A Case of Euglycemic Diabetic Ketoacidosis Complicating Gestational Diabetes Mellitus

doi:10.12280/gjfckx.20240441

Abstract

Abstract:

Euglycemic diabetic ketoacidosis (eDKA) during pregnancy is a rare and potentially fatal emergency that can endanger the life of the fetus. This paper reports a case of a pregnant woman with gestational diabetes mellitus who developed eDKA at 32⁺³ weeks of gestation. After active intravenous fluid replacement and insulin therapy, the ketoacidosis was corrected. Blood glucose was subsequently controlled using a combination of insulin lispro and insulin detemir, avoiding the need for an emergency cesarean section. At 35⁺⁴ weeks of gestation, due to obstetric ultrasound indicating macrosomia, a cesarean section was performed, and a live female infant was delivered, weighing 4 400 g.

Key words: Diabetes, gestational, Diabetic ketoacidosis, Diagnosis, Therapy, Case reports

CHEN Chun-lan, LIU Hai-wei. A Case of Euglycemic Diabetic Ketoacidosis Complicating Gestational Diabetes Mellitus[J]. Journal of International Obstetrics and Gynecology, 2024, 51(5): 549-551.

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