Progression of gestational diabetes mellitus to pregnancy-associated fulminant type 1 diabetes: a case report.

ABSTRACT:

Background

Pregnancy-associated fulminant type 1 diabetes (PF) occurs during pregnancy or within 2 weeks of delivery. Although it occurs infrequently, it is associated with high fetal mortality rate. Few studies have examined whether PF is associated with gestational diabetes mellitus (GDM).

Case description

A 29-year-old woman diagnosed with GDM at 24 weeks of gestation developed a fever, sore throat, nausea and vomiting at 29 weeks of gestation. Ketoacidosis was considered based on her blood ketone and glucose levels and the results of a blood gas analysis. Since the patient's islet function declined rapidly, fluid replacement, insulin therapy, and other treatments were administered. The patient was ultimately diagnosed with PF, and has required ongoing insulin therapy. Sh

SUBMITTER: Ji Q 

PROVIDER: S-EPMC11292075 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature