Abstract
The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus.
Highlights
Diabetic ketoacidosis in pregnancy (DKP) is a serious complication that develops because of relative or absolute insulin deficiency and a simultaneous increase in counter-regulatory hormones.[1]
The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, reports suggest the presenting blood glucose level may not be as high
We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus. [Clin Pract Cases Emerg Med. 2020;4(1):26–28.]
Summary
Júlio César Garcia de Alencar, MD Geovane Wiebelling da Silva, MD Sabrina Correa da Costa Ribeiro, PhD Júlio Flavio Meirelles Marchini, PhD Rodrigo Antonio Brandao Neto, PhD Heraldo Possolo de Souza, PhD. The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus. [Clin Pract Cases Emerg Med. 2020;4(1):26–28.]
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