May 28th, 2018

A full text version of this article is available.
To access article obtain online access here or login
Diabetic Ketoacidosis Occurring with Lower Blood Glucose Levels in Pregnancy: A Report of Two Cases
Authors:  M. Madaan, M.B.B.S., M.D., K. Aggarwal, M.B.B.S., M.D., R. Sharma, M.B.B.S., M.D., and S. S. Trivedi, M.B.B.S., M.S.
BACKGROUND: Euglycemic diabetic ketoacidosis (DKA) during pregnancy is an unusual condition, but it can occur with normal or modest elevations in blood glucose levels. It is usually a complication of type I diabetes.
CASES: We report two cases of euglycemic DKA, in type II diabetes mellitus and in gestational diabetes. Both patients showed blood glucose levels up to 9 mmoL/L (164 mg/dL), ketonuria and metabolic acidosis. They responded to initiation of correct insulin dosages.

CONCLUSION: Euglycemic DKA in pregnancy may occur with type II diabetes or in gestational diabetes and requires prompt recognition and treatment.
Keywords:  diabetic ketoacidosis, euglycemia, glycemic index, insulin
  Acrobat Reader 7.0 is recommended to properly view and print the article.
Reader can be downloaded from