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[Maternal diabetic ketosic decompensation which occurred during corticotherapy for fetal lung maturation. A report of

M Dorey1, A Boileau1, O Pourrat2

  • 1Service de gynécologie obstétrique et médecine de la reproduction, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|September 25, 2013
PubMed

Three cases of ketosis decompensation occurring immediately in type I diabetic after corticotherapy for lung foetal maturation (LFM) are reported. Few of observations have been published. Increasing doses of insulin is mandatory under close monitoring of blood glucose levels, in particular according to the protocol proposed by Kaushal et al.: infusion of insulin adapted to the results of glucose levels, as a supplementation to the usual doses in each patient. Diabetes does not lead to hesitate prescribing a corticotherapy for LFM, but requires a strict control of needs in insulin to avoid a ketosis decompensation.

Keywords:
CorticotherapyCorticothérapieDiabète type 1Décompensation cétosiqueFetal lung maturationGrossesseKetosis decompensationMaturation pulmonaire fœtalePregnancyType 1 diabetes

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