Fulminant Type 1 Diabetes Developing during Pregnancy in Patient with Gestational Diabetes Mellitus / 대한내과학회지
Korean Journal of Medicine
;
: 186-189, 2017.
Article
in Korean
| WPRIM
| ID: wpr-193483
ABSTRACT
A 32-year-old pregnant woman (34 + 5 weeks) was admitted with dizziness, nausea, and vomiting. Previously, she was diagnosed with gestational diabetes mellitus at 28 weeks with 100 g-OGTT and insulin therapy was started. Her average fasting glucose level was 97 mg/dL and postprandial 1-hour glucose level was 130 mg/dL with basal-bolus insulin therapy (total dose of 28-30 IU/day). At 34 + 0 weeks of gestational age, polyuria and unexpected weight loss (2 kg/week) with hyperglycemia occurred, and total dose of daily insulin requirement was increased up to 50 IU/day. At admission, her serum glucose level was high (502 mg/dL), and urinalysis revealed ketonuria +3. Arterial blood gas analysis revealed pH of 6.83, pCO2 of 9 mmHg, and bicarbonate of 2 mmol/L with an anion gap of 23.5 mmol/L. The diagnosis of diabetic ketoacidosis was established and emergency caesarean section was conducted due to fetal distress. She was finally diagnosed with fulminant type 1 diabetes mellitus, and multiple daily insulin injection therapy was continued after delivery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyuria
/
Acid-Base Equilibrium
/
Vomiting
/
Blood Gas Analysis
/
Blood Glucose
/
Weight Loss
/
Cesarean Section
/
Fasting
/
Gestational Age
/
Urinalysis
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2017
Type:
Article
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