Euglycaemic ketoacidosis during pregnancy: More common than you think

Background: Euglycaemic ketoacidosis is a rare type of metabolic acidosis, with increased production ketonic bodies and normal serum glucose. When it occurs during pregnancy, might lead to adverse maternal fetal outcomes. Pregnancy itself diabetogenic state that predispose the patient develop following even relatively short periods starvation as such, high index suspicion required for diagnosis be made management plan established. Case presentation: We present case euglycaemic in twin which occurred second trimester, necessitating prompt aggressive management, eventually early delivery due development preeclampsia. Discussion/Conclusion: The physiology pathology pregnancy avoid potential risks such condition complicated with.