Abstract
Pregnancy is a physiological state in women which creates significant alterations in energy metabolism to provide energy supply to the foetus. The maternal fasting glucose level would be less than that of a non-pregnant state and in contrast plasma ketones and free fatty acids levels are elevated, resulting in a state of accelerated starvation. These metabolic alterations place a pregnant woman at a higher risk of developing euglycaemic ketoacidosis. We report a rare case of euglycaemic ketoacidosis causing severe increased anion gap metabolic acidosis in a pregnant woman.
Highlights
Diabetic Ketoacidosis (DKA) is defined as presence of moderate serum or urine ketone bodies, serum glucose above 250mg/dL, arterial pH less than 7.3 and serum bicarbonate below 18mEq/L (1) and it causes serious metabolic complication with high mortality rate
We present a pregnant patient with type 1 diabetes presenting with euglycemic diabetic ketoacidosis
Patients with type 1 diabetes can present with features of diabetic ketoacidosis without hyperglycemia which is defined as euglycemic diabetic ketoacidosis
Summary
Euglycemic diabetic ketoacidosis reported in pregnant women.
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Schedule a callMore From: Sri Lanka Journal of Diabetes Endocrinology and Metabolism
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