Diabetic Ketoacidosis during Pregnancy
نویسندگان
چکیده
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 involves a 3 hour GTT using either of the two widely accepted criteria (Carpenter/Coustan or National Diabetes Data Group) [2, 3]. Assessment by one of these criteria is important [1, 4].
منابع مشابه
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...
متن کاملDiabetic 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...
متن کاملDiabetic 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...
متن کاملبررسی فاکتورهای مستعد کننده، عوارض و پیش آگهی در کودکان مبتلا به کتواسیدوز دیابتی در زنجان
Background and Objective: Diabetic ketoacidosis is one of the most common and life threatening complications in children with diabetes mellitus. The aim of this study was to evaluate predisposing factors, complications and prognosis of the patients with diabetic ketoacidosis admitted to Zanjan hospitals. Materials and Methods: The records of patients with DKA admitted to Mousavi and Vali-e Asr ...
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