de Alencar Júlio César Garcia, da Silva Geovane Wiebelling, Ribeiro Sabrina Correa da Costa, Marchini Júlio Flavio Meirelles, Neto Rodrigo Antonio Brandao, de Souza Heraldo Possolo
São Paulo University, Department of Emergency Medicine, São Paulo, Brazil.
Clin Pract Cases Emerg Med. 2019 Nov 15;4(1):26-28. doi: 10.5811/cpcem.2019.9.43624. eCollection 2020 Feb.
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.