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Euglycemic Diabetic Ketoacidosis in Pregnancy

Júlio César Garcia de Alencar1, Geovane Wiebelling da Silva1, Sabrina Correa da Costa Ribeiro1

  • 1São Paulo University, Department of Emergency Medicine, São Paulo, Brazil.

Clinical Practice and Cases in Emergency Medicine
|February 18, 2020
PubMed

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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