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Postgrad Med J 2003;79:454-457 doi:10.1136/pmj.79.934.454
  • Review

Diabetic ketoacidosis in pregnancy

  1. D Kamalakannan,
  2. V Baskar,
  3. D M Barton,
  4. T A M Abdu
  1. New Cross Hospital, Wolverhampton, UK
  1. Correspondence to:
 Dr D Kamalakannan, Wolverhampton Diabetes Centre, New Cross Hospital, Wolverhampton WV10 0QP, UK; 
 kamkandr{at}yahoo.com
  • Received 22 February 2002
  • Accepted 11 December 2002

Abstract

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 than in non-pregnant patients often causing delay in the diagnosis. This article illustrates a typical case of diabetic ketoacidosis in pregnancy and reviews the literature to provide an insight into its pathophysiology and management.

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