April 24th, 2014

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Title:
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
   
   
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