Jerry Thomas is a 26 year old type 1 diabetic he was originally diagnosed at the age of 14 and currently manages his disease with an intensive Regiment of insulin injection jarie is employed as a school teacher and soccer coach Hallie Preston today with a 2-day history of vomiting and diarrhea he has been closely monitoring his blood glucose and is using regular insulin for high blood glucose level is only been able to tolerate liquid such as Gatorade but today he is unable to even tolerate that and comes to the clinic for evaluation of possible dka describe the pathophysiology of dka and white occurs in patients with type 1 diabetes