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Article History

Received: 1 August 2025

Accepted: 17 October 2025

First Online: 25 November 2025

Declarations

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: Standard DKA care mandates inpatient admission and continuous monitoring. Socioeconomic constraints influenced patient choice. Treatment strategy was modified and prioritized, emphasizing immediate stabilization—fluid resuscitation, potassium correction, and insulin initiation—and continued with structured outpatient follow-up. The patient was counseled thoroughly, and her autonomy was respected. While this approach carries risks, it highlights the necessity and feasibility of resource-sensitive, patient-centered care. This case reinforces the importance of flexible, context-appropriate clinical decision-making in low-resource settings—balancing medical standards with practical realities and sociocultural constraints.