A Case of Euglycemic Diabetic Ketoacidosis Complicating Gestational Diabetes Mellitus
CHEN Chun-lan
LIU Hai-wei
Abstract：Euglycemic diabetic ketoacidosis(eDKA)during pregnancy is a rare and potentially fatal emergency that can endanger the life of the fetus.This paper reports a case of a pregnant woman with gestational diabetes mellitus who developed eDKA at 32+3 weeks of gestation.After active intravenous fluid replacement and insulin therapy,the ketoacidosis was corrected.Blood glucose was subsequently controlled using a combination of insulin lispro and insulin detemir,avoiding the need for an emergency cesarean section.At 35+4 weeks of gestation,due to obstetric ultrasound indicating macrosomia.a cesarean section was performed,and a live female infant was delivered,weighing 4 400 g.
Keywords：DiabetesgestationalDiabetic ketoacidosisDiagnosisTherapyCase reports
Publication Date：2024-10-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 549-551 )