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Case Reports
. 2019 Nov 15;4(1):26-28.
doi: 10.5811/cpcem.2019.9.43624. eCollection 2020 Feb.

Euglycemic Diabetic Ketoacidosis in Pregnancy

Júlio César Garcia de Alencar  1 , Geovane Wiebelling da Silva  1 , Sabrina Correa da Costa Ribeiro  1 , Júlio Flavio Meirelles Marchini  1 , Rodrigo Antonio Brandao Neto  1 , Heraldo Possolo de Souza  1
Affiliations
Case Reports

Euglycemic Diabetic Ketoacidosis in Pregnancy

Júlio César Garcia de Alencar et al. Clin Pract Cases Emerg Med. .

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.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

References

    1. Kitabchi AE, Umpierrez GE, Miles JM, et al. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335–43. - PMC - PubMed
    1. Sibai BM, Viteri OA. Diabetic ketoacidosis in pregnancy. Obstet Gynecol. 2014;123(1):167–78. - PubMed
    1. Joint British Diabetes Societies Inpatient Care Group. The Management of Diabetic Ketoacidosis in Adults. 2013. [Acessed on July 10, 2019]. Available at: http://www.diabetologists-abcd.org.uk/JBDS/JBDS_IP_DKA_Adults_Revised.pdf.
    1. Munro JF, Campbell IW, McCuish AC, et al. Euglycaemic diabetic ketoacidosis. Br Med J. 1973;9(2):578–80. - PMC - PubMed
    1. Guo RX, Yang LZ, Li LX, et al. Diabetic ketoacidosis in pregnancy tends to occur at lower blood glucose levels: case-control study and a case report of euglycemic diabetic ketoacidosis in pregnancy. J Obstet Gynaecol Res. 2008;34(3):324–30. - PubMed

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