Ketoacidosis complicated by fetal death revealing fulminant diabetes during the third trimester of pregnancy

Journal de gynécologie, obstétrique et biologie de la reproduction
L BressonV Houfflin-Debarge

Abstract

We describe an acute onset of diabetes mellitus during third trimester of pregnancy revealed by ketoacidosis, complicated by fetal death, which could evoke fulminant type 1 diabetes, a novel subtype of type 1 diabetes first described in Japan and rarely described in Caucasian people. Diagnosis of diabetic ketoacidosis could be made on simple signs as abdominal pain, vomiting or ketone bodies on urinary multistix. Capillary glycaemic control is necessary to distinguish fast from ketoacidosis. The treatment of this severe imbalance must be initiated in emergency.

References

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Citations

Jun 21, 2012·Archives of Gynecology and Obstetrics·Hanan M F Al-Kadri, Hani M Tamim
Sep 4, 2014·Case Reports in Obstetrics and Gynecology·Tomohiro OkudaJo Kitawaki
Jan 25, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A MelvilleW Yoong
Jun 1, 2017·Journal of Obesity & Metabolic Syndrome·Ji Min KimBon Jeong Ku

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