Abstract
Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HSH) are acute metabolic complications of diabetes mellitus that can occur in patients with type 1 and type 2 diabetes. Timely diagnosis, clinical and internal biochemical evaluation, and effective management are important for the successful resolution of these complications. Management includes admission to the intensive care unit, resuscitation with fluids, insulin therapy, electrolyte replacement, with continuous maternal and fetal monitoring (Kitabchi et al. Cuidado de la diabetes 29:2739–2748, 2006).
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References
Kitabchi AE, Pared BM. Cetoacidosis diabética. Med Clin North Am. 1995;79:9–37.
Kilvert JA, Nicholson HO, Wright AD. Ketoacidosis in diabetic pregnancy. Diabet Med. 1993;10:278–81.
Gestational diabetes mellitus. Practice Bulletin No. 137. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2013;122:406–16.
Parker JA, Conway DL. Diabetic ketoacidosis in pregnancy. Obstet Gynecol Clin N Am. 2007;34:533–43.
Kamalakannan D, Baskar V, Barton DM, Abdu TAM. Diabetic ketoacidosis in pregnancy; 2003. p. 454–7.
Jacobi J. Management of Endocrine Emergencies in the ICU; 2019. https://doi.org/10.1177/0897190019834771.
Vyas AA, Vyas P, Fillipon NP, et al. Successful treatment of thyroid storm with plasmaphoresis in a patient with MMI-induced agranulocytosis. Endocr Pract. 2010;16:673–6.
Abdu TAM, Barton DM, Baskar V, et al. Diabetic ketoacidosis on pregnancy. Postgrad Med J. 2003;79:934:454.
Gosmanov AR, Gosmanova ER, Dillard-Cannon E. Management of adult diabetic ketoacidosis. Diabetes Metab Synd Obes: Targets Ther. 2014;7:255–2.
Goodier CG. Endocrine Emergencies in Obstetrics. Clin Obstet Gynecol. 2019;62(2):339–46.
Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335–43. https://doi.org/10.2337/dc09-9032. pmid:19564476
Munro JF, Campbell IW, McCuish AC, Duncan LJ. Euglycaemic diabetic ketoacidosis. Br Med J. 1973;2(5866):578–80.
Lucero P, Chapela S. Euglycemic Diabetic Ketoacidosis in the ICU: 3 Case Reports and Review of Literature. Case Rep Crit Care. 2018;2018:1–6. https://doi.org/10.1155/2018/1747850.
Kamalakannan D, Baskar V, Barton DM, Abdu TA. Diabetic ketoacidosis in pregnancy. Postgrad Med J. 2003;79:454–7.
Parker JA, Conway DL. Diabetic ketoacidosis in pregnancy. Obstet Gynecol Clin North Am. 2007;34:533–43, xii.
Veciana MD. Diabetes ketoacidosis in pregnancy. Seminars Perinatol. 2013;37(4):267–73.
Morrison FJR, Movassaghian M, Seely EW, Curran A, Shubina M, Morton-Eggleston E, et al. Fetal outcomes after diabetic ketoacidosis during pregnancy. Diabetes Care. 2017;40(7):e77–9. https://doi.org/10.2337/dc17-0186.
Viallon A, Zeni F, Lafond P, Venet C, Tardy B, Page Y, Bertrand JC. Does bicarbonate therapy improve the management of severe diabetic ketoacidosis? Crit Care Med. 1999;27:2690–3.
Glaser NS, Wootton-Gorges SL, Marcin JP, Buonocore MH, Dicarlo J, Neely EK, Barnes P, Bottomly J, Kuppermann N. Mechanism of cerebral edema in children with diabetic ketoacidosis. J Pediatr. 2004;145:164–17.
Green SM, Rothrock SG, Ho JD, Gallant RD, Borger R, Thomas TL, Zimmerman GJ. Failure of adjunctive bicarbonate to improve outcome in severe pediatric diabetic ketoacidosis. Ann Emerg Med. 1998;31:41–8.
Fisher JN, Kitabchi AE. A randomized study of phosphate therapy in the treatment of diabetic ketoacidosis. J Clin Endocrinol Metab. 1983;57:177–80.
Kitabchi AE, Umpierrez GE, Murphy MB, Kreisberg RA. Crisis de hiperglucemia en pacientes adultos con diabetes: una declaración de consenso de la American Diabetes Association. Cuidado de la diabetes. 2006;29:2739–48.
Joint British Diabetes Societies Inpatient Care Group. The management of diabetic ketoacidosis in adults. 2nd ed; 2013. http://www.diabetologists-abcd.org.uk/JBDS/JBDS_IP_DKA_Adults_Revised.pdf
Gabbe S, Graves C. Management of diabetes mellitus complicating pregnancy. Obstet Gynecol. 2003;102:857–68.
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Angel, NT.M., Ibeth, FC.M., Antonio, HP.J. (2021). Diabetic Ketoacidosis and Pregnancy. In: Montufar, C., Hidalgo, J., Gei, A.F. (eds) Obstetric Catastrophes. Springer, Cham. https://doi.org/10.1007/978-3-030-70034-8_10
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DOI: https://doi.org/10.1007/978-3-030-70034-8_10
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