Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico

Normoglycemic diabetic ketoacidosis should be suspected in pregnant women presenting nausea, vomiting, abdominal pain and anorexia. We report a 39 years old woman with a 32 weeks pregnancy who sought emergency care due to hyperemesis. She was hospitalized with the following diagnoses: pregnancy hype...

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Autores principales:	Rivas M,Margarita, Belmar Z,Pamela, Durruty A,Pilar, Sanhueza M,Lilian, López S,Gloria
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Diabetes, Gestational Diabetic Ketoacidosis Hyperemesis gravidarum
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001000018
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spelling	oai:scielo:S0034-988720160010000182016-12-28Cetoacidosis diabética normoglicémica en el embarazo: Caso clínicoRivas M,MargaritaBelmar Z,PamelaDurruty A,PilarSanhueza M,LilianLópez S,Gloria Diabetes, Gestational Diabetic Ketoacidosis Hyperemesis gravidarum Normoglycemic diabetic ketoacidosis should be suspected in pregnant women presenting nausea, vomiting, abdominal pain and anorexia. We report a 39 years old woman with a 32 weeks pregnancy who sought emergency care due to hyperemesis. She was hospitalized with the following diagnoses: pregnancy hypertension syndrome, gestational diabetes, morbid obesity and poor prenatal control. The evaluation of the feto-placental unit showed perception of fetal movements, non-reactive non-stress baseline record and a biophysical profile of 6/8. Fetal maturation was initiated. Laboratory tests showed a metabolic acidosis, a low pH, an increased Gap anion, elevated ketonemia and a blood glucose of 172 mg/dl. A diagnosis of normoglycemic diabetic ketoacidosis was formulated and treatment with hydration and regular insulin according to capillary blood glucose levels was started. An emergency caesarean section was performed. The newborn weighed 2.650 kg, had a length of 46 cm, was large for gestational age, had an Apgar score of 2.7, had perinatal asphyxia, convulsive syndrome and a possible congenital cardiopathy. Once the ketoacidosis was resolved during the immediate puerperium, slow acting insulin was initiated.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.10 20162016-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001000018es10.4067/S0034-98872016001000018
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes, Gestational Diabetic Ketoacidosis Hyperemesis gravidarum
spellingShingle	Diabetes, Gestational Diabetic Ketoacidosis Hyperemesis gravidarum Rivas M,Margarita Belmar Z,Pamela Durruty A,Pilar Sanhueza M,Lilian López S,Gloria Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
description	Normoglycemic diabetic ketoacidosis should be suspected in pregnant women presenting nausea, vomiting, abdominal pain and anorexia. We report a 39 years old woman with a 32 weeks pregnancy who sought emergency care due to hyperemesis. She was hospitalized with the following diagnoses: pregnancy hypertension syndrome, gestational diabetes, morbid obesity and poor prenatal control. The evaluation of the feto-placental unit showed perception of fetal movements, non-reactive non-stress baseline record and a biophysical profile of 6/8. Fetal maturation was initiated. Laboratory tests showed a metabolic acidosis, a low pH, an increased Gap anion, elevated ketonemia and a blood glucose of 172 mg/dl. A diagnosis of normoglycemic diabetic ketoacidosis was formulated and treatment with hydration and regular insulin according to capillary blood glucose levels was started. An emergency caesarean section was performed. The newborn weighed 2.650 kg, had a length of 46 cm, was large for gestational age, had an Apgar score of 2.7, had perinatal asphyxia, convulsive syndrome and a possible congenital cardiopathy. Once the ketoacidosis was resolved during the immediate puerperium, slow acting insulin was initiated.
author	Rivas M,Margarita Belmar Z,Pamela Durruty A,Pilar Sanhueza M,Lilian López S,Gloria
author_facet	Rivas M,Margarita Belmar Z,Pamela Durruty A,Pilar Sanhueza M,Lilian López S,Gloria
author_sort	Rivas M,Margarita
title	Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
title_short	Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
title_full	Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
title_fullStr	Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
title_full_unstemmed	Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico
title_sort	cetoacidosis diabética normoglicémica en el embarazo: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001000018
work_keys_str_mv	AT rivasmmargarita cetoacidosisdiabeticanormoglicemicaenelembarazocasoclinico AT belmarzpamela cetoacidosisdiabeticanormoglicemicaenelembarazocasoclinico AT durrutyapilar cetoacidosisdiabeticanormoglicemicaenelembarazocasoclinico AT sanhuezamlilian cetoacidosisdiabeticanormoglicemicaenelembarazocasoclinico AT lopezsgloria cetoacidosisdiabeticanormoglicemicaenelembarazocasoclinico
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Cetoacidosis diabética normoglicémica en el embarazo: Caso clínico

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