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Fulminant Type 1 Diabetes Developing during Pregnancy in Patient with Gestational Diabetes Mellitus / 대한내과학회지
Korean Journal of Medicine ; : 186-189, 2017.
Artículo en Coreano | 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.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Poliuria / Equilibrio Ácido-Base / Vómitos / Análisis de los Gases de la Sangre / Glucemia / Pérdida de Peso / Cesárea / Ayuno / Edad Gestacional / Urinálisis Tipo de estudio: Estudio diagnóstico Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Coreano Revista: Korean Journal of Medicine Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Poliuria / Equilibrio Ácido-Base / Vómitos / Análisis de los Gases de la Sangre / Glucemia / Pérdida de Peso / Cesárea / Ayuno / Edad Gestacional / Urinálisis Tipo de estudio: Estudio diagnóstico Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Coreano Revista: Korean Journal of Medicine Año: 2017 Tipo del documento: Artículo