Type 1 diabetes

Chronic Kidney Disease and Risk of Diabetic Ketoacidosis in Type 1 Diabetes

Diabetes CarePublished Cohort study

Authors' conclusion

A reduced eGFR (between 30 and 90 mL/min/1.73 m2) alone was not associated with increased DKA risk. This finding supports further research into potential kidney-protection benefits of SGLTi for selected individuals with type 1 diabetes.

Study context

Population
Individuals with T1D in the DCCT/EDIC study
Participants
1,441 individuals
Exposure
Estimated glomerular filtration rate (eGFR) 30–90 vs eGFR 90–120 mL/min/1.73 m²
Outcome
First DKA event
Follow-up
35-year data
Methodological detailstime-varying eGFR, Poisson and extended Cox proportional hazards models, 35-year follow-up
  • Time-varying eGFR
  • Poisson and extended Cox proportional hazards models
  • 35-year follow-up

Main finding

As reported in the abstract

DKA rate

eGFR 90–120

0.65 events per 100 person-years

Observational data: associations, not effects.

Further findings

Participants with diabetic ketoacidosis (DKA)
297
DKA events
488

Original publication

Chronic Kidney Disease and Risk of Diabetic Ketoacidosis in Type 1 Diabetes. Diabetes Care. Published 27 January 2026. doi:10.2337/dc25-1955

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