ACE and acute kidney injury: Patient was transferred to ICU and started on DKA protocol, aggressive resuscitation, sodium bicarbonate and electrolytes but patient developed cardiogenic shock, AKI,  polyglandular failure and polyradiculoneuropathy necessitating inotropes, ECMO and IVIG. Patient was diagnosed with T1DM. Repeat echo showed EF of 50% with global hypokinesia on day 6. Patient improved and was discharged by day 23 on aspirin, ACE inhibitor and beta-blocker.