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Fulminant type 1 diabetes mellitus acutely emerged during pregnancy
Author(s) -
Yamada Kyoko,
Takakuwa Koichi,
Takeyama Satoru,
Minagawa Shinichi,
Morikawa Hiroshi,
Matsunaga Masamichi,
Tomita Masatoshi,
Tanaka Kenichi
Publication year - 2010
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2009.01137.x
Subject(s) - medicine , fulminant , vomiting , pregnancy , diabetes mellitus , nausea , apgar score , ketoacidosis , type 1 diabetes , diabetic ketoacidosis , obstetrics , type 2 diabetes mellitus , anesthesia , pediatrics , fetus , surgery , endocrinology , genetics , biology
A pregnant woman at 32 weeks of gestation was emergently admitted to our hospital with symptoms of nausea, vomiting, and uterine contraction. Cardiotocogram demonstrated a loss of variability and late deceleration in fetal heart rate pattern. Emergency cesarean section was performed, and a male infant weighing 1750 g was born with Apgar scores of 1 at 1 min, and 3 at 5 min after delivery. After cesarean section, the patient developed an acetone breath odor, and blood examination demonstrated remarkable acidemia and an extremely high level of blood glucose. The patient was diagnosed with ketoacidosis with acute onset of fulminant type 1 diabetes mellitus. Intensive care was applied due to the severe diabetes mellitus conditions. The patient's general condition ameliorated during the postoperative period, although there was a possibility of neurological complications in the infant.