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82, 95% CI 1.38-2.40, p0.001) during the same admission compared to patients without DHF. Patients with DKA and DHF also had an increased mean THC (6500 CI 1900-11,200, p=0.0006) in US dollars and increased LOS (0.7, 95% CI 0.2-1.3, p=0.011) in days when compared to patients without DHF. Patients with DKA showed no statistically significant difference in mortality if they did or did not have a secondary diagnosis of DHF within the same admission. Patients with DKA showed no statistically significant difference in mortality if they