妊娠期间血糖水平较低时发生的糖尿病酮症酸中毒：两例报告。
Diabetic ketoacidosis occurring with lower blood glucose levels in pregnancy: a report of two cases.
作者信息
Madaan Monika, Aggarwal Kiran, Sharma Ritu, Trivedi Shubha Sagar
机构信息
Department of Obstetrics and Gynecology, Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
出版信息
J Reprod Med. 2012 Sep-Oct;57(9-10):452-5.
BACKGROUND
Euglycemic diabetic ketoacidosis (DKA) during pregnancy is an unusual condition, but it can occur with normal or modest elevations in blood glucose levels. It is usually a complication of type I diabetes.
CASES
We report two cases of euglycemic DKA, in type II diabetes mellitus and in gestational diabetes. Both patients showed blood glucose levels up to 9 mmoL/L (164 mg/dL), ketonuria and metabolic acidosis. They responded to initiation of correct insulin dosages.
CONCLUSION
Euglycemic DKA in pregnancy may occur with type II diabetes or in gestational diabetes and requires prompt recognition and treatment.
背景
妊娠期间血糖正常的糖尿病酮症酸中毒（DKA）是一种不常见的情况，但血糖水平正常或轻度升高时也可能发生。它通常是I型糖尿病的并发症。
病例
我们报告了两例血糖正常的DKA病例，分别发生在II型糖尿病和妊娠期糖尿病患者中。两名患者的血糖水平均高达9 mmol/L（164 mg/dL），伴有酮尿症和代谢性酸中毒。他们对开始使用正确剂量的胰岛素治疗有反应。
结论
妊娠期间血糖正常的DKA可能发生在II型糖尿病或妊娠期糖尿病患者中，需要及时识别和治疗。
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