357: Diabetic ketoacidosis complicating pregnancy

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Hemifacial spasm complicating diabetic ketoacidosis.

Chorea, hemichorea, hemiballismus and other parkinsonian movement disorders have been described in type 1 diabetic patient with uncontrolled hyperglycemia. In comparison, abnormal movements in diabetic ketoacidosis are rare though ketosis due to other causes can cause parkinsonism-like movement disorders. We report two cases of diabetic ketoacidosis where hemifacial spasm was the predominant cl...

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Diabetic ketoacidosis in pregnancy.

The occurrence of diabetic ketoacidosis in pregnancy compromises both the fetus and the mother. It usually occurs in the later stages of pregnancy and is also seen in newly presenting type 1 diabetes patients. Despite improvement in its incidence rates and outcomes over the years, it still remains a major clinical problem since it tends to occur at lower blood glucose levels and more rapidly th...

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Diabetic ketoacidosis in pregnancy.

OBJECTIVE The development of diabetic ketoacidosis in pregnancy is a medical emergency, requiring treatment in an intensive care setting. Both the mother and the fetus are at risk for significant morbidity and mortality. Physiologic changes unique to pregnancy provide a background for the development of diabetic ketoacidosis. An understanding of these physiologic changes assists in the manageme...

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Diabetic Ketoacidosis during Pregnancy

During pregnancy the most common metabolic complication is diabetes [1]. The American College of Obstetrics and Gynecology (ACOG) has recommended that each pregnancy be tested at 24 – 28 weeks for gestational diabetes by a two-step method (1-hour glucose assessment followed by a 3-hour glucose tolerance test (GTT) when necessary) [2]. The standard of care for those with an elevated 1-hour test ...

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Diabetic ketoacidosis and pregnancy.

This paper describes the clinical course of a young diabetic primigravida who presented to her physician with vomiting and abdominal pain. Despite the conventional doses of intravenous fluid and insulin that were used to treat her suspected diabetic ketoacidosis, she remained severely acidotic and developed increasing abdominal pain. Two hundred twenty units of regular insulin over a 5-hour per...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2016

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2015.10.397