Diabetic ketoacidosis (DKA) is an acute life-threatening emergency in patients with diabetes, characterized by hyperglycemia, metabolic acidosis and ketonemia, it can result in serious morbidity and mortality [1]. Management of DKA requires reversing metabolic derangements by correcting volume depletion and electrolyte imbalances and administering insulin to correct acidosis while concurrently treating the precipitating illness [1]. Suboptimal management may lead to life-threatening iatrogenic complications such as hyper/hypokalemia, hypoglycemia, cerebral edema, and cardiac arrhythmias.