OBJECTIVE:To study the clinical profile of children admitted with diabetic ketoacidosis (DKA) in Sri Aurobindo Institute of Medical Sciences (SAIMS) Indore. METHODS: We retrospectively analysed the case records of 30 children admitted with DKA to our intensive care unit, from Jan 2011-Jan 2015. Information regarding personal details, chief complaints, clinical features, laboratory parameters, management and outcome was recorded using a predesigned pro forma. RESULTS: The median age at presentation was 8 years (range 9months-13yrs); 12 boys and 18 girls were enrolled. Diabetes was newly diagnosed in 20 cases and known cases of type1 diabetes were 10. Commonest presenting complaints were fever (66%), rapid breathing (60%), vomiting (60%), and altered sensorium (26. 6%). Average length of PICU stay was 58. 6hrs. All of the cases had elevated HbA1c, except one. Co-morbities found were UTI in 12 (40%), dysentery in 2 (6. 6%), and viral hepatitis in1 (3. 33%). Cerebral edema was seen in 1 case. There was no mortality in our study. CONCLUSION: DKA in children if diagnosed early and managed timely has good outcome. Poor compliance is most important precipitating factor in known cases of T1DM.