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Introduction <p>Diabetic ketoacidosis (DKA) is a critical, life-threatening complication of Diabetes mellitus (DM) that requires timely and intensive inpatient management. However, in resource-limited settings, standard inpatient care may be inaccessible or unacceptable due to financial hardship and social obligations.</p> Case presentation <p>We report a case of a 57-year-old female who presented with DKA in a resource-limited setting. Due to financial&#xa0;and personal barriers to full hospital admission, a hybrid management approach—combining intermittent hospital-based treatment&#xa0;with structured home-based care— was implemented.</p> Discussion <p>This resource-adapted strategy, developed in alignment with ethical principles and patient autonomy, achieved&#xa0;successful clinical stabilization without continuous hospital admission. It demonstrates that flexible care models can ensure safety&#xa0;and efficacy while accommodating socioeconomic realities.</p> conclusion <p>This case highlights the need for context-sensitive strategies in managing DKA in low-resource environments,&#xa0;particularly where standard inpatient care is not feasible.</p>

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Too sick to go home, too poor to stay: managing diabetic ketoacidosis in a resource-constrained setting

  • 期刊论文

  • 发表日期：

    2025年11月25日

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  • Ihab B. Abdalrahman,
  • Esraa Suliman Omer Abdelmageed,
  • Mohamed E. Ahmed,
  • Murthad Sami Arbab Saeed

摘要

Introduction

Diabetic ketoacidosis (DKA) is a critical, life-threatening complication of Diabetes mellitus (DM) that requires timely and intensive inpatient management. However, in resource-limited settings, standard inpatient care may be inaccessible or unacceptable due to financial hardship and social obligations.

Case presentation

We report a case of a 57-year-old female who presented with DKA in a resource-limited setting. Due to financial and personal barriers to full hospital admission, a hybrid management approach—combining intermittent hospital-based treatment with structured home-based care— was implemented.

Discussion

This resource-adapted strategy, developed in alignment with ethical principles and patient autonomy, achieved successful clinical stabilization without continuous hospital admission. It demonstrates that flexible care models can ensure safety and efficacy while accommodating socioeconomic realities.

conclusion

This case highlights the need for context-sensitive strategies in managing DKA in low-resource environments, particularly where standard inpatient care is not feasible.