An Overlooked Contributor to Pediatric Diabetic Ketoacidosis: Temperature-compromised Insulin in Resource-limited Settings

To the Editor,We write to highlight a critical yet underrecognized challenge facing millions of patients with diabetes worldwide: The inability to maintain appropriate storage temperatures for insulin in resourcelimited settings, during travel, and in extreme climatic conditions.This silent crisis directly threatens insulin potency, therapeutic efficacy, and patient outcomes, demanding immediate attention from the global diabetes community.