Hyperglycaemic emergencies in pregnancy: case reports and literature review

ABSTRACT

Two cases are presented of diabetic ketoacidosis (DKA) occurring in newly presenting gestational diabetes mellitus (GDM) in Nigeria. Both were associated with foetal death; and the cases emphasise the need for efficient GDM screening and patient education. GDM is increasing in frequency; and the 2013 World Health Organization (WHO) Guidelines give simple and applicable guidelines for screening; diagnosis; and management. Even glycosuria testing can be helpful at a primary care level. The reoccurrence of GDM is also high (up to 50% of cases); and such women should be encouraged to seek early antenatal care in subsequent pregnancies