Although there are some previous studies on the role of cytokines in the development of long-term diabetes complications, there is little information about the immunological response and fluctuation of cytokine levels during the metabolic crisis of DKA.[20] Since this patient had T1DM, we think that her IL-6 and TNF-a levels were elevated at the onset of DKA. Here, IL6 is linked to type 1 diabetes mellitus.