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  • Title: Diabetic ketoacidosis occurring with lower blood glucose levels in pregnancy: a report of two cases.
    Author: Madaan M, Aggarwal K, Sharma R, Trivedi SS.
    Journal: J Reprod Med; 2012; 57(9-10):452-5. PubMed ID: 23091997.
    Abstract:
    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.
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