INS and Hypokalemia: Hypokalemia is associated with increased cardiovascular and all-cause mortality, increased risk of peritonitis with enteric organisms, and malnutrition in PD patients[5–8] The exact cause of hypokalemia in these patients is not known and postulated to be due to a combination of decreased potassium intake due to dietary restriction, increased colonic potassium secretion in chronic kidney disease (CKD) patients and higher plasma insulin concentrations in response to peritoneal glucose loading which results in an intracellular potassium shift[9–10]