[Inaugural diabetic acido-ketosis during pregnancy]

ABSTRACT

Ketoacidosic decompensation is still an important cause of morbidity, and mortality in diabetic patients. This complication may inaugurate the disease and its occurrence in pregnancy is a medical and obstetrical emergency that puts both mother's and foetus' life at risk. We report two cases of inaugural ketoacidosis in patients 27 and 14 years old, at 36 and 25 weeks of amenorrhea [WA]. With reanimation and insulinotherapy, evolution was favorable with a cesarean section delivrery at 36WA+3d and 35WA+3d of healthy children who weighed 2900g and 1970g. Persistance of high glucose values in postpartum required continuance of insulinotherapy for one patient and oral antidiabetic agents for the second