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.
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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