The changing presentations of diabetic ketoacidosis during pregnancy

American Journal of Perinatology
M T CullenE Sivan

Abstract

The purpose of the present study was to examine the presentation and outcomes associated with diabetic ketoacidosis (DKA) in pregnancies complicated by diabetes. Eleven episodes (2%) of DKA were diagnosed during the 10-year study period. All patients were under close observation by the Diabetes-in-Pregnancy Service. Plasma glucose levels of less than 200 mg/dL were present in 4 of the 11 patients (36%), 10 (90%) of whom presented with nausea, vomiting, and decreased caloric intake. Two subsequently had fetal distress necessitating cesarean section. One fetal death occurred in a patient treated with subcutaneous insulin. Despite contemporary methods of diabetes care, near-normal plasma glucose levels are not enough to preclude diabetic ketoacidosis. Nausea, vomiting, and decreased caloric intake in an otherwise normal pregnant, diabetic woman requires evaluation to exclude ketosis.

Citations

Sep 5, 2003·Postgraduate Medical Journal·D KamalakannanT A M Abdu
Jan 15, 2014·Current Diabetes Reports·Etoi A Garrison, Shubhada Jagasia
Dec 6, 2011·Current Diabetes Reports·Jerasimos BallasGladys A Ramos
Dec 31, 2010·Indian Journal of Anaesthesia·Nibedita PaniShovan Kumar Rath
Nov 30, 2013·Endocrinology and Metabolism Clinics of North America·Jelena Maletkovic, Andrew Drexler
Aug 7, 2013·Seminars in Perinatology·Margarita de Veciana
Jun 3, 2011·Diabetes Research and Clinical Practice·Miguel E Pinto, Jaime E Villena
Jul 16, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·L BressonV Houfflin-Debarge
Oct 9, 2007·Obstetrics and Gynecology Clinics of North America·Jason A Parker, Deborah L Conway
Nov 23, 2005·Pediatric Clinics of North America·Nicole Glaser
May 25, 2010·The Journal of Obstetrics and Gynaecology Research·Kyoko YamadaKenichi Tanaka
Nov 8, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Charlotte J FriseCatherine Williamson
Jun 25, 2016·Current Diabetes Reports·Anna Z Feldman, Florence M Brown
Mar 18, 2017·Journal of Neonatal-perinatal Medicine·S N BryantF G Cunningham
Jun 30, 2001·Obstetrics and Gynecology Clinics of North America·S L Winbery, K E Blaho
Aug 12, 2016·Obstetric Medicine·Charlotte FriseLucy Mackillop
Oct 27, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·B FrankeM H Hatem
Apr 2, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·M ChicoD F Lewis
Jul 3, 2004·Pediatric Emergency Care·Nicole Glaser, Nathan Kuppermann
Nov 22, 2018·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics
Jan 28, 2014·Obstetrics and Gynecology·Baha M Sibai, Oscar A Viteri
Sep 16, 2003·Clinical Obstetrics and Gynecology·Lawrence C Tsen
Sep 19, 2019·Case Reports in Critical Care·Johnny F JaberRaju Reddy
Oct 11, 2005·Critical Care Medicine·Mary Anne Carroll, Edward R Yeomans
Mar 1, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Michelle RougerieHaim A Abenhaim
Jun 18, 2021·BMC Pregnancy and Childbirth·Margaret PikovskyChristina K H Yu
Sep 3, 1999·Obstetrics and Gynecology Clinics of North America·K D Ramin
Nov 16, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Caroline DiguistoMarian Knight

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Obstetrics and Gynecology Clinics of North America
K D Ramin
American Journal of Perinatology
M N MontoroS H Golde
Acta Obstetricia Et Gynecologica Scandinavica
A B Hughes
© 2021 Meta ULC. All rights reserved