医学
暴发型
糖尿病酮症酸中毒
子宫内
糖尿病
2型糖尿病
酮症酸中毒
1型糖尿病
胰岛素
儿科
怀孕
疾病
死因
胎儿
外科
内科学
内分泌学
生物
遗传学
作者
Irene E. Ju,Roshini Nayyar
出处
期刊:Case Reports
[BMJ]
日期:2023-10-01
卷期号:16 (10): e253585-e253585
标识
DOI:10.1136/bcr-2022-253585
摘要
Fulminant type 1 diabetes is a relatively new subtype of type 1 diabetes characterised by a sudden onset of severe diabetic ketoacidosis (DKA) in patients with no history of diabetes and can cause imminent death if untreated. We discuss a rare case of a Pacific Islander woman who was 36 weeks pregnant and presented to the emergency department with DKA and fetal death in utero having had a normal glucose tolerance test 4 weeks earlier. She was diagnosed with fulminant type 1 diabetes and was treated with an intravenous insulin-dextrose infusion. She delivered a stillborn female infant and was discharged on regular subcuticular insulin. This case is helpful in understanding a rare, lethal disease that is not well reported globally and especially in Australia, as it requires prompt recognition and treatment to prevent detrimental outcomes.
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