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Euglycemic Diabetic Ketoacidosis in Pregnancy
MCN. the American Journal of Maternal Child Nursing
|August 14, 2025
Summary
Pregnancy can cause euglycemic diabetic ketoacidosis (DKA) with normal glucose levels, complicating diagnosis. Early intervention and multidisciplinary care are crucial for managing this rare but serious condition in pregnant individuals.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Critical Care Medicine
Background:
- Diabetic ketoacidosis (DKA) in pregnancy is a rare but severe complication of insulin deficiency.
- Physiological changes during pregnancy can lead to euglycemic DKA, presenting with normal or near-normal glucose levels.
- Diagnosis is challenging due to overlapping symptoms with pregnancy and rapid disease progression.
Purpose of the Study:
- To highlight the diagnostic challenges of euglycemic DKA in pregnancy.
- To discuss the management strategies for maternal and fetal acidosis.
- To present a case of euglycemic DKA secondary to influenza A requiring emergency cesarean birth.
Main Methods:
- Literature review on DKA in pregnancy.
- Case study presentation of a pregnant patient with euglycemic DKA.
- Analysis of maternal and fetal status, including fetal heart rate tracings.
Main Results:
- Euglycemic DKA in pregnancy presents diagnostic difficulties.
- Maternal acidosis can lead to fetal acidosis, indicated by abnormal fetal heart rate tracings.
- Despite interventions, a case study required emergency cesarean birth due to deteriorating maternal and fetal status.
Conclusions:
- Early diagnosis and multidisciplinary intervention are vital for improving outcomes in pregnant patients with DKA.
- Treatment should prioritize correcting maternal acidosis and electrolyte imbalances.
- While fetal status may improve with maternal treatment, emergency delivery may be necessary in severe cases.
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