases and in ours, the blood glucose levels were lower, with a mean of 211 mg/dL.11 This euglycemic DKA (euDKA) may be underrecognized and result in delayed treatment with the necessary aggressive intravenous hydration and insulin.13 It is always important to rule out other potential causes of DKA including major illness, dehydration, and inadequate insulin intake as was done in our case. Here, INS is linked to Hyperglycemia.